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Neck Pain

Neck pain is common. More than half of people develop a bout of neck pain at some
time in their life. One survey found that, of adults aged 45-75 years, about 1 in 4 women
and about 1 in 5 men had current neck pain. Types and causes of
neck pain include:

'Mechanical'
neck pain is the most common type. This is sometimes called 'simple' or
'non-specific'
neck pain. Causes include minor injuries or sprains to muscles or ligaments
in the neck. Bad posture is also a common cause. For example,
neck pain is more
common in people who spend much of their working day at a desk with a 'bent-forward'
posture. Often the exact cause or origin of the pain is not known.

A whiplash injury, most commonly due to a car crash, causes
neck pain.  Please see
separate section
'Whiplash' for details.

Acute (sudden onset) primary torticollis. This is sometimes called 'wry neck'. A torticollis
is when the head becomes twisted to one side and it is very painful to move
the head back straight.

Degeneration ('wear and tear') of the spinal bones (vertebrae) and the 'discs' between
the vertebrae is a common cause in older people.
This is sometimes called cervical spondylosis.

Cervical radiculopathy is when the root of a nerve is pressed on or is injured as it comes
out from the spinal cord in the neck (cervical) region. This causes symptoms such as
numbness, pins and needles, and weakness in parts of an arm supplied by the nerve in
addition to neck pain. The common causes are cervical spondylosis and a disc problem.

More serious and rarer causes include: rheumatoid arthritis, bone disorders, cancers, and
serious injuries that damage the vertebrae, spinal cord or nerves in the neck.

We will consider mechanical
neck pain.

What are the symptoms of common mechanical
neck pain?

Pain develops in the neck and may spread to the base of the skull and shoulders.
Movement of the neck may make the pain worse. The pain may spread down an arm to a
hand or fingers. This is due to irritation of a nerve going to the arm from the spinal cord in
the neck.  Some numbness or pins and needles may occur in part of the arm or hand.

Treatment

Our health professionals will stress pain relieving techniques, and work with you to gently
exercise your neck, gradually increasing neck ranges of motion and decreasing your
reliance on medications with side effects.  In the past, some people have worn a neck
collar for long periods when a bout of
neck pain developed. The problem with collars is
that they prevent you from moving your neck properly. Studies have shown that you are
more likely to make a quicker recovery if you do regular neck exercises, and keep your
neck active rather than resting it for long periods in a collar. Also, if you keep the neck
active during a bout of
neck pain, it is thought to help prevent chronic (persistent) neck
pain from developing.


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