颈肩痛鉴别诊断 任德广教授（The differential diagnosis of neck and shoulder pain of Professor Ren Deguang）.docVIP

颈肩痛鉴别诊断 任德广教授（The differential diagnosis of neck and shoulder pain of Professor Ren Deguang） The neck and shoulder pain refers to common limb pain or numbness of the radioactive neck pain disease: (a) the neck injury caused by bone and surrounding soft tissue injury but no compression of spinal cord and nerve stimulation in patients with obvious history of trauma cervical neck pain is difficult activities military neck appearance of injured area has apparent tenderness muscle spasticity is limitation of activity of cervical vertebra X line inspection is the most basic responsibility can be observed axis CT can clearly show the fracture line and bone block displacement. (two) cervical muscle fiber inflammation; Where the cold and damp chronic injury and bad posture like nothing long bow work can cause the back of the neck muscle fascia tissue edema and hyperemia of aseptic inflammation patients complained of neck and back pain diffuse morning heavy activity after slightly reduced but increased again after the conscious activities over the back of the neck have a sense of weight-bearing can find tenderness or point the neck lesion in the normal hit test negative laboratory examination and X-ray examination showed no abnormalities of the disease without CT or MRI examination. (three) cervical spondylosis Conscious patients with posterior neck discomfort pain often have a sense of weight-bearing in cold working after the long bow suddenly aggravated neck muscles of patients with pressure when acid bilges feeling, but the pain is not obvious neck activity may have mild limitation of J ray can be found in cervical lordosis became straight or disappeared in flexion or hyperextension can be a part of the patients there are signs of cervical intervertebral instability is a mild ladder when the neck compensatory reconstruction can heal the stability. (four) ankylosing spondylitis The disease first invasion rolls upward gradually progress iliac joints cause lumbar thoracic i