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How much do you know about neck pain?

Neck pain is the second most common musculoskeletal conditions in the world affecting people’s wellbeing. The popularity of mobile devices makes even more individuals suffering from severe neck pain.

The anatomy of the cervical region is very complex. There are seven vertebrae to support the skull which protects the important organ – brain, and weight around 5kilograms. Intervertebral discs are between vertebrae with ligaments, tendons and muscles surrounding the joints. The spinal cord and vertebral arteries are protected inside and through vertebrae. The mobility of the neck contributes to the high occurrence of neck pain.

The common causes of neck pain are due to postural problems, disc injuries, degenerative disc disease.

Causes

Postural problems

Disc herniation

Degenerative disc disease

Trigger point referral

Muscle strain

Cervical spondylosis

Cervical spinal canal stenosis

Neck injuries – whiplash

Apart from neck pain, there are other symptoms and signs may associate with – such as headaches, stiff neck, reduced range of motion, muscle spasm and nerve pain (pins and needles or numbness in the relative arm and hand areas).

A study reported that chiropractic care, specifically chiropractic manipulations or adjustments are recommended to improve the outcomes for treating both acute and chronic neck pain. The combination of other modalities such as stretching, exercise, manual therapy could even maximise the efficacy of the chiropractic treatment. It is also found that chiropractic treatments could improve the intensity, frequency and duration of cervicogenic headaches.

If neck pain is annoying you, Kings Park Chiropractic Clinic can help you diagnose the source of your neck and tailor the treatment for you.

References

Bryans, R., Decina, P., Descarreaux, M., Duranleau, M., Marcoux, H., Potter, B., . . . White, E. (2014). Evidence-Based Guidelines for the Chiropractic Treatment of Adults With Neck Pain. Journal of Manipulative and Physiological Therapeutics,37(1), 42-63. doi:10.1016/j.jmpt.2013.08.010

Garcia, J. D., Arnold, S., Tetley, K., Voight, K., & Frank, R. A. (2016). Mobilization and Manipulation of the Cervical Spine in Patients with Cervicogenic Headache: Any Scientific Evidence? Frontiers in Neurology7, 40. http://doi.org/10.3389/fneur.2016.00040

https://en.wikipedia.org/wiki/Neck

http://www.neurosurgery.wustl.edu/patient-care/specialties/spine/cervical-disc-herniation-179

https://www.painscience.com/tutorials/trigger-points.php

https://www.spine-health.com/conditions/degenerative-disc-disease/cervical-degenerative-disc-disease

https://www.msk.org.au/neck-pain/

https://www.webmd.com/back-pain/neck-strain-whiplash#1

https://nccih.nih.gov/health/pain/spinemanipulation.htm

https://chiromt.biomedcentral.com/articles/10.1186/s12998-019-0246-y

Patient Story – Disc Herniation

This patient had been suffering from lower back pain for more than 10 years. The back pain was due to a previous sports injury. Someone fell on his back when he was landing at a basketball court, which resulted in disc herniation. The pain was shooting down to the left heel when he bent forward. Every year, it has an acute onset of the chronic lower back pain. At acute phase, back pain and leg pain interfered with patient’s daily activities and work.

He was limping with an antalgic gait and posture. The pelvic was shift to the left and the upper body deviated to the right (tried not to compress on the pain side). Pain occurred when bending, coughing and sneezing.

After one session of chiropractic care by using dry needling and manipulation, the pain intensity and gait completely changed significantly. He could walk properly without limping and the lower back pain reduced from 8/10 to 3/10.

Patient Story – Knee Pain from the back


Carlos, 68 year-old, came to see me for left knee pain. He had knee pain for at least 3 months. The nature of the pain was constant, pain was worsen by walking. In the physical examination, his knee movement(ROM) was no restriction on both sides and no pain was elicited during knee movement and muscle palpation. He had a history of lower back pain and operation for lumbar decompression and fusion. It was suspected that the pain was referred by the lumbar region.

Carlos was sent to take X ray for both lumbar and knee regions. The result showed that left knee only had mild to moderate degeneration changes. However, the fracture of the left screw at L4 was noted. The pain came from his lower back due to the broken screw at L4, which innervated the left knee area and result in the L4 segment slipped forward. The fragment of the broken screw was removed and replaced a new screw to stabilise the L4 vertebra. After the operation, his knee pain disappeared. As a chiropractor, making a correct diagnosis is crucial and co-managing with other professions is so important in this case.