Neck pain is a common presenting symptom in primary care, with an incidence of 10.4% to 21.3% per year.1 It is the fourth leading cause of disability worldwide.1 The prevalence of neck pain is higher in older adults because of degenerative changes in facet joints and the collapse of intervertebral disks.2 It is estimated that only one in five people with neck pain seeks medical care.3 The differential diagnosis is broad and includes common conditions such as muscular strains and arthritis, as well as more dire conditions such as fractures, spinal cord and nerve injuries, neoplastic disorders, infections, and inflammatory conditions. Family physicians must be able to recognize when neck pain signals a potentially serious condition and should be able to generate an accurate diagnosis through findings from the patient's history, physical examination, and appropriate testing.
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When evaluating a patient with neck pain, the physician must be alert for red flags in the history and physical examination that may indicate the need for urgent testing and intervention. Similar to guidelines for the evaluation of lower back pain, a systematic approach that maintains vigilance for severe pathology in the neck is recommended.4 Table 1 summarizes some of the more serious diagnoses and their associated clinical findings, as well as recommended diagnostic tests. Figure 1 is a recommended approach to patients with neck pain. This article does not focus on acute traumatic injuries or vascular emergencies, but these elements warrant consideration based on the presentation.
Rapidly progressive neuropathic symptoms warrant more aggressive evaluation. Injury to the central spinal cord or nerve roots may be the result of degenerative changes, trauma, mass effect, infection, or other inflammatory or demyelinating conditions. Even without an acute presentation, physicians should be mindful of myelopathic signs and symptoms.4 Myelopathy refers to neurologic compromise resulting from a disturbance of spinal cord tracts within the spinal canal. Initial symptoms include deep, aching neck pain with possible radicular symptoms and muscle weakness; these can quickly progress to gait changes, ataxia, and bowel and bladder dysfunction.5 Physical examination findings associated with a myelopathic disease process include increased muscle tone, fasciculation, clonus, hyperreflexia, the Babinski reflex, and the Lhermitte and Hoffmann signs.
Certain comorbid disorders and patient factors increase the risk of cervical spine conditions (Table 2). Cervical spine pathology is present in more than one-half of patients with rheumatoid arthritis, and the long-term risk of severe pathology in these patients is higher than in unaffected people.6 Individuals with trisomy 21 are at risk of atlanto-occipital instability, which should prompt concern for complications of even mild trauma, as well as for advanced or premature degenerative changes.7 Ankylosing spondylitis can cause neck stiffness and pain. Patients with this condition also have an increased risk of complications from mild trauma.8 Numerous other processes and conditions can be considered in the differential of neck pain, including herpes zoster, angina, endocrine and compressive tumors, fibromyalgia, and psychogenic pain. Many of these conditions can overlap and be part of multifactorial presentations. One study estimated that 43% of neck pain cases are nonneuropathic, 7% are neuropathic, and 50% are mixed.9
The physical examination should target concerns revealed in the history and distinguish between mechanical and neuropathic symptoms. Localized bony tenderness or prominence is an indication for imaging, whereas soft tissue tenderness may represent myofascial pain, infection, or lymphadenopathy. Although range of motion measurements are widely referenced, their diagnostic relevance is limited and nonspecific.10,11 Range of motion can be more useful in identifying asymmetry or provocation of local or radiating symptoms (e.g., shooting pain down the spine with neck flexion or extension).
The American College of Radiology recommends plain radiography as the initial imaging modality in patients with new or increasing nontraumatic neck pain who do not have red flag symptoms.17 Validated clinical tools such as the National Emergency X-Radiography Utilization Study criteria and the Canadian C-Spine Rule can help determine when radiography may be helpful.17,18 Immediate radiography does not improve patient-oriented outcomes in those who do not have recent trauma or red flag symptoms.18 In addition, imaging can detect abnormalities even in asymptomatic patients; for example, magnetic resonance imaging (MRI) detects degenerative cervical disks in 15% of asymptomatic patients in their 20s, increasing to more than 85% of asymptomatic patients older than 65.19
The time to diagnosis and intervention can be critical when serious conditions are suspected. MRI is recommended for patients with suspected infection, overt neurologic compromise, or progressive neurologic symptoms; it may be appropriate for patients with moderate to severe neck pain that lasts longer than six weeks and does not resolve with standard treatment.20 Computed tomography may be useful in trauma cases, when bony disruption is suspected, or when MRI is contraindicated.
