Neck pain: Difference between revisions

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	Neck pain;
ICD-10	M54.2
ICD-9	723.1
DiseasesDB	23260
MedlinePlus	003025
MeSH	D019547

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Revision as of 13:01, 18 May 2009

Editor-In-Chief: Robert G. Schwartz, M.D. [1], Piedmont Physical Medicine and Rehabilitation, P.A.

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Overview

Neck pain (or cervicalgia) is a common problem, with two-thirds of the population having neck pain at some point in their lives.^[1] It is increasing in both intensity, frequency and severity of episodes. As people are increasingly sedentary, live fast-paced and hectic lives, they place more stress and strain on the upper back and neck regions of their spines.

Neck pain, although felt in the neck, can be caused by numerous other spinal issues. Neck pain may arise due to muscular tightness in both the neck and upper back. Joint disruption in the neck creates pain, as does joint disruption in the upper back.

The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain. The top three joints in the neck allow for most movement of your neck and head. The lower joints in the neck and those of the upper back create a supportive structure for your head to sit on. If this support system is affected adversly, then the muscles in the area will tighten, leading to neck pain.

Neck pain may also arise from many other physical and emotional health issues.

Neck Pain Causes

Reasons for neck pain can be complex. Major and severe causes of neck pain include:

Spondylosis - degenerative arthritis and osteophytes
Spinal stenosis – a narrowing of the spinal canal
Spinal disc herniation – protruding or bulging discs, or if severe prolapse.
Severe degeneration – usually as a result of past injuries or whiplash accidents.

The more common and lesser neck pain causes include:

Stress – physical and emotional stresses
Prolonged postures – many people fall asleep on sofas and chairs and wake with sore necks
Minor injuries and falls – car accidents, sporting events and day to day minor injuries
Referred pain – mostly from upper back problems
Over-use – muscular strain is one of the most common causes

Although the causes are numerous, most are easily recitified by either professional help or using self help advice and techniques.

Treatment

Neck pain is treated by numerous physical therapies. They range in complexity depending on the severity and underlying causes of the pain. Treatment is administered by chiropractic, osteopathic and physical therapy. All of these specialties treat neck pain issues. The benefit of mobilisation and manipulation is not clear.^[2]^[3] Neck pain can also be eased via many self help techniques such as stretching, strength building exercises. Non-traditional methods such as Acupressure, Reflexology and therapeutic massage are commonly used as well.^{[citation needed]}

Prognosis

About one-half of episodes resolve within one year.^[1] About 10% of cases become chronic.^[1]

References

↑ ^1.0 ^1.1 ^1.2 Binder AI (2007). "Cervical spondylosis and neck pain". BMJ. 334 (7592): 527–31. doi:10.1136/bmj.39127.608299.80. PMID 17347239.
↑ Gross AR, Hoving JL, Haines TA; et al. (2004). "Manipulation and mobilisation for mechanical neck disorders". Cochrane database of systematic reviews (Online) (1): CD004249. doi:10.1002/14651858.CD004249.pub2. PMID 14974063.
↑ Hoving JL, Koes BW, de Vet HC; et al. (2002). "Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial". Ann. Intern. Med. 136 (10): 713–22. PMID 12020139.

External links

http://www.arc.org.uk/arthinfo/patpubs/6024/6024.asp Pain in the neck

Template:Diseases of the musculoskeletal system and connective tissue Template:SIB

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[pmid17347239-1] 1.0 ^1.1 ^1.2 Binder AI (2007). "Cervical spondylosis and neck pain". BMJ. 334 (7592): 527–31. doi:10.1136/bmj.39127.608299.80. PMID 17347239.

[pmid14974063-2] Gross AR, Hoving JL, Haines TA; et al. (2004). "Manipulation and mobilisation for mechanical neck disorders". Cochrane database of systematic reviews (Online) (1): CD004249. doi:10.1002/14651858.CD004249.pub2. PMID 14974063.

[pmid12020139-3] Hoving JL, Koes BW, de Vet HC; et al. (2002). "Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial". Ann. Intern. Med. 136 (10): 713–22. PMID 12020139.

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@@ Line 20: / Line 20: @@
 ==Overview==
-'''Neck pain''' (or '''cervicalgia''') is a common problem, with two-thirds of the population having neck pain at some point in their lives.<ref name="pmid17347239">{{cite journal |author=Binder AI |title=Cervical spondylosis and neck pain |journal=BMJ |volume=334 |issue=7592 |pages=527-31 |year=2007 |pmid=17347239 |doi=10.1136/bmj.39127.608299.80}}</ref> It is increasing in both intensity, frequency and severity of episodes.{{Fact|date=August 2007}} As people are increasingly sedentary, live fast-paced and hectic lives, they place more stress and strain on the upper back and neck regions of their spines.
+'''Neck pain''' (or '''cervicalgia''') is a common problem, with two-thirds of the population having neck pain at some point in their lives.<ref name="pmid17347239">{{cite journal |author=Binder AI |title=Cervical spondylosis and neck pain |journal=BMJ |volume=334 |issue=7592 |pages=527-31 |year=2007 |pmid=17347239 |doi=10.1136/bmj.39127.608299.80}}</ref> It is increasing in both intensity, frequency and severity of episodes. As people are increasingly sedentary, live fast-paced and hectic lives, they place more stress and strain on the upper back and neck regions of their spines.
 Neck pain, although felt in the neck, can be caused by numerous other spinal issues. Neck pain may arise due to muscular tightness in both the neck and upper back. Joint disruption in the neck creates pain, as does joint disruption in the upper back.