NECK PAIN

OVERVIEW

Neck pain is a serious public health problem in the general population. It is pain in or around your spine beneath your head. The neck is also known as the cervical spine. A study showed that neck pain increased with age and was greater among females than males.

SYMPTOMS OF NECK PAIN

Stiffness in the neck, shoulders, and upper back

Being unable to turn your neck or tilt your head
A shooting pain that travels from the neck to the shoulders or arms
Numbness or tingling (pins and needles) feeling in your shoulders or arms

OTHER SYMPTOMS MAY INCLUDE

Pain that’s often worsened by holding the head in one place for long periods, such as when driving or working at a computer
Headache
Muscle tightness and spasms
A persistent ache

WHEN TO SEE YOUR DOCTOR

Seek immediate care if severe neck pain results from an injury, such as a motor vehicle accident or fall.
Contact a health care provider if neck pain:

Is severe.
Persists for several days without relief.
Spreads down arms or legs.
Involves a headache, dizziness, nausea or vomiting.
Involves a loss of bowel or bladder control.
Persists whether you’re moving or staying still.
Occurs with chills, fever or unexplained weight loss.
Occurs with numbness or tingling in your arms, shoulders or legs.
Occurs with weakness in your legs or loss of coordination in your arms or legs.

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CAUSES OF NECK PAIN

Aging

As you age, natural wear and tear can cause parts of your cervical spine to deteriorate, or degenerate, causing pain. Degenerative conditions such as osteoarthritis (the wearing down of joint cartilage) and spinal stenosis (narrowing of the spaces in your spine) can lead to neck pain.

Physical strain

Overusing your neck muscles during repetitive or strenuous activities can lead to stiffness and pain. For example, straining your neck for too many hours hunched over a computer or a smartphone, often triggers muscle strains. Even minor things, such as reading in bed, can strain neck muscles.

Injury

Trauma and other injuries can damage muscles, ligaments, disks, vertebral joints and nerve roots in your spinal cord and lead to neck pain. Whiplash during automobile accidents is a common injury that causes neck pain. This occurs when the head jerks backward and then forward, straining the soft tissues of the neck

Mental stress

Tightening your neck muscles because you’re stressed can lead to neck pain and stiffness.

Growths

Masses, including tumors, cysts and bone spurs, can put pressure on the nerves in your neck, causing pain.

Diseases

Neck pain is a symptom of many health conditions, including meningitis, rheumatoid arthritis and cancer.

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DIAGNOSIS OF NECK PAIN

The doctor will ask about previous neck injuries, about work or other activities that could your neck. They’ll feel your neck and supporting muscles to check for tenderness and signs of strain. Additionally medical imaging like X-ray, MRI, CT scan and blood tests may be required to get evidence of underlying pathology.

Prevention of NECK PAIN

To help prevent neck pain, keep your head centered over your spine. Simple changes in your daily routine may help.

Use Good Posture: When standing and sitting, be sure your shoulders are in a straight line over your hips and your ears are directly over your shoulders. When using cell phones, tablets keep your head up and hold the device straight out rather than bending your neck to look down at the device.
Take Frequent Breaks: If you work long hours at your computer, get up, move around, and stretch your neck and shoulders.
Sleep in a Healthy Position: 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.

Adjust Your Desk, Chair & Computer so that the monitor is at eye level. Knees should be slightly lower than hips. Use your chair's armrests.
Avoid Carrying Heavy Bags With Straps Over Your Shoulder: The weight can strain your neck.
Stay Active: If you don't move much, increase your activity level.
Quit Smoking: Smoking can increase the risk of developing neck pain.
Exercise Your Upper Back Extensor Muscles. : Aging causes loss of strength in the upper back. As a result, your shoulders rock forward, and your head tips forward in a position in front of your spine. This positioning puts additional strain on your neck and upper back. Hence it is important to strengthen your upper back extensor muscles.

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TREATMENT OF NECK PAIN

Pain Medication

Use of analgesics (pain medication) and muscle relaxants

Physiotherapy

A physical therapist can teach correct posture and alignment. Treatment includes neck-strengthening exercises and movements that strengthen the muscles and tendons in the neck and improve flexibility. Physical therapy might also involve the use of heat, ice and other measures to help ease pain.

Other Therapies

Transcutaneous electrical nerve stimulation (TENS) and steroid injections.

Surgery

Rarely needed for neck pain, it might be an option if the vertebrae in your spine has shifted out of place or is putting pressure on your nerves.

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