Neck Clinic Brisbane
Neck pain is a common ailment that can affect people of all ages and backgrounds. It can range from mild discomfort to severe, debilitating pain, and it can be caused by various factors. In this article, we will explore the causes, symptoms, and treatment options for neck pain to help you better understand and manage this prevalent issue.
- Neck Pain: This is the most prevalent symptom and can range from mild to severe. It may be described as aching, sharp, dull, or throbbing and may be constant or intermittent.
- Stiff Neck: Patients with neck disorders often report a sensation of neck stiffness or reduced range of motion. They may find it challenging to turn their head, tilt it, or look up and down.
- Headaches: Neck disorders can contribute to tension-type headaches or cervicogenic headaches, which are headaches originating from neck issues. These headaches may be characterized by a band-like pressure around the head.
- Radiating Pain: Pain from the neck can radiate to other areas, such as the shoulders, upper back, arms, or even the head. This is especially common in conditions like cervical radiculopathy, where nerve compression leads to pain along the nerve’s pathway.
- Muscle Tension and Spasms: Patients may experience muscle tightness in the neck and shoulder area, often accompanied by spasms or knots (trigger points).
- Numbness and Tingling: Nerve compression or irritation in the neck can lead to symptoms like numbness, tingling, or a “pins and needles” sensation in the arms, hands, or fingers.
- Weakness: Severe neck disorders, such as herniated discs or nerve compression, can cause muscle weakness in the arms or hands. Patients may have difficulty gripping objects or performing fine motor tasks.
- Loss of Coordination: In some cases, neck disorders can affect coordination and balance, making it challenging to perform daily activities.
- Difficulty Swallowing or Breathing: While rare, severe neck disorders can lead to difficulty swallowing or breathing due to compression of the structures in the neck. This should be considered a medical emergency.
- Tenderness: The neck area may be tender to the touch, and patients may notice increased sensitivity.
- Pain Aggravated by Movement: Certain movements or positions may worsen neck pain, while others may provide temporary relief. Patients often try to find comfortable positions that minimize pain.
- Sleep Disturbance: Neck pain and discomfort can interfere with sleep, making it difficult for patients to find a comfortable sleeping position.
What are types of neck pain?
Cervicalgia or neck pain is a common problem. Neck and shoulder pain can be an acute or chronic problem. Acute neck pain has many causes, including trauma such as whiplash, sleeping in a poor position leading to a stiff neck, or straining neck muscles from carrying a heavy object. Chronic neck pain may be caused by sitting at computers, poor posture, incorrect driving position, or pathological conditions such as spinal stenosis or osteoarthritis. Neck pain, often known as cervicalgia, is a common issue.
What is neck pain?
Any discomfort, stiffness, or soreness in the neck region is referred to as neck pain, which can affect people of all ages. Neck pain can have a low to severe intensity and a short-term (acute) or long-term (chronic) duration. Neck pain can affect daily tasks and cause significant discomfort, ranging from simple irritation to a serious hindrance.
What are the causes of neck pain ?
Neck pain can be caused by a variety of factors, such as physical strain, like lifting large objects or performing repetitive movements. Certain health conditions such as spinal stenosis, herniated discs, arthritis, pinched nerves, whiplash, improper sleeping positions, and poor body mechanics can also lead to neck pain.
How do Osteopaths treat Neck pain ?
Osteopathy is a type of manual therapy with the goals of enhancing the musculoskeletal system’s performance, promoting healing, and reducing pain.
Our osteopaths at Prime Health Hub treat neck pain with a variety of methods, such as manipulation and spinal and neck mobility. Soft tissue therapy is used to increase mobility and reduce stress. Exercise and stretching can increase strength and flexibility. They give advice on good posture that can help prevent future neck pain.
To help you experience long-lasting relief, our osteopaths collaborate with you to determine the underlying reasons for your neck pain and create a personalised treatment plan. Our method is holistic, addressing not just the symptoms of neck pain but also the underlying issues that lead to it, with a focus on manual therapy, exercise, and lifestyle changes.
What are the advantages of Neck Pain Treatment with Osteopathy?
For those with neck pain, osteopathic treatment has a number of advantages, including relieving stress and discomfort; enhanced flexibility and mobility; increased stability and strength; the reduced possibility of neck pain afterward; better posture; and general wellbeing.
