Open Access Articles- Top Results for Neck pain
AnaplastologyChronic Neck Pain Consideration in the Facelift Patient
Journal of Novel PhysiotherapiesGaze Direction Recognition Task for the Rehabilitation of Chronic Neck Pain
Orthopedic & Muscular System: Current ResearchOriginal Etiology of Acute and Febrile Neck Pain: Cervical Calcification of Ligamentum Flavum
Journal of SpineComparison of Upper, Middle, and Lower Trapezius Strength in Individuals with Unilateral Neck Pain
Journal of Yoga & Physical TherapyEffect of Yoga Therapy and Conventional Treatment in the Management of Common Neck Pain - A Comparative Study
A parti-colored guinea pig with torticollis, or wry neck
Neck pain, although felt in the neck, can be caused by numerous other spinal problems. Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves emanating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back.
The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain. The top three joints in the neck allow for most movement of the neck and head. The lower joints in the neck and those of the upper back create a supportive structure for the head to sit on. If this support system is affected adversely, then the muscles in the area will tighten, leading to neck pain.
Neck pain may come from any of the structures in the neck including: vascular, nerve, airway, digestive, and musculature / skeletal or be referred from other areas of the body.
Major and severe causes of neck pain (roughly in order of severity) include:
- Carotid artery dissection
- Referred pain from acute coronary syndrome
- Head and neck cancer
- Infections: retropharyngeal abscess, epiglottitis, etc.
- Spinal disc herniation – protruding or bulging discs, or if severe prolapse.
- Spondylosis - degenerative arthritis and osteophytes
- Spinal stenosis – a narrowing of the spinal canal
The more common and lesser neck pain causes include:
- Stress – physical and emotional stresses
- Prolonged postures – many people fall asleep on sofas and chairs and wake up with sore necks.
- Minor injuries and falls – car accidents, sporting events and day to day injuries that are really minor.
- Referred pain – mostly from upper back problems
- Over-use – muscular strain is one of the most common causes
- Herniated disc
- Pinched nerve
Although the causes are numerous, most are easily rectified by either professional help or using self help advice and techniques.
More causes include poor sleeping posture, torticollis, head injury, rheumatoid arthritis, Carotidynia, congenital cervical rib, mononucleosis, rubella, certain cancers, ankylosing spondylitis, cervical spine fracture, esophageal trauma, subarachnoid hemorrhage, lymphadenitis, thyroid trauma, and tracheal trauma.
Treatment of neck pain depends on the cause. For the vast majority of people, neck pain can be treated conservatively. Recommendations which help alleviate symptoms include applying heat or cold. Other common treatments could include medication, body mechanics training, ergonomic reform, and physical therapy.
Exercise plus joint mobilization and/or joint manipulation (spinal adjustment) has been found to be beneficial in both acute and chronic mechanical neck disorders. Both cervical manipulation and cervical mobilisation produce similar immediate-, and short-term changes; no long-term data are available. Thoracic manipulation may also improve pain and function. Low level laser therapy has been shown to reduce pain immediately after treatment in acute neck pain and up to 22 weeks after completion of treatment in patients with chronic neck pain.
Analgesics such as acetaminophen or NSAIDs are recommended for pain. Muscle relaxants are often prescribed and are known to be effective. However, one study showed that one muscle relaxant called cyclobenzaprine was not effective for treatment of acute cervical strain (as opposed to neck pain from other etiologies or chronic neck pain). Over the counter topical creams and patches may be effective for some patients.
Surgery is usually not indicated for mechanical causes of neck pain. If neck pain is the result of instability, cancer, or other disease process surgery may be necessary. Surgery is usually not indicated for "pinched nerves" or herniated discs unless there is spinal cord compression or pain and disability have been protracted for many months and refractory to conservative treatment such as physical therapy.
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- Gross AR (2010). "Manipulation or mobilisation for neck pain". Cochrane database of systematic reviews (Online) (1): CD004249. PMID 20091561. doi:10.1002/14651858.CD004249.pub3.
- Huisman PA, Speksnijder CM, de Wijer A (January 2013). "The effect of thoracic spine manipulation on pain and disability in patients with non-specific neck pain: a systematic review.". Disabil Rehabil 35: 1677–1685. PMID 23339721. doi:10.3109/09638288.2012.750689.
- Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM (2009). "Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials". Lancet 374 (9705): 1897–1908. PMID 19913903. doi:10.1016/S0140-6736(09)61522-1.
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