Health, Weight Loss & Diet Plans General Blog: Diseases Conditions neck-pain

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<h2>
Definition</h2>
Neck pain is a common complaint. Neck muscles can be strained from 
poor posture — whether it's leaning over your computer or hunching over 
your workbench. Osteoarthritis also is a common cause of neck pain.<br />

Rarely, neck pain can be a symptom of a more serious problem. Seek 
medical care if your neck pain is accompanied by numbness or loss of 
strength in your arms or hands or if you have shooting pain into your 
shoulder or down your arm.<br />
<h2>
Symptoms</h2>
Signs and symptoms include:<br />
<ul>
<li>Pain that's often worsened by holding your head in one place for long periods, such as when driving or working at a computer</li>
<li>Muscle tightness and spasms</li>
<li>Decreased ability to move your head</li>
<li>Headache</li>
</ul>
<h3>
When to see a doctor</h3>
Most neck pain improves gradually with home treatment. If not, see your doctor.<br />
Seek immediate care if severe neck pain results from an injury, such as a motor vehicle accident, diving accident or fall.<br />
Contact a doctor if your neck pain:<br />

<br />
<ul>
<li>Is severe</li>
<li>Persists for several days without relief</li>
<li>Spreads down arms or legs</li>
<li>Is accompanied by headache, numbness, weakness or tingling</li>
</ul>
<h2>
Causes</h2>
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Your neck is flexible and supports the weight of your head, so it can
 be vulnerable to injuries and conditions that cause pain and restrict 
motion. Neck pain causes include:<br />

<ul>
<li><strong>Muscle strains.</strong> Overuse, such as too many hours
 hunched over your computer or smartphone, often triggers muscle 
strains. Even minor things, such as reading in bed or gritting your 
teeth, can strain neck muscles.</li>
<li><strong>Worn joints.</strong> Just like the other joints in your
 body, your neck joints tend to wear down with age. Osteoarthritis 
causes the cushions (cartilage) between your bones (vertebrae) to 
deteriorate. Your body then forms bone spurs that affect joint motion 
and cause pain.</li>
<li><strong>Nerve compression.</strong> Herniated disks or bone spurs in the vertebrae of your neck can press on the nerves branching out from the spinal cord.</li>
<li><strong>Injuries.</strong> Rear-end auto collisions often result
 in whiplash injury, which occurs when the head is jerked backward and 
then forward, straining the soft tissues of the neck.</li>
<li><strong>Diseases.</strong> Certain diseases, such as rheumatoid arthritis, meningitis or cancer, can cause neck pain.</li>
</ul>
<h2>
Preparing for your appointment</h2>
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You might initially contact your family doctor about your neck pain, and he or she may refer you to:<br />

<ul>
<li>A doctor who specializes in nonoperative treatment of musculoskeletal conditions (physical medicine and rehabilitation)</li>
<li>A doctor who specializes in arthritis and other diseases that affect the joints (rheumatologist)</li>
<li>A doctor who specializes in treating nerve-related disorders (neurologist)</li>
<li>A doctor who operates on bones and joints (orthopedic surgeon)</li>
</ul>
<h3>
What you can do</h3>
Before your appointment, you may want to write a list of answers to the following questions:<br />

<ul>
<li>When did your symptoms begin?</li>
<li>Have you ever injured your neck? If so, when did the injury occur?</li>
<li>Do any particular neck movements improve or worsen the pain?</li>
<li>What medications and supplements do you take regularly?</li>
</ul>
<h3>
What to expect from your doctor</h3>
Your doctor might ask some of the following questions:<br />

<ul>
<li>Where exactly does your pain occur?</li>
<li>Is the pain dull, sharp or shooting?</li>
<li>Do you have numbness or weakness?</li>
<li>Does the pain radiate into your arm?</li>
<li>Is the pain made worse by straining, coughing or sneezing?</li>
<li>Do you have other physical problems?</li>
</ul>
<h2>
Tests and diagnosis</h2>
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Your doctor will take a medical history and do an exam. He or she 
will check for tenderness, numbness and muscle weakness, as well as see 
how far you can move your head forward, backward and side to side.<br />

<h3>
Imaging tests</h3>
Your doctor might order imaging tests to get a better picture of the cause of your neck pain. Examples include:<br />

<ul>
<li><strong>X-rays.</strong> X-rays can reveal areas in your neck 
where your nerves or spinal cord might be pinched by bone spurs or other
 degenerative changes.</li>
<li><strong>CT scan.</strong> CT scans combine X-ray images taken 
from many different directions to produce detailed cross-sectional views
 of the internal structures of your neck.</li>
<li><strong>MRI.</strong> MRI uses radio waves and a strong magnetic
 field to create detailed images of bones and soft tissues, including 
the spinal cord and the nerves coming from the spinal cord.</li>
</ul>
It's possible to have X-ray or MRI evidence of structural problems in
 your neck without having symptoms. Imaging studies are best used as an 
adjunct to a careful history and physical exam to determine the cause of
 your pain.<br />

<h3>
Other tests</h3>
<ul>
<li><strong>Electromyography (EMG).</strong> If your doctor suspects
 your neck pain might be related to a pinched nerve, he or she might 
suggest an EMG. It involves inserting fine needles through your skin 
into a muscle and performing tests to measure the speed of nerve 
conduction to determine whether specific nerves are functioning 
properly.</li>
<li><strong>Blood tests.</strong> Blood tests can sometimes provide 
evidence of inflammatory or infectious conditions that might be causing 
or contributing to your neck pain.</li>
</ul>
<h2>
Treatments and drugs</h2>
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The most common types of mild to moderate neck pain usually respond 
well to self-care within two or three weeks. If neck pain persists, your
 doctor might recommend other treatments.<br />

