Cervicalgia Diagnosis: Neurological Assessment, Postural Factors, and the Role of Cervical MRI

Dear colleagues, cervicalgia is a prevalent condition that affects a significant portion of the population, considerably impacting our patients' quality of life. The diagnosis of cervicalgia requires a thorough evaluation that includes both neurological assessment and consideration of postural factors. In this article, we will explore the key elements for an accurate diagnosis, drawing on recent literature and our clinical experience.

Neurological Assessment and Postural Factors

The neurological assessment is fundamental in the diagnosis of cervicalgia, especially when cervical radiculopathy is suspected. The identification of risk factors is crucial to prevent progression to chronic conditions. Among the most prominent risk factors are uncomfortable and sustained work postures, which can exacerbate cervical pain symptoms.

Prolonged use of mobile devices in neck flexion positions has been associated with an increase in the severity of cervical pain, as evidenced by a recent study. Additionally, the presence of myofascial trigger points in the cervical muscles can significantly contribute to pain and postural dysfunction.

Cervical MRI is a valuable diagnostic tool for assessing the structural integrity of the cervical spine and ruling out underlying pathologies. However, a detailed clinical history, including occupational history and provocative maneuvers, remains essential for an accurate diagnosis.

Conclusions

The diagnosis of cervicalgia is a complex process that requires a comprehensive evaluation of neurological and postural factors. Early identification of risk factors, such as inadequate work postures and excessive use of mobile devices, can help prevent progression to chronic conditions. The combination of imaging techniques, such as cervical MRI, with a detailed clinical history and thorough neurological assessment, is fundamental for effective management of cervicalgia.

Referencias

• [1] Identifying risk factors for first-episode neck pain: A systematic review.
• [2] Association between mobile phone use and neck pain in university students: A cross-sectional study using numeric rating scale for evaluation of neck pain.
• [3] The relationship between myofascial trigger points sensitivity, cervical postural abnormality, and clinical tension-type headache parameters.

Created 5/1/2025