NECK PAIN

 

By-
Dr. Jayprakash. Hebbar

Tips and Pearls of neck pain
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Common Causes

Acute Cervical Disc Prolapse

Cervical Spondylosis

Tuberculous Infection

Cervical Rib

Whiplash Injury

Acute Cervical Disc Prolapse
  • Not an uncommon condition.
  • Affects mainly young adults.
  • May occur when the person tries to turn in bed and the head and body do not turn together.
  • Associated with severe neck, shoulder and arm pain.
  • Diagnosis is by MRI.
  • Consult a specialist

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Treatment in Acute Stage

Wear a collar
If pain increases on looking down, avoid using pillow.
If pain increases on looking up use a pillow.
Local heat / Gentle massage help in relieving pain.

Cervical Spondylosis

Common cause of neck pain in middle age. Due to wear and tear changes in the neck bones. Causes pain in neck, which may radiate to shoulder and arm. May be associated with feeling of pins and needles in hand, weakness or tiredness.
X-rays and MRI reveal the diagnosis.
To be differentiated from pain referred from cardiac conditions by stress test.
Treatment is usually medical in form of pain relieving medicines, local heat, collar and physiotherapy.

Treatment in Acute Stage

Wear a collar
If pain increases on looking down, avoid using pillow.
If pain increases on looking up use a pillow.
Local heat / Gentle massage help in relieving pain.


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