Cervical Pain, Lumbar Pain, and Sciatalgia

Abstract

Neck pain and low back pain are common in the general population. Pain can be localized in the neck or lumbar region, can irradiate to the extremities, and can be associated with other symptoms such as motor or sensory disorders. The elderly patient presenting cervical or lumbar pain must be thoroughly evaluated with a complete history and physical examination in order to make a correct diagnosis of the condition affecting the patient. It is important to rule out the eventuality of a serious underlying disease. Where necessary, diagnostic imaging is required to complete the diagnostic process. Conservative therapy of neck pain and low back pain includes both pharmacological and non-pharmacological therapies. Exercises, massage, spinal manipulation, and acupuncture are some of the many therapeutic options that are supported by scientific literature and that are used in common practice.