Neck Pain Causes,
Diagnosis and Treatment
Neck Pain Causes:
The neck supports the weight of
the head, which can weigh 10 lbs or more. Although the head should be centered
over the spine when we sit or stand upright, countless activities—such as
sitting at a computer, reading, watching television, or eating—cause people to
slump, rounding their upper back and tilting their head forward. This posture
can lead to muscle strain or spasm in the neck. Muscle strain or spasm can also
arise from constantly looking over or under one’s glasses, having poor sleeping
posture, or taking extended car trips.
General wear and tear from
everyday activities and normal aging can cause changes in the disks of the neck
that lead to pain and stiffness. For example, herniation of the intervertebral
disks in the neck can decrease the space through which nerves exit the spinal
canal, leading to pinched nerves and consequent pain. Bony outgrowths on the
vertebrae (called osteophytes) also can pinch nerves. Spinal stenosis can put
pressure on the spinal cord, causing pain or paralysis. Most people with neck
pain do not have a herniated disk, osteophytes, or a disease that affects the
spinal cord. Typically, it is the result of muscle strain or spasm.
On occasion, neck pain can
result from acceleration/deceleration injuries, commonly known as whiplash. It
can also stem from serious problems like arthritis or cancer or from problems
that originate in other areas of the body such as the shoulder. Chronic neck
pain that is not associated with any physical problem may result from
associated stress or depression.
When To See a Doctor:
Many cases of neck pain get
better on their own. If neck pain is linked to a recent recreational or
work-related activity, the pain will likely decrease within two weeks, and
treatment from a doctor is usually unnecessary. However, you should see a
doctor if your neck pain follows a serious injury or is accompanied by the
following:
·
headaches, fever, or weight loss
·
pain that worsens at night
·
difficulty walking, clumsiness, or
weakness
·
pain, numbness, or tingling in your
fingers, arms, or legs
·
problems with bladder, bowel, or
sexual function
·
discomfort or pressure in your chest
·
severe pain over a bone that might
indicate a fracture or injury to a ligament
·
osteoporosis or extended
corticosteroid treatment (increases your risk of fracture). Also see your
doctor if your pain lasts longer than two weeks.
Waiting too long before seeing
the doctor for neck pain decreases the likelihood that the pain will completely
resolve.
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