Book an appointment or contact us to discover how our Doctors of Osteopathic medicine can help improve your health with a wholistic approach.
There are two types of neck and shoulder pain:
Acute and Chronic. Numerous factors can contribute to acute neck pain, including trauma like whiplash, sleeping incorrectly and developing a stiff neck, or overusing the neck muscles while moving a heavy object. Sitting at computers all day, bad posture, the wrong driving position, or pathological disorders like spinal stenosis or osteoarthritis can all contribute to chronic neck pain.
The muscles in the neck and upper back can become “hypertonic,” or unusually tight when joints in the neck or upper back become restricted. This limits movement and causes pain.
Osteopathy, a corrective manual therapy that promotes boney and muscular alignment of the neck and upper back muscles that become strained from overuse, is one of the best treatments to address neck and shoulder pain.
Some of the disorders related to Neck:-
- Cervical Strain: Overuse or injury to neck muscles.
- Cervical Sprain: Injury to neck ligaments.
- Torticollis (Wry Neck): Abnormal head and neck position due to muscle spasms.
- Myofascial Pain Syndrome: Chronic pain in neck muscles and soft tissues.
- Cervical Dystonia: Involuntary muscle contractions causing neck twisting or tilting.
- Cervical Osteoarthritis: Degenerative joint disease in the neck.
- Ankylosing Spondylitis: Inflammatory arthritis affecting the spine, including the neck.
- Cervical Spondylolisthesis: Displacement of one vertebra over another in the neck.
- Cervical Spondylosis: Degenerative changes in the neck’s spinal discs and joints.
- Herniated Disc (Cervical Disc Herniation): Disc material protruding and pressing on nerves.
- Cervical Radiculopathy: Nerve compression leading to arm pain and weakness.
- Cervical Stenosis: Narrowing of the spinal canal in the neck.
- Cervical Discogenic Pain: Pain from damaged cervical intervertebral discs.
- Cervical Spondylotic Myelopathy: Spinal cord compression due to degeneration.
- Whiplash: Neck injury due to rapid head movement, often from car accidents.
- Cervical Fracture: Broken neck bone, such as a vertebral fracture.
- Neck Contusion: Bruising of neck tissues, often from trauma.
- Neck Hematoma: Blood collection within neck tissues, sometimes due to injury.
Neck Tumors and Growths:
- Neck Mass: Abnormal growths or lumps in the neck, which may be benign or malignant.
- Neck Lipoma: A noncancerous fatty tumor in the neck.
- Neck Cyst: A fluid-filled sac in the neck, such as a branchial cyst.
- Neck Tumor (Malignant): Cancerous growths, such as neck lymphomas or thyroid cancer.
Neck Infections and Inflammation:
- Retropharyngeal Abscess: Infection behind the throat leading to neck pain.
- Cervical Lymphadenitis: Swollen lymph nodes in the neck due to infection.
- Cervical Osteomyelitis: Infection of the neck bones.
- Cervical Discitis: Inflammation of the cervical intervertebral discs.
Neck Vascular Conditions:
- Carotid Artery Dissection: Tear in the carotid artery leading to neck pain.
- Neck Aneurysm: Ballooning of blood vessels in the neck.
- Vertebral Artery Dissection: Tear in the vertebral artery causing neck pain and stroke risk.
Neck Nerve and Neuropathic Conditions:
- Cervical Neuropathy: Nerve damage or irritation in the neck.
- Cervical Radiculitis: Inflammation of cervical nerve roots.
- Cervical Neuritis: Nerve inflammation causing neck pain.
Other Neck-Related Issues:
- Thoracic Outlet Syndrome: Compression of nerves or blood vessels in the neck and shoulder.
- Cervical Rib: Extra rib in the neck region, potentially causing nerve compression.
- Cervical Spine Instability: Abnormal movement or misalignment of cervical vertebrae.
- Cervical Sympathetic Syndrome: Nervous system disorder affecting the neck.
- Cervical Dysplasia: Abnormal cell growth in cervical tissue.
- Eagle Syndrome: Abnormal bone growth in the neck causing pain.
- Cervical Heterotopic Ossification: Formation of bone in soft tissues of the neck.