In the absence of red flag findings that require urgent care, treatment can generally focus on the patient's level of pain and function. Many patients will improve over time, regardless of treatment or whether the cause is neuropathic or nonneuropathic. For example, most patients with cervical radiculopathy will improve with nonsurgical care: 80% to 90% have significantly improved pain and resolution of weakness or reflex deficits within four weeks.21,22
Conservative care for patients with neck pain often includes medications for pain relief. Although practice patterns may prompt the use of specific agents, there is little evidence to support the long-term use of these medications in most patients with neck pain. Nonsteroidal anti-inflammatory drugs and oral muscle relaxants are commonly recommended for patients with nonneuropathic pain. Data on the effectiveness of these medications for neck pain are limited; however, these agents are not effective for similar musculoskeletal conditions, such as low back pain.23 Although there is some evidence that oral corticosteroids provide short-term pain relief in patients with acute radiculopathy,24 there is little evidence that any medication affects recovery. Tramadol may have some benefit, but only in the short term.25 Narcotics can provide modest short-term pain relief, but there is no evidence of sustained benefit, and the risks of cognitive impairment and abuse limit their use.26 Inflammatory conditions may briefly respond to steroids or nonsteroidal anti-inflammatory drugs, but there is minimal evidence that these medications provide lasting benefit in degenerative conditions, despite their widespread use.4 Similarly, injections of anesthetics, corticosteroids, or botulinum toxin have shown little or no long-term benefit in acute or chronic neck pain.27,28 There is limited evidence for the short-term use (one to two months) of radiofrequency ablation in patients with persistent cervical pain.29
Given the broad range of potential neck pain etiologies and the variety of complementary and alternative treatment options, it is challenging to determine the value of these treatments for neck pain. They generally provide modest benefit compared with medication alone or no therapy.30 Acupuncture has modest benefit in patients with mechanical neck pain.31 Isolated manipulation and mobilization may provide temporary pain relief but not consistent long-term benefit.32 Treatments such as dry needling, low-level laser therapy, transcutaneous electrical nerve stimulation, and compression therapy have some potential for short-term pain relief, but no reliable long-term data exist to offer specific guidance for these options.33,34
Neck pain, an affliction that affects countless individuals, is more than just a discomfort. It can be an all-encompassing burden that disrupts daily life, limits mobility, and hampers overall well-being.
In a world where sedentary lifestyles, digital devices, and the demands of modern living often contribute to neck pain, seeking effective solutions becomes paramount.
Chiropractic care for neck pain is a beacon of hope in the quest for relief. We’ll delve into the intricate realm of neck pain, exploring its prevalence, underlying causes, and the potential for lasting relief through chiropractic care.
Our sincere mission is to shed light on this issue, offering guidance and expertise to empower you on your journey toward a life free from the constraints of neck pain.
In pursuing effective solutions for neck pain, it is imperative to begin by understanding this intricate condition. Neck pain is not merely a singular ailment but a complex issue with many potential causes and triggers. It is a prevalent concern, affecting individuals across various ages and walks of life.
Neck pain can arise from diverse sources, and identifying the specific cause is pivotal to effective treatment. Common causes of neck pain include muscle strain, poor posture, injuries, herniated discs, osteoarthritis, and stress.
Each of these factors can contribute to the discomfort experienced in the neck region, and a chiropractor for neck pain can play a pivotal role in addressing these underlying issues.
The repercussions of neck pain extend far beyond the physical discomfort it entails. Neck pain can disrupt daily life, hampering tasks such as turning your head or looking over your shoulder.
It can impede productivity at work and hinder the enjoyment of leisure activities. Moreover, the persistent presence of neck pain can lead to psychological and emotional distress, affecting overall well-being and quality of life.
Understanding neck pain is the initial step toward finding effective relief. Our commitment is to provide you with the knowledge and expertise needed to navigate this challenging terrain.
We recognize neck pain is not merely a symptom but a complex condition with unique aspects for each individual. We aim to alleviate discomfort and enhance your overall quality of life through chiropractic care for neck pain.
Chiropractic care represents a distinct and highly regarded healthcare discipline that focuses explicitly on diagnosing, treating, and preventing musculoskeletal disorders, including neck pain.
