*Irritation and spasm of the muscles of the neck, upper back, or both
-Pain could be related to muscle injury, ligamentous strain, facet joint irritation, and/or disc injury- no way to tell with PE
-C/B: whiplash, arthritis, sublclinical radiculopathy, emotional and physical stress, poor posture, poor sleeping habits
S/Sx: neck pain, tenderness, HA, shoulder pain, arm pain
-TTP neck musculature
Dx: based on H & P; r/o more serious, underlying pathology
Tx: TREAT UNDERLYING PATHOLOGY FIRST!
-Trigger point injection