- Cervical Ganglion Impar Syndrome: Chronic pain condition in the neck.
Diagnostic methods of neck pain
- Medical History: A detailed medical history is often the first step in diagnosing neck pain. The healthcare provider will ask about the onset of symptoms, the location and nature of the pain, its duration, any triggering events or activities, and any other relevant information.
- Physical Examination: A thorough physical examination is conducted to assess the neck’s range of motion, muscle strength, and any signs of inflammation, deformity, or structural abnormalities. The healthcare provider may also check for areas of tenderness or trigger points.
- Neurological Examination: If there are symptoms of nerve involvement, such as numbness, tingling, or weakness in the arms or hands, a neurological examination may be performed to assess nerve function and reflexes.
- Imaging Studies: Depending on the findings of the history and physical examination, one or more imaging studies may be ordered to visualize the neck’s structures.
- Common imaging methods include:
- X-rays: These can provide images of the bones in the neck, revealing fractures, bone spurs, or other abnormalities.
- CT Scan (Computed Tomography): This imaging technique provides detailed cross-sectional images of the neck, including bones, soft tissues, and blood vessels.
- MRI (Magnetic Resonance Imaging): MRI can provide high-resolution images of the cervical spine and soft tissues, making it useful for detecting herniated discs, spinal cord compression, and soft tissue injuries.
- Ultrasound: Ultrasound may be used to evaluate soft tissue structures in the neck, such as the thyroid gland or blood vessels.
- Electromyography (EMG) and Nerve Conduction Studies (NCS): These tests assess nerve function by measuring electrical activity in the muscles and the speed of nerve signals. They can help diagnose conditions like cervical radiculopathy.
- Laboratory Tests: In some cases, blood tests may be ordered to rule out systemic conditions or infections that could contribute to neck pain. For example, tests for inflammation markers or autoimmune diseases might be performed.
- Bone Scans: Bone scans may be used to detect bone abnormalities or areas of increased bone turnover, which can be indicative of conditions like infection or tumors.
- Discography: In cases of suspected disc-related pain, a discography procedure may be performed. It involves injecting contrast dye into the discs in the neck and assessing their response to identify painful discs.
- Arthrography: This procedure involves injecting contrast dye into a joint (e.g., facet joints in the neck) to assess joint abnormalities and pain sources.
- Diagnostic Blocks or Nerve Blocks: These involve the injection of local anesthetics or steroids into specific nerves or joints to determine whether they are the source of pain. If pain relief occurs after the injection, it can help confirm the diagnosis.
Neck pain treatment approaches:-
|Conventional Medical Treatment
|Philosophy and Approach
|Focused on symptom management and identifying structural abnormalities.
|(W)Holistic approach, emphasizing the body’s self-healing capacity and overall health.
|Comprehensive medical evaluation, including physical examination and diagnostic tests.
|Comprehensive medical evaluation, and assessment considering physical, emotional, and environmental factors.
|Often involves pain-relieving medications, muscle relaxants, and anti-inflammatories.
|Emphasizes conservative treatments to reduce reliance on medications.
|Utilizes physical therapy to improve neck strength, flexibility, and posture.
|May incorporate manual techniques (OMT- Osteopathic Manipulation techniques) to complement physical therapy.
|May recommend injections (e.g., corticosteroids) for pain and inflammation.
|Focuses on manual techniques and avoids invasive procedures whenever possible.
|Surgery is considered when conservative treatments fail, with options such as discectomy, fusion, or artificial disc replacement.
|Emphasizes non-surgical approaches but may consider surgery when necessary.
|Provides education on lifestyle modifications, ergonomics, and injury prevention.
|Emphasizes preventive measures and encourages lifestyle changes.
|Osteopathic Manipulative Treatment
|Not typically included in conventional treatment.
|Utilizes OMT as a primary treatment modality, involving manual techniques to address musculoskeletal issues.
|Collaboration with other healthcare providers, such as physical therapists, may occur.
|Collaboration with other healthcare providers, such as physical therapists, is common.
|Focuses on symptom relief and structural diagnosis.
|Considers the patient’s overall health and well-being, addressing root causes.
|Use of Medications and Surgery
|May rely on medications and surgery, particularly for severe cases.
|Aims to minimize the use of medications and surgery, favouring conservative approaches.