Cervical neurocompression by way of cervical extension may cause parascapular or arm pain by narrowing the neural foramen (causing nerve root compression) or by causing pressure on the facet joints.
After acute whiplash injury, neck mobility is significantly reduced. After 3 months, however, mobility has been found to be similar between control subjects and patients with whiplash injury.
In cases of cervical myelopathy, the patient's gait pattern may be abnormal as a result of spasticity; the presence of spasticity implies an upper motor neuron dysfunction, in contrast to injury to the peripheral nerves.
In cervical radiculopathy, muscle stretch reflexes may be decreased in a myotomal pattern in the affected upper limb; however, they should remain normal in the lower limbs
For more on the physical examination of patients with neck pain, read here.
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