It is built upon a unique set of principles and techniques that differentiate it from conventional medical approaches.
Chiropractic care is rooted in the fundamental belief that the human body possesses an innate ability to heal itself when its musculoskeletal system is in proper alignment.
Chiropractors employ specialized techniques to restore and maintain this alignment, such as spinal adjustments, manual manipulations, and physical therapies.
These techniques are designed to address the underlying causes of pain rather than merely alleviating symptoms.
Chiropractors, particularly those specializing in neck pain, are highly trained healthcare professionals who understand the spine, neck, and nervous system.
This expertise allows them to diagnose and treat a broad spectrum of neck-related conditions. They take a holistic approach, recognizing the interconnectedness of the musculoskeletal system and its profound impact on overall health.
The role of a chiropractor for neck pain extends beyond symptom management; it encompasses the enhancement of overall well-being. Chiropractic care facilitates the body's innate healing processes by identifying and correcting misalignments in the spine and neck.
This approach addresses the root causes of neck pain, offering the potential for sustainable relief and improved quality of life.
Chiropractic care is not merely a treatment; it embodies a healthcare philosophy that empowers individuals to participate in their well-being actively and aligns with the body's natural capacity for healing.
When seeking relief from neck pain, chiropractic care offers a distinctive set of advantages that sets it apart from conventional medical approaches. These benefits encompass the alleviation of pain and the restoration of overall well-being.
Chiropractic care for neck pain stands out for its non-invasive nature. It refrains from surgical procedures and medication use, instead focusing on natural, holistic healing methods.
This approach minimizes potential risks and side effects, allowing patients to recover with greater peace of mind.
One of the fundamental principles of chiropractic care is addressing the root cause of a health issue rather than merely alleviating symptoms.
In the case of neck pain, chiropractors delve deep into the underlying musculoskeletal issues that contribute to discomfort. By identifying and correcting these root causes, chiropractic care offers the potential for lasting relief.
Neck pain often arises from misalignments in the spine and poor posture. Chiropractors are experts in spinal manipulation and adjustments, techniques that aim to restore proper alignment. This relieves neck pain and enhances overall posture and musculoskeletal health.
Chiropractic care places faith in the body's innate ability to heal itself. Chiropractic care empowers the body to heal and recover naturally by restoring proper spinal alignment and addressing musculoskeletal imbalances.
This holistic approach often leads to pain relief and an overall sense of vitality.
While providing immediate relief is crucial, chiropractic care offers the potential for long-term pain management.
Chiropractic care addresses the issue by targeting the root causes of neck pain and facilitating natural healing. This can lead to sustained relief and neck pain management over the long haul.
Effective chiropractic care for neck pain relies on a combination of specialized techniques designed to address the root causes of discomfort and promote natural healing.
These techniques are performed with precision and expertise, ensuring the highest standard of care.
Are you interested in learning more about Neck Pain Management? Contact us today to secure an expert consultation!
Spinal adjustments and manipulations are at the core of chiropractic care for neck pain. These techniques involve the skilled application of controlled force to specific spine areas.
By doing so, chiropractors aim to correct misalignments, reduce pressure on nerves, and restore proper spinal function. Spinal adjustments and manipulations effectively alleviate neck pain and improve overall mobility.
In addition to spinal adjustments, chiropractors often incorporate soft tissue therapies and exercises into treatment plans.
These therapies may include massage, stretching, and strengthening exercises tailored to the individual's needs.
Soft tissue therapies help alleviate muscle tension, reduce inflammation, and enhance flexibility, contributing to pain relief and improved musculoskeletal health.
Chiropractic care extends beyond in-office treatments. Chiropractors provide valuable guidance on lifestyle modifications supporting long-term neck pain management.
This may involve recommendations for improved ergonomics, posture correction, exercise routines, and nutritional advice.
By addressing the factors contributing to neck pain in daily life, chiropractors empower patients to participate in their healing process actively.
Chiropractic care for neck pain is generally recognized as safe and effective. However, as with any healthcare approach, it is essential to be aware of potential risks and contraindications associated with these treatments.
While rare, there are potential risks associated with chiropractic care for neck pain. These risks include soreness or discomfort after treatment, mild headaches, or fatigue.
