Neck Pain
Here
are some of the most typical causes of neck pain:
· Injury or Accidents – Sprains and Strains
· Arthritis
· Degenerative Disc Disease
· Poor Posture
· Obesity
·
Weak Core
musculature (Abs and back muscles)
·
And others…
About your Neck
Your neck, also called the cervical spine, begins at the base of
the skull and contains seven small vertebrae. Incredibly, the
cervical spine supports the full weight of your head, which is
on average about 12 pounds. While the cervical spine can move
your head in nearly every direction, this flexibility makes the
neck very susceptible to pain and injury.
The neck’s susceptibility to injury is due in part to
biomechanics. Activities and events that affect cervical
biomechanics include extended sitting, repetitive movement,
accidents, falls and blows to the body or head, normal aging,
and everyday wear and tear. Neck pain can be very bothersome,
and it can have a variety of causes.
Chiropractic Care of Neck Pain
During your visit, we will perform a thorough examination to
locate the source of your pain and will ask you questions about
your current symptoms and remedies you may have already tried.
In the physical exam, we will observe your posture, range of
motion, and physical condition, noting movement that causes
pain. We will feel your spine, note its curvature and alignment,
and feel for muscle spasm. A check of your shoulder area is also
in order. During the neurological exam, your doctor may test
your reflexes, muscle strength, and other nerve changes.
In some instances, we might order tests to help diagnose your
condition. An x-ray can show narrowed disc space, fractures,
bone spurs, or arthritis. A computerized axial tomography scan
(a CT or CAT scan) or a magnetic resonance imaging test (an MRI)
can show bulging discs and herniations. If nerve damage is
suspected, we may order a special test called electromyography
(an EMG) to measure how quickly your nerves respond. We
will refer out to other healthcare professional, as necessary.
Neck Adjustments
A neck adjustment (also known as a cervical manipulation) is a
precise procedure applied to the joints of the neck, usually by
hand. A neck adjustment works to improve the mobility of the
spine and to restore range of motion; it can also increase
movement of the adjoining muscles. Patients typically notice an
improved ability to turn and tilt the head, and a reduction of
pain, soreness, and stiffness.
Question:
Why is there a popping sound when a joint is adjusted?
Adjustment of a joint may result in release of a gas bubble
between the joints that makes a popping sound – it’s exactly the
same as when you “crack” your knuckles. It is not painful. It is
caused by the change of pressure within the joint resulting in
gas bubbles being released.
Of course, we will develop a program of care that may combine more
than one type of treatment, depending on your personal needs. In
addition to manipulation, the treatment plan may include
mobilization, massage or rehabilitative exercises, or something
else.
Research Supporting Chiropractic Care
As part of the literature review, published in the March/April 2007
issue of the Journal of
Manipulative and Physiological Therapeutics, the researchers
reviewed nine previously published trials and found “high-quality
evidence” that patients with chronic neck pain showed
significant pain-level improvements following spinal
manipulation.
Is neck adjustment safe?
Yes, it is. The most recent research into the safety of neck
adjustment confirms the safety of this procedure. Neck adjustment is
performed well within the normal turning range of the head. There is
less movement than it takes to look over your shoulder. It is skill
– not strength – that is needed to perform a safe, effective
adjustment. Most patients experience immediate relief following an
adjustment, however, some may experience temporary pain, stiffness
or slight swelling.
It is important for patients to understand the risks associated with
some of the most common treatments for musculoskeletal pain --
prescription and over-the-counter nonsteroidal anti-inflammatory
drugs (NSAIDS) -- as these treatments may carry risks significantly
greater than those of chiropractic manipulation. According to a
study from the American Journal of Gastroenterology, approximately
one-third of all hospitalizations and deaths related to
gastrointestinal bleeding can be attributed to the use of aspirin or
NSAID painkillers like ibuprofen.
VBA stroke is a very rare event in the population. The increased
risks of VBA stroke associated with chiropractic and PCP visits is
likely due to patients with headache and neck pain from VBA
dissection seeking care before their stroke. We found no evidence of
excess risk of VBA stroke associated chiropractic care compared to
primary care.
Cassidy J, et al.
Risk of vertebrobasilar stroke and chiropractic care: results of a
population-based case-control and case-crossover study. Spine 2008
February 15; 33(4 Suppl): S176–S183
