[{"data":1,"prerenderedAt":214},["ShallowReactive",2],{"site":3,"posts-\u002Fposts\u002F5-minute-physio-tip-discogenic-wry-neck-diagnosis-and-treatment":100,"posts-surround-\u002Fposts\u002F5-minute-physio-tip-discogenic-wry-neck-diagnosis-and-treatment":203},{"id":4,"accreditation":5,"archive":8,"buyBar":8,"courseName":9,"curriculumIntro":10,"curriculumLabels":8,"eligibility":11,"evidence":8,"extension":12,"finalCta":13,"footerColumns":14,"footerTagline":60,"hero":61,"improve":63,"included":65,"instructor":68,"kind":71,"landing":8,"meta":72,"moreTestimonials":8,"nav":79,"outcomes":87,"podcast":8,"pricing":89,"promoVideo":8,"siteMeta":91,"siteUrl":95,"spotlight":8,"statement":8,"stem":96,"testimonials":97,"testimonialsIntro":8,"trustStats":98,"__hash__":99},"site\u002Fsite.md",{"eyebrow":6,"heading":6,"body":6,"badges":7},"",[],null,"Clinical Edge blog",{"eyebrow":6,"heading":6,"intro":6},{"title":6,"body":6},"md",{"heading":6,"body":6,"signoff":6},[15,27,42],{"heading":16,"items":17},"Blog",[18,21,24],{"label":19,"href":20},"All posts","\u002F",{"label":22,"href":23},"RSS feed","\u002Frss.xml",{"label":25,"href":26},"Podcast","https:\u002F\u002Fpodcast.clinicaledge.co",{"heading":28,"items":29},"Learn",[30,33,36,39],{"label":31,"href":32},"Online courses","https:\u002F\u002Fwww.clinicaledge.co\u002Fonline-courses",{"label":34,"href":35},"Membership","https:\u002F\u002Fsignup.clinicaledge.co",{"label":37,"href":38},"About Clinical Edge","https:\u002F\u002Fwww.clinicaledge.co\u002Fabout",{"label":40,"href":41},"The team","https:\u002F\u002Fwww.clinicaledge.co\u002Fteam",{"heading":43,"items":44},"Support",[45,48,51,54,57],{"label":46,"href":47},"Contact support","https:\u002F\u002Fwww.clinicaledge.co\u002Fsupport",{"label":49,"href":50},"FAQs","https:\u002F\u002Fwww.clinicaledge.co\u002Ffaqs",{"label":52,"href":53},"Sign in","https:\u002F\u002Fwww.clinicaledge.co\u002Flogin",{"label":55,"href":56},"Terms and conditions","https:\u002F\u002Fwww.clinicaledge.co\u002Fterms-conditions",{"label":58,"href":59},"Privacy policy","https:\u002F\u002Fwww.clinicaledge.co\u002Fprivacy","The Clinical Edge blog. Practical, evidence-based articles, infographics and clinical resources for physiotherapists and allied health professionals.",{"badge":6,"headline":6,"intro":6,"image":6,"videoUrl":6,"videoTitle":6,"problemTitle":6,"problemParagraphs":62},[],{"eyebrow":6,"heading":6,"intro":6,"items":64},[],{"eyebrow":6,"heading":6,"intro":6,"items":66,"gallery":67},[],[],{"eyebrow":6,"heading":6,"lead":6,"paragraphs":69,"name":6,"title":6,"stat":70},[],{"value":6,"label":6},"blog",{"body":73},{"type":74,"value":75,"toc":76},"minimark",[],{"title":6,"searchDepth":77,"depth":77,"links":78},2,[],{"links":80,"ctaLabel":86,"ctaHref":35},[81,83,84,85],{"label":82,"href":20},"Home",{"label":25,"href":26},{"label":31,"href":32},{"label":34,"href":35},"Join Clinical Edge",{"eyebrow":6,"heading":6,"intro":6,"items":88},[],{"eyebrow":6,"heading":6,"intro":6,"note":6,"tiers":90},[],{"title":92,"description":93,"image":94},"Clinical Edge Blog","Enhance your assessment and treatment skills with practical, evidence-based articles, infographics and clinical resources from Clinical Edge, for physiotherapists and allied health