<h3>
Medications</h3>
Your doctor might prescribe stronger pain medicine than what you can 
get over-the-counter, as well as muscle relaxants and tricyclic 
antidepressants for pain relief.<br />

<h3>
Therapy</h3>
<ul>
<li><strong>Physical therapy.</strong> A physical therapist can 
teach you correct posture, alignment and neck-strengthening exercises, 
and can use heat, ice, electrical stimulation and other measures to help
 ease your pain and prevent a recurrence.</li>
<li><strong>Transcutaneous electrical nerve stimulation (TENS).</strong> Electrodes placed on your skin near the painful areas deliver tiny electrical impulses that may relieve pain.</li>
<li><strong>Traction.</strong> Traction uses weights, pulleys or an 
air bladder to gently stretch your neck. This therapy, under supervision
 of a medical professional and physical therapist, may provide relief of
 some neck pain, especially pain related to nerve root irritation.</li>
<li><strong>Short-term immobilization.</strong> A soft collar that 
supports your neck may help relieve pain by taking pressure off the 
structures in your neck. However, if used for more than three hours at a
 time or for more than one to two weeks, a collar might do more harm 
than good.</li>
</ul>
<h3>
Surgical and other procedures</h3>
<ul>
<li><strong>Steroid injections.</strong> Your doctor might inject 
corticosteroid medications near the nerve roots, into the small facet 
joints in the bones of the cervical spine or into the muscles in your 
neck to help with pain. Numbing medications, such as lidocaine, also can
 be injected to relieve your neck pain.</li>
<li><strong>Surgery.</strong> Rarely needed for neck pain, surgery might be an option for relieving nerve root or spinal cord compression.</li>
</ul>
<h2>
Lifestyle and home remedies</h2>
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Self-care measures you can try to relieve neck pain include:<br />

<ul>
<li><strong>Over-the-counter pain relievers.</strong> Try 
over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, 
others), naproxen sodium (Aleve) and acetaminophen (Tylenol, others).</li>
<li><strong>Alternate heat and cold.</strong> Reduce inflammation by
 applying cold, such as an ice pack or ice wrapped in a towel, for up to
 20 minutes several times a day. Or alternate the cold treatment with 
heat. Try taking a warm shower or using a heating pad on the low 
setting.</li>
<li><strong>Home exercises.</strong> Begin daily gentle stretching, 
including neck rolls and shoulder rolls, once the worst of your pain has
 subsided. Gently tilt, bend and rotate your neck. Warm your neck and 
back with a heating pad or in the shower or bath before doing these 
exercises. Your doctor or a physical therapist can instruct you in doing
 these exercises.</li>
</ul>
<h2>
Alternative medicine</h2>
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Talk to your doctor if you're interested in trying alternative 
treatments for your neck pain. Your doctor can discuss the benefits and 
risks. Alternative treatments include:<br />

<ul>
<li><strong>Acupuncture.</strong> Acupuncture involves the insertion
 of thin needles into various points on your body. Studies have found 
that acupuncture may be helpful for many types of pain. But studies in 
neck pain have been mixed. For best results, you may need to undergo 
several acupuncture sessions. Acupuncture is generally considered safe 
when performed by a certified practitioner using sterile needles.</li>
<li><strong>Chiropractic.</strong> Performed mainly on the spine, a 
chiropractic adjustment applies a controlled, abrupt force to a joint. 
Chiropractic treatments to the neck can provide short-term pain relief, 
and, for many people, carry minimal risks.</li>
<li><strong>Massage.</strong> During a massage, a trained 
practitioner manipulates the muscles in your neck with his or her hands.
 Little scientific evidence exists to support massage in people with 
neck pain, though it may provide relief when combined with your doctor's
 recommended treatments.</li>
</ul>
<h2>
Prevention</h2>
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Most neck pain is associated with poor posture combined with 
age-related wear and tear. To help prevent neck pain, keep your head 
centered over your spine. Some simple changes in your daily routine may 
help. Consider trying to:<br />

<ul>
<li><strong>Use good posture.</strong> When standing and sitting, be
 sure your shoulders are in a straight line over your hips and your ears
 are directly over your shoulders.</li>
<li><strong>Take frequent breaks.</strong> If you travel long distances or work long hours at your computer, get up, move around and stretch your neck and shoulders.</li>
<li><strong>Adjust your desk, chair and computer</strong> so that the monitor is at eye level. Knees should be slightly lower than hips. Use your chair's armrests.</li>
<li><strong>Avoid</strong> <strong>tucking the phone</strong> between your ear and shoulder when you talk. Use a headset or speakerphone instead.</li>
<li><strong>If you smoke, quit.</strong> Smoking can put you at higher risk of developing neck pain.</li>
<li><strong>Avoid carrying heavy bags with straps over your shoulder.</strong> The weight can strain your neck.</li>
<li><strong>Sleep in a good position.</strong> Your head and neck 
should be aligned with your body. Use a small pillow under your neck. 
Try sleeping on your back with your thighs elevated on pillows, which 
will flatten your spinal muscles.</li>
</ul>
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Diseases Conditions neck-pain

Definition Neck pain is a common complaint. Neck muscles can be strained from poor posture — whether it's leaning over your computer...