Neck Pain

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Neck Pain Affects Up to 75.1% Of Us!

Research has shown that neck pain occurs in up to 75.1% of the population in any given year*. This figure was taken from an analysis vast quantities of published research on neck pain. This isn’t terribly surprising, a lot of patients we see quite often live with neck pain for months or even years before actually getting around to seeking treatment.

We have seen a lot of patients (with spinal imaging) of their neck & spine over the years. After seeing so many people struggling with acute and chronic pain alike, it has become clear there are a few common themes. Hopefully, you can learn from some of our patients’ challenges and in doing so, avoid suffering from chronic neck pain, as well as permanent degenerative change.

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Neck Pain Is Ignored Often

Neck Pain

One of the big problems with neck pain is that it normally first shows up as stiffness and discomfort across the neck and shoulder area. Sometimes this can progress to pain down the arm and tingling or numbness into the fingers. The numbness and tingling are referred to as neurological symptoms. This means they are caused by irritation of the nerves in some way.

A lot of people that we have seen will notice that their neck pain, stiffness or discomfort first started in their early 20’s. This is normally around the time you are either studying hard for exams or really getting into working (desk based) life. The excessive hours at a desk start to add up. Because you are spending longer and longer each day behind the desk or slaving over paperwork, neck stiffness begins to set in.

The neck pain, as with any pain, is an indication that something needs attention. For those few forward thinking people in their mid 20’s action at this point pays dividends in the future.  Having seen and taken care of patients in the clinic in their mid 20’s with neck problems on thing is clear. It is incredibly satisfying to help some of these patients by making the right changes, rehab recommendations, and treatment plans, to help them avoid a more permanent issue in the future.

If You’re Doing This You’re Probably Missing Something

Neck Pain

Problems that cause neck pain often give you stiffness and tightness across the bands of muscle on the back of your neck and shoulder area (trapezius). The most common error we see in the long term treatment of this stiffness is stretching and massaging the muscle by stretching the head further forwards. If you’re doing this, you really need to read on and figure out exactly what is causing this stiffness so you no stop making your neck pain worse.

What Are Some Common Causes of Neck Pain?

Neck Pain can be caused by lots of different things, serious causes of neck pain are rare. However, here are some of the more common causes of neck pain. Don’t worry if you do have any of these though, we have a lot of experience in treating the conditions below, often with great success!

Arthritis Causing Neck Pain

There are lots of different forms of arthritis that can affect different parts of the neck, here are some types of arthritis that can cause neck pain. Arthritis is a degenerative condition that will take often years to become present. So if there are traces of arthritis and specific joints in your spine, it is clear that there have been problems building up for quite some time. This isn’t always reflected in the levels of neck pain.

Spondylosis or Degenerative Disc Disease Causing Neck Pain

This refers to the disc portion of the spinal segment. The intervertebral discs are supposed to be like little cushions between the vertebra. However, research shows that certain neck positions can cause more pressure to build up in this part of the segment of the spine. Over time, the discs begin to lose the fluid that gives them their shock absorbing qualities. These discs are often referred to as dehydrated, and in most cases, there will also be a certain degree of bulging.

Quite often the degree of neck pain here is more achy and deep. The pain itself will often not be that severe but will be consistent. Patients sometimes say the persistent nature of this makes the pain less bearable.

Spondylarthrosis or Facet Joint Arthritis

If Spondylosis and DDD (degenerative disc disease) affect the front part of the vertebra, this affects the back part. The facet joints are arranged in pairs at every segment of the spine. Patients that have arthritis here are often more likely to also experience a sharp “catching pain”.

The reality, however, is that if there is arthritis in one part of the segment, you are likely to have arthritis in the other part. This arthritis can be on a scale from very mild bony change all the way through to near-fusion of the two segments of the spine. This process needs time to occur, so chances are you will likely be able to avoid it getting really bad if you’re proactive and seek a proper assessment when symptoms first start.

Spinal Stenosis Causing Neck Pain

Stenosis is one of those conditions we find patients are diagnosed with but don’t fully get taught what it actually means. Stenosis or Spinal Stenosis commonly occurs in the lower back or in the neck. It means a narrowing of a canal or hole. There are two places this can occur.

  • In the spinal canal. This is the “hole” that the spinal cord runs through. If you get spinal stenosis in this part of the spine, stenosis can affect everything below the level of the stenosis. This is why if stenosis occurs in the neck it can cause problems that leave you quite confused.
  • The lateral recess. This is the hole that the smaller spinal nerves come off, stenosis here will normally only affect the areas that the nerves supply, this is why this type of stenosis in the neck will often cause symptoms down certain parts of your arm.

In our opinion, spinal stenosis is really a consequence of another problem, normally this is a disc bulge or arthritic change. There can be other more sinister causes of stenosis, but these will normally be ruled out or in very quickly and you will be referred for appropriate treatment swiftly.

Bad Posture Causing Neck Pain

 

Bad Posture Causes Neck PainAre you sat at a desk all day? Could Your Posture be better? Do you have rounded shoulders?

Poor posture can be a considerable contributor to neck pain, the sort that affects your neck and shoulder muscles. Because of the mechanics, it can also give you headaches. This sort of bad posture will result in your head moving forwards significantly. As you probably know by now, this has an effect of accelerating the pressure and wear through the joints in the neck.

