Education

Neck Pain (Cervical). What is neck pain?

This type of pain is usually caused by a strain in the neck muscles and often linked to one’s poor posture while doing an activity like hunching over as you work in front of the computer. There are cases wherein neck pain is due to arthritis. If someone experiences severe neck pain, this could be a warning sign of a more serious health problem. Doctors generally advise their patients if the neck pain is resulting in a numbing effect, weak arms and hands or an intense shooting pain from the shoulder down to your arm, seek immediate medical care to avoid complications.

Common Conditions of Cervical (Neck) Pain

  • Bulging Disc
  • Cervical Compression
  • Cervical Trauma
  • Cervical Kyphosis
  • Cervical Compression Fractures
  • Cervical Spondylosis
  • Degenerative Disc Disease
  • Facet Joint Syndrome
  • Failed Neck Syndrome
  • Herniated Disc
  • Nerve Impingement
  • Rheumatoid Arthritis of the Cervical Spine

Symptoms of neck pain

Neck pain may vary from one person to another, depending upon where the pain is located and the extent of its occurrence. Among the symptoms that one must be completely aware of are:

  • Increasing pain around the neck area and becomes worse despite the application of some home care remedies like hot and cold compress, stretching or massage.
  • Neck pain affecting the arms and legs.
  • Worst case scenario is loss of control of bowel or bladder due to the severity of pain felt around the neck.
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Causes of neck pain

  • Muscle strain around the neck area, often due to some activities that may trigger the strain like long hours of driving in a hunch position, reading while in a lying position or gritting one’s teeth.
  • Weakening of the neck joints due to old age which may lead to osteoarthritis affecting the neck area.
  • Traumatic injuries due to car collisions at the rear end, accidental falls or sports like diving.
  • Certain ailments or diseases resulting to neck pain such as rheumatoid arthritis, cancer or meningitis.
  • Nerve compression, either a result of herniated disk or bone spurs.

Suggested basic home care remedies

Neck pain may come and go on its own after a few days and won’t always require medical treatment. If a person is experiencing minimal levels of pain or discomfort, below are some home care tips to follow:

Applying cold and warm compresses to the neck area that last up to 15 minutes can ease the strain. This procedure is done three or more times in a day until neck pain is gone. Others find relief after taking a hot shower or warm bath.

Stretching exercises that are focused on the neck area are also proven to relieve the strain. Simple neck stretching can be performed like moving the neck slowly from side to side or up and down motion.

Observing proper posture is also another way to lessen the occurrence of neck pain. Make it a habit to sit properly even when working long hours in front of the computer. Support your back and make sure your monitor is at eye level.

Tests and diagnosis needed

As a basic requirement during a medical assessment, your doctor will inquire about the level of pain or discomfort as well as other symptoms bothering you. He or she will also conduct physical examination to verify the existence of tenderness, numbness and muscle weakness. Patient is also requested to do some routine movement of the head like forward, backward and side to side. Series of tests are also done to the patient such as:

  • X-rays are done to determine whether there are some nerves affected or there is an underlying problem around the spinal cord like herniated disk or bone spurs.
  • Computerized tomography (CT scan) is also performed wherein series of x-ray images are taken from different angles, so that a more detailed cross-sectional view of the inner portion of the neck is derived.
  • Magnetic resonance imaging (MRI) may also be required to get a clearer view of the bones and soft tissues as well as the spinal cord and nerves.
  • Lab tests are also done and may include:
  • Blood tests to verify if there are some infections or inflammations.
  • Spinal tap (lumbar puncture), sample fluids are taken from the patient with the use of a needle inserted in the spine. This is used to check whether the patient has meningitis or not.

Treatments and drugs

If your neck pain becomes worse, the following treatments and drugs could be recommended by the attending medical practitioner:

Prescription of stronger pain relievers, muscle relaxant drugs or tricyclic antidepressant medicines.

Various therapy treatments can be prescribed such as:

  • Neck stretching and other forms of neck exercises are done under the supervision of a certified physical therapist.
  • Traction is another therapy where the use of weights and pulleys are facilitated to stretch the neck of the patient and keep it still. This procedure is only performed under the strict supervision of a medical professional and licensed physical therapist.
  • Use of soft collar as a short-term immobilization therapy. This neck support is worn for a limited period of time, not more than two weeks to avoid further harm done to the patient’s neck.
  • Injection of steroids like corticosteroid is injected to the patient to lessen the neck pain. Others are given numbing medications (lidocaine) to minimize pain or discomfort.
  • Surgical procedure is done only on rare cases to provide relieve to the nerve root or spinal cord.

Some other alternative treatments that can be prescribed for some patients may include:

  1. Acupuncture
  2. Chiropractic
  3. Massage
  4. Transcutaneous electrical nerve stimulations (TENS)

Tips to prevent neck pain

Neck pain can be the result of poor posture, accidents, injury or can be age age-related. To prevent the occurrence of neck, here are a few changes you could observe: 

Take interval breaks when you feel a strain around your neck, especially if you have spent long hours in front of the computer or drove miles. Avoid gritting your teeth or hunching when doing close work activity.

Do frequent stretching such as pulling your shoulder blades together and then relax. Another exercise that could help reduce neck pain is shrugging your shoulders, using upward and downward motion.

Don’t tuck the phone between your ear and shoulder. Use your headset.

Observe proper sleeping position to avoid stressing the neck area. Buy a pillow that is designed to follow the natural curve of the neck and never sleep on your stomach.

2. Low back pain can be a symptom of stress or injury to the lumbar (lower) spine.

The lumbar connects to the pelvis and is a point of much weight bearing and body movement. Many work related injuries result in some form of short or long term low back lumbar pain.

