Conditions We Treat

Neck pain really is a “pain in the neck”, but the good news is, we can help! Neck related disorders can range from an acute “stiff neck” after sleeping on an airplane in an awkward position, to certain neurological disorders which cause uncontrollable spasms and involuntary head and neck movement. Fortunately, when identified and treated in a timely and appropriate manner, most neck related disorders can be effectively managed, beginning with non-surgical methods, including the following:

  • Cervical radiculopathy (pinched nerve in the neck)
  • Cervical spondylosis and cervical stenosis
  • Cervical disc herniation
  • Cervicobrachial myofascial pain syndrome and cervical whiplash
  • Cervical dystonia including spasmodic torticollis

Diagnostic Tests

Cervical x-rays are commonly obtained after traumatic injuries, such as a motor vehicle accident, but in the absence of a fracture or dislocation, have little diagnostic value, particularly in non-traumatic cases of neck pain, due to the fact that they cannot demonstrate the condition of nerves, discs, muscles or ligaments. This is why Dr. Kahn will often order flexion-extension views of the cervical spine, in order to rule out instability of the vertebral segments, when this condition is suspected. While CT scans provide excellent imaging of bony anatomy, they do not optimize the ability to diagnose injuries to nerves, discs, muscles or ligaments. The “gold standard” of cervical spine imaging is the MRI scan, which can demonstrate lesions of all types of tissues, and increases our understanding of the anatomy of the cervical spine and how this relates to your symptoms.

But what about those patients whose neck pain extends to involve the shoulders, upper back, arms, or hands, including tingling, numbness, or weakness? In those cases, the usage of electrodiagnostic (EDX) testing is indicated, which is the optimal diagnostic study to evaluate the function of nerves and muscles. Dr. Kahn performs this testing himself in our in-office diagnostic suite, and has performed over 5000 electrodiagnostic studies, co-authored a medical textbook chapter on this subject, and has taught these techniques to other physicians, including:

  • Nerve conduction studies (NCS), including late wave responses and nerve root stimulation studies
  • Electromyography (EMG), including limb and paraspinal muscles


Our practice offers interventional procedures for the treatment of neck pain, on a case by case basis, based upon the results of diagnostic testing, the physical examination findings, and in consideration of the patient’s overall health condition and treatment goals. Unlike other practices where patients are told that they will receive a “series of three” injections, our practice will monitor your response to any single procedure which we perform, and will modify your treatment accordingly, based upon the outcome of that procedure, since we are able to offer a broad range of treatments for cervical spine related conditions, including the following:

  • Trigger point injections of head and neck muscles (ultrasound guided)
  • Botulinum toxin injections for disorders of muscle tone (using electromyographic and/or ultrasound guidance)
  • Occipital nerve blocks (ultrasound guided)