Bad Posture

Postural problems like you see in the image above is typical amongst anyone spending a significant proportion of their day at a desk. You probably will recognise a few colleagues at your workplace with this sort of rounded shoulders posture. As the head moves forwards you magnify its weight and pressure exerted on the cervical spine.

No Wonder Your Neck Muscles Are Tight And Tired!

Bad posture is normally part of the picture in early degenerative changes to the neck. The weight of the head is magnified being held so far forwards it increases the compressive loading through the cervical discs. Added up over time this bad posture causes neck pain and by correcting this early on you can really help reduce chronic neck pain!

 

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What Is Not A Cause Of Neck Pain

Probably the biggest neck pain complaint or “misdiagnosis” is a muscle spasm or muscle tension. You might have even been given this as a diagnosis before but this really is one of our “pet-peeves” and it is because muscles do not spasm or become tense for no reason. Muscles are reactive, and therefore will go into spasm or become tense because of something.

You wouldn’t put a fire out by throwing water on the smoke.

Muscle tension or spasm is the smoke. So if your neck pain, stiffness or discomfort does persist and you are finding there is muscle spasm around your neck and shoulders, contact us and see how we can help.

Headaches & Neck Painheadaches and neck pain

Headaches normally go hand in hand with bad posture and or neck pain. The most common type of headaches are tension or cervicogenic headaches. This is when abnormal levels of muscle tension are caused by a structural problem. For example, the cervical spine is in a bad position caused by and related to poor posture.

When your head moves forwards a long way your head has to tilt backward to keep your eyes looking forward. This puts pressure on delicate nerves and blood vessels which can give pain in and around the head, neck and behind the eyes sometimes.

Treatment of headaches and neck pain related to bad posture is effective when you know how the spine works, this is why we get such good results at The Mayfair Clinic.

Acute Neck Pain Vs. Chronic Neck Pain

Acute Neck Pain is a short term neck pain, often people will call this a trapped nerve, normally because the pain will be sharp. It can also shoot into the shoulder as well. It commonly is due to catching the smaller “facet joints” on the back of the spine. This sort of neck pain can come on really quickly for example after a trauma like a whiplash, or if you’ve slept in an awkward position.

Most of the time with some gentle stretching and icing this sort of acute pain can resolve quite quickly. If you do find that symptoms are recurrent or not resolving then it would be best to get in touch and see how a thorough examination and treatment could help resolve the issue more permanently.

Chronic Neck Pain

In practice one of the big contributors to neck pain becoming chronic is prolonged neck flexion. Chronic here is categorized as neck pain that lasts longer than 3 months. You probably won’t be surprised to learn that with the explosion in smart phone use, a phenomenon such as “text-neck” are becoming more and more commonplace.

Some people, unfortunately, will have a loss of their normal cervical lordosis which is flexion by definition. This, therefore, means the person’s neck is in a constant position of flexion which is not good for your neck. Research proves time and time again that these facts are important in understanding your neck problems. Therefore we would recommend that all acute and chronic neck pain gets the appropriate examinations with necessary spinal imaging where clinically relevant to ensure that “no stones are left unturned”. Knowing that chronic neck pain has comorbidities such as anxiety, depression and even low back pain, it is important that your neck pain is dealt with effectively & competently.

Sleeping Position

Sleeping is a great opportunity to recover but it can also be a real trouble for some people. Sleeping on your front forces your neck to twist and is not good for anyone at all. If you have any degeneration, or arthritic change or even get the occasional stiff neck, sleeping on your tummy is a bad idea and should be avoided!  If sleeping on your side or back, make sure you avoid flexion of your neck (i.e. looking towards your feet) – see point above about chronic neck pain.

Movements To Avoid

Avoid rapid movement of the head or neck. These rapid movements are likely to cause further pain and inflammation. If there is more severe damage quick movements can cause the injury to worsen. Quite often people have less control over their neck movements particularly in acute neck pain, so you will be less able to protect your neck instinctively if moved quickly.

Sleeping Position

Knowing that sleeping is when your body recovers, whether or not you have neck pain, sleeping on your side or back is preferable, however here are some tips for sleeping in a way that is good for your neck. Firstly, sleep with your head in a neutral position if, on your side, this means using just enough pillows to support your head so it isn’t tilting to one side. Second, make sure your chin is not tucked in and down. Finally, if you are on your back, make sure your neck is supported nicely, a good orthopedic pillow should do this well.

 

Some Neck Movement Can Help

Small amounts of controlled and slow movement within a normal range in a quiet room, free from distractions can help with reduction in the inflamatory build up. This slow movement prevents the neck from seizing up and the movement helps with keeping the non-injured parts of the neck from becoming stiff and irritable. If you have had a car accident or severe trauma seek emergency care and avoid this until you have been assessed professionally.

Help For Your Neck Pain

Ultimately your neck is a very delicate area of your body that protects and transmits a lot of important information (through your spine). Because neck pain can often be complex, if your pain does persist for a couple of days, book an appointment with a professional osteopath who is trained to effectively examine and diagnose the causes of your neck pain.

At The Mayfair Clinic, we will always ensure that you get the most appropriate treatment. The methods that we employ to treat neck pain are extremely safe and low risk whilst being very effective at reduction of pain, swelling & ultimately improving healing. Knowing the delicate nature of the cervical spine (neck) and how it works is vital to the proper treatment and when it comes to the cervical spine, we have significant expertise.