Most of these pains and injuries are mechanical in nature. This can include Sprains and strains, Intervertebral disc degeneration, Herniated or ruptured discs, Sciatica, Radiculopathy, trauma injuries perhaps from playing sports, car accidents, or a fall. Spinal stenosis is a narrowing of the spinal column that can sometimes lead to leg weakness or sensory loss. Low back pain can also be the result of Skeletal irregularities like scoliosis or other congenital anomalies.

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Lower Back Pain

What is lower back pain?

The lower back’s structure consists of interconnected and overlapping tendons and muscles as well as of other soft tissues, sensitive nerves and nerve roots, small and complex joints and the spinal discs. The lower back pain may occur if there is an irritation or underlying problems on the mentioned elements, resulting to pain at the lower back and affecting other body parts. This type of back pain is common to younger individuals and elderly persons and may become chronic when pain is severe.

Symptoms for younger individuals

  • Aching pain that becomes intense in the lower back area, either after a physical activity, sudden movement or lifting heavy items.
  • Difficulty of movement that may escalate, not being able to walk or stand.
  • Severe pain around the groin, buttock or upper thigh area.

  • On rare cases, pain may travel below the knee.
  • Muscle spasms that becomes worst.
  • Feeling of tenderness when touched

Causes of lower back pain among younger individuals

  • Injury
  • Lifting of heavy objects
  • Frequent twisting
  • Sudden movement that may stretch the muscles or ligaments
  • Development of microscopic tears

  • Some home care remedies to treat lower back pain affecting younger individuals:
  • Complete rest from work or any strenuous physical activity.
  • Ice or heat compress or combination of both.
  • Lower back exercises that focused on stretching.

Symptoms for elderly individuals

  • Lower back pain and feeling of stiffness, mostly in the morning and late in the evening.
  • Sudden pain while sleeping.
  • Localized soreness (tenderness) on the part of the spine when touched.
  • Steady or escalating pain in the lower back and often becomes worst due to long periods of activity.

  • Loss of flexibility in the back such as difficulty to bend in the waist.
  • Height loss.
  • Worst scenarios may lead to deformity or disability.

Causes of lower back pain among elderly individuals

  • Compression fracture (osteoporosis) on adults over 50 years old, especially women under their post-menopausal stage.
  • Sacroiliac joint dysfunction
  • Side effect of long-term usage of corticosteriod among older women.
  • Infection
  • Piriformis syndrome

  • Spinal tumor
  • Fibromyalgia
  • Ankylosing spondylitis
  • Coccydynia
  • Spinal stenosis
  • Osteoarthritis

Lower back treatment

Regardless of age, the general treatment for anyone experiencing lower back pain is dependent on the following:

  • One’s medical and health history
  • Type and level of pain or discomfort felt on the lower back area
  • If the pain becomes worst, series of diagnostic tests and surgical procedures may be suggested by the attending doctor.
  • Patient is advised to undergo complete rest for a few days until the pain subsides and allow natural healing to takes its course.
  • Hot and warm applications are recommended to reduce any swelling on the affected area. There are instances, wherein a patient would prefer warm compress that cold compress, but some benefit doing both applications alternately.
  • Series of medications are given to the patient that includes:
  • Intake of over-the-counter and prescription drugs to lessen the symptoms of lower back pain.
  • Medications that reduced inflammation.
  • Exercise focusing more on the lower back area may be part of the treatment program, either done at home or in the medical clinic under the supervision of a physical therapist, chiropractor or physiatrist and may consist of three major categories:
  • Aerobic conditioning
  • Stretching
  • Strengthening
  • Low impact aerobic exercise is also given in addition to other sets of exercises, again concentrating on the lower back like walking, swimming or any form of exercise performed in the water.
  • Chiropractic manipulation or chiropractic adjustment.
  • Epidural steroid injections.
  • Surgery for the lower back can be any of the following:
  • Laminectomy (sciatica)
  • Microdiscectomy (compressed nerve problem)
  • Fusion surgery (painful motion segment)

The mentioned treatments and medications are just some of the possible solutions to solve the lower back pain. It is imperative for anyone with serious complaints of lower back pain to seek immediate medical help, especially if the level of pain causes extreme discomfort, immobility or fully stoppage from work or any physical activity. Get the right diagnosis and avail the appropriate medical care needed. Always consult your lower back pain problems only with a spine specialist.

Common Low Back (Lumbar) Related Conditions

  • Lumbar Herniated Disc
  • Degenerative Disc Disease
  • Lumbar Trauma

  • Sacroiliac Joint Syndrome
  • Spondylolysis

We know that chiropractic adjustments in the upper cervical spine (upper neck) significantly decrease an individual’s hypertension. There is no peripheral nerve connection from the neck to the structure that controls blood pressure, so the nerve pressure theory cannot be the explanation, yet these changes still occur. I contend that the nerve pressure theory is a very small piece of what is taking place inside the body. In my opinion, the most powerful connection between a chiropractic adjustment and a person’s global health changes is the direct effect the adjustment has on the brain and central nervous system.

When bones become locked up or fixated due to micro-injuries they limit our range of motion.  When we bend and move, they remain locked up or hypomobile.  During the chiropractic adjustment a chiropractor applies light pressure to the joint to free up the vertebra and restore motion.   The joints above and below the hypomobile joint are also compromised.  They bend too much in trying to compensate for the immobile joints.  This is called hypermobile.  By restoring motion to the joints that are locked up, chiropractors restore health and function to the body.

 

Through a chiropractic adjustment combined with physical therapy, chiropractors can eliminate symptoms such as:

  • back pain
  • headaches
  • sciatica pain
  • neck pain
  • auto injuries and whiplash
  • sports injuries
  • pregnancy pain
  • scoliosis