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Which statement about onset of SJD is true?

It is always abrupt

It is insidious

Onset tends to be insidious. In many cervical spine disorders, symptoms develop gradually over weeks to months rather than appearing suddenly. Early signs are often subtle—mild neck pain, stiffness, or intermittent radicular symptoms—that patients may overlook as everyday wear and tear. Over time, these symptoms progress as degenerative or inflammatory processes slowly worsen, leading to more noticeable impairment. An abrupt onset would point toward a traumatic or acute event rather than the typical course of this condition. Symptoms aren’t restricted to the night; they can occur or worsen during the day as well, and fever is not a usual feature unless an infectious or systemic inflammatory process is involved.

It is exclusively nocturnal

It is associated with fever

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