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One morning, you wake-up with a burning pressure sensitive cat heating pad or tingling sensation in your neck. Perhaps it feels stiff or tender and you just can't figure out why! Did you sleep "funny" or catch a draft on your neck. Maybe it was when your car was rear-ended or when you twisted the wrong way at the gym. Whatever is causing your neck pain, all you know is... it hurts and you want it to go away, before it gets worse!
Neck pain - also referred to as cervical pain, can strike anywhere from the bottom of your head to the top of your shoulders. It can quickly spread to your upper back or arms, limiting head and neck movement. You may experience crippling headaches, dizziness, blurred vision, depression and fatigue - which can last for days, weeks, months or years, especially if left untreated. Long-term pain has the potential to limit daily activities and reduce your quality of life. The possibility for neck pain and injury are constant, therefore, a little anatomy is needed.
A Pain in the Neck - Literally
Your neck is amazing! It begins at the base of the skull, and contains 7 small bones or vertebrae. Between each vertebrae are intervertebral discs (tough shock-absorbing pads). In addition, the neck has joints, muscles and ligaments that allow movement and provide stability. It carries the weight of your head... 8 - 12 pounds and has the ability to nod up and down (90° of forward and backward motion) and turn right and left (180° of side to side motion, and almost 120° of tilt to each shoulder). The nerves in your neck help the brain communicate with your shoulders, arms and chest. The arteries and veins circulate blood between the brain and the heart. With so much freedom of movement, comes the risk for pain and injury!
Finding this cause, begins with a thorough health history, understanding of the patient's symptoms, along with a structural and muscular examination. Physical Therapists and Chiropractors may work together to perform a manual exam, palpate the spine and conduct specialized testing to analyze posture, range-of-motion, muscle strength and nerve function. Other diagnostic tests may include laboratory blood studies to determine if there is an underlying disorder, x-rays, CAT scan, MRI, electromyography and nerve conduction studies.
Begins with a Thorough Health History
It is important to understand that neck pain symptoms can signify different things! For instance, the same symptom could indicate an inflammatory concern, nerve entrapment issue, disc or muscular problem - that is why finding the exact cause is so vital!
Most neck pain can be caused by activities that result in repeated or prolonged movements to the neck's muscles, ligaments, tendons, bones or joints. This can result in a strain (overstretched or overused muscles), sprain (injury to a ligament), a spasm of the neck muscles or inflammation of the neck joints. Poor Posture (improper position when sitting,
reading, sleeping or working at a computer), Injury (auto, sports or slip and fall), Improper Bending and Lifting Techniques, Inadequate Muscle Strength, Shortened Muscles, Strained Muscles or Ligaments, Scoliosis, Osteoarthritis, Being Overweight, Facet Joint Syndrome, Pinched Nerve, Cervical Spinal Stenosis, Bulging or Herniated Disc or Segmental Instability (excess movement between two vertebrae, causing pinching or irritation of the nerve roots) are factors to be explored and analyzed. The stress and emotional tension of having neck pain can lead to more neck pain... muscles become tight and contract. Choices have to be made, decisions regarding surgery, medication and alternative therapy must be considered.
Neck pain can be caused by activities
Neck pain sufferers may not realize how some of their activities and lifestyle choices have directly or indirectly caused their neck pain. Perhaps they fell asleep on a chair or couch while watching television or maybe they have a tendency to sleep on their stomach. Other people might not realize that the weight of their pocketbook or holding their cell phone jammed between their ear and shoulder has caused their neck pain. Finally, many individuals find themselves sitting at the computer for many hours with poor posture. This poor posture continues as they travel home - either by car, bus or train.
After finding the cause, the proper treatment can be instituted to achieve neck pain relief. Treatment may include medication management, as well as injections of ligaments, muscles, bursae, joints and specialized injections such as epidural injections or facet joint block injection. Physical Therapy, Chiropractic or Acupuncture may be an integral part of the neck pain treatment program.
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