More severe issues, such as herniated discs or strokes, have been reported in exceedingly rare cases. However, the direct link between these issues and chiropractic care remains controversial.
It is crucial to understand that the risks associated with chiropractic care are minimal, especially when provided by qualified and experienced professionals. Chiropractors undergo extensive training to ensure the safe application of techniques.
Furthermore, they perform thorough assessments to identify contraindications, such as pre-existing medical conditions or recent injuries, which might make chiropractic care less suitable.
One of the most effective ways to minimize risks and ensure the safety of chiropractic care is to seek treatment from qualified professionals.
Licensed chiropractors have undergone rigorous training and are equipped with the expertise to provide safe and effective care.
They are also well-versed in recognizing when a patient may not be an ideal candidate for chiropractic treatment and can refer them to other healthcare professionals when necessary.
In pursuing comprehensive and effective treatment for neck pain, an approach that integrates chiropractic care with other medical disciplines holds significant promise.
This collaborative model, often called multidisciplinary care, harnesses the strengths of various healthcare professionals to optimize patient outcomes.
Chiropractic care and conventional medical treatments need not be mutually exclusive; they can complement each other remarkably well.
Many patients benefit from consulting a chiropractor and a medical doctor for their neck pain. Medical doctors can offer diagnostic expertise, prescribe medication when necessary, and provide referrals for imaging studies or surgical consultations.
On the other hand, chiropractors specialize in addressing the musculoskeletal aspects of neck pain, offering treatments such as spinal adjustments, soft tissue therapies, and lifestyle recommendations.
This collaborative approach ensures patients receive a well-rounded assessment and access to a spectrum of treatments tailored to their needs.
Moreover, open lines of communication between chiropractors and medical doctors facilitate a holistic understanding of the patient's condition, leading to more informed and effective care decisions.
The benefits of integrating chiropractic care with other treatment approaches, such as medical care, are manifold:
It provides patients with a broader range of treatment options, allowing for a customized, more effective care plan.
It ensures that all aspects of the patient's health are considered, including potential underlying medical conditions that may contribute to neck pain.
This collaborative model can enhance the overall quality of care as it leverages the expertise of multiple healthcare professionals working in synergy.
By embracing a multidisciplinary approach, patients with neck pain can enjoy the advantages of a comprehensive treatment plan that addresses the full spectrum of their needs.
It embodies a patient-centric philosophy that prioritizes well-being and recovery, making it a compelling strategy in the journey toward relief from neck pain.
When seeking a chiropractor for neck pain, it's crucial to identify a qualified and trustworthy healthcare professional, such as Jeranek Chiropractic, who can provide adequate care. Here are some valuable tips to guide your search:
Licensing: Ensure the chiropractor is licensed in your state or country. Licensing indicates that they have met the necessary educational and training requirements.
Experience: Inquire about the chiropractor's experience, especially in treating neck pain. More experience often translates to greater expertise in addressing specific conditions.
Credentials: Look for chiropractors who are members of reputable chiropractic associations. These organizations typically require adherence to high professional standards.
Patient Reviews: Check online reviews and testimonials from previous patients to gauge the chiropractor's reputation and patient satisfaction.
Referrals: Seek referrals from your primary care physician or other healthcare professionals. They can often recommend chiropractors with expertise in treating neck pain.
Ask for Specialization: When contacting potential chiropractors, ask about their experience and specialization in neck pain treatment. Inquire about their success rates and treatment approaches for this specific condition.
Initial Consultation: Schedule an initial consultation to discuss your condition with the chiropractor. Use this opportunity to assess their knowledge, communication skills, and whether they listen to your concerns.
Chiropractic care for neck pain is a reliable and effective approach to relieving this often debilitating condition.
Its non-invasive nature, focus on addressing root causes, and potential for long-term pain management make it a compelling choice for those seeking wellness.
We encourage anyone experiencing neck pain to seek professional evaluation and consider the benefits of chiropractic care as part of their treatment options.
Whether it's through spinal adjustments, soft tissue therapies, or lifestyle modifications, chiropractors are dedicated to improving your neck pain and overall quality of life.
Ready to live pain-free and achieve optimal well-being? Schedule your appointment today, and let us help you reach your health goals.
Whether you're seeking relief from discomfort, improved mobility, or overall wellness, our experienced team is here. Discover the benefits of chiropractic care and join our family of satisfied patients.
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