professionals.","https:\u002F\u002Fs3-ap-southeast-2.amazonaws.com\u002Fclinedge\u002Fimages\u002FDavid\u002FDavid_headland.jpg","https:\u002F\u002Fblog.clinicaledge.co","site",[],[],"GE2t9YSJmnOI0HqhXHrVfcBu4o7_q6Io6G64zCNE9ps",{"id":101,"title":102,"body":103,"contentPath":186,"date":187,"description":188,"duration":189,"embedType":6,"embedUrl":6,"extension":12,"image":190,"meta":191,"metaDescription":188,"metaTitle":102,"navigation":116,"odooId":192,"pageType":193,"path":194,"seo":195,"series":6,"seriesSlug":6,"slug":196,"stem":197,"tags":198,"token":200,"updated":201,"__hash__":202},"posts\u002Fposts\u002F5-minute-physio-tip-discogenic-wry-neck-diagnosis-and-treatment.md","5 minute Physio Tip - Discogenic wry neck diagnosis and treatment",{"type":74,"value":104,"toc":184},[105,117,121,127,138,143,150,155,158,163,170,173,178],[106,107,109],"div",{"style":108},"padding:56.25% 0 0 0;position:relative;",[110,111],"iframe",{"src":112,"style":113,"frameBorder":114,"allow":115,"allowFullScreen":116},"https:\u002F\u002Fwww.youtube-nocookie.com\u002Fembed\u002F4XfXT1HamAo","position:absolute;top:0;left:0;width:100%;height:100%;","0","autoplay; fullscreen",true,[118,119,120],"p",{},"What is discogenic wry neck, and why do you need to treat it differently to acute wry neck? ",[118,122,123],{},[124,125,126],"strong",{},"Wry neck",[118,128,129,130,137],{},"Patients with ",[131,132,136],"a",{"href":133,"rel":134},"https:\u002F\u002Fwww.clinicaledge.co\u002Fblog\u002F5-minute-physio-tip-acute-wry-neck-diagnosis-treatment",[135],"nofollow","acute wry neck"," will have a very different presentation, prognosis and treatment to discogenic wry neck. Patients with a wry neck will present with neck pain, restriction of movement and unilateral or asymmetrical symptoms.",[118,139,140],{},[124,141,142],{},"Discogenic wry neck",[118,144,145,146,149],{},"The features of discogenic wry neck include discogenic neck pain with nerve root symptoms, in 35–60 year olds. Prior to onset, patients will often have stiffness or limitation of movement prior to onset, with a less sudden onset than ",[131,147,136],{"href":133,"rel":148},[135],".",[118,151,152],{},[124,153,154],{},"Symptoms and objective findings in discogenic wry neck",[118,156,157],{},"Symptoms of “discy” wry neck include local neck with or without shoulder pain. They often cannot find a comfortable position, are usually able to perform some contralateral rotation and lateral flexion, and can usually reach midline with their movements. The mid to low cervical spine is often implicated in their symptoms and treatment will often target this area.",[118,159,160],{},[124,161,162],{},"Treatment",[118,164,165,166,169],{},"Without treatment, discogenic wry neck may progress to nerve root irritation or compression. Overall this will respond slower to treatment than ",[131,167,136],{"href":133,"rel":168},[135],", and may require a lot more and regular treatment. You can incorporate rotation, lateral flexion movements or passive physiological intervertebral mobilisation (PPIVM’s) may be used.",[118,171,172],{},"Manual therapy such as PAIVM’s can also be used in your treatment, as opposed to acute wry neck where this may aggravate it. Cervical spine manipulation would not be your first line treatment in any wry neck, or to be honest in many conditions, as manipulation should really be considered a progression of treatment following a positive response to mobilisation with more end range discomfort.",[118,174,175],{},[124,176,177],{},"Links",[118,179,180],{},[131,181,183],{"href":133,"rel":182},[135],"Acute wry neck video - 5 minute physio tip",{"title":6,"searchDepth":77,"depth":77,"links":185},[],"\u002Fblog\u002F5-minute-physio-tip-discogenic-wry-neck-diagnosis-and-treatment","2016-05-19","What is discogenic wry neck, and why do you need to treat it differently to acute wry neck? 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