The purpose of this study was to identify the correlation of shoulder pain to cervical pathology and effectiveness of cervical treatment on the neck and shoulder.
Response to a multidisciplinary rehabilitation program focused on the cervical radiculopathy and shoulder pain was excellent. Thirty patient complaining of shoulder pain only without neck pain were evaluated by physical examination, cervical X-rays and electrodiagnostic study. The results were as follows: 1) Twenty four cases were abnormal in plain cervical spine x-ray with straightening of cervical lordotic curve in 15 cases, cervical spondylosis in 13 cases, and disc space narrowing in 5 cases. 2) Cervical radiculopathies were diagnosed 24 cases which showed abnormal spontaneous activities in needle EMG：13 cases in paraspinal muscles and 11 cases in both paraspinal and upper extremity muscles. 3) The results of treatment were excellent in 6 cases and good in 18 cases. Therefore patients complaining of shoulder pain should be examined their neck with various laboratory study.
