The neck or cervical spine is composed of seven bones i.e. vertebrae, running from the base of the skull to the upper body. The bony vertebrae along with the ligaments provide stability to the spine. The muscles allow for support and motion. Being less protected than the rest of the spine, the neck can be vulnerable to the injury and disorders that produce pain and restrict motion.
- Acute pain in the neck area can occur suddenly and intensely
- Chronic pain lasting for weeks, months, or even years
- Pain can be continuous or intermittent
- Headaches, pain in the scalp, face or ears
- Dizziness, pressure behind the eyes, fainting
- Radiation of pain down to the arms, causing numbness or pins and needles on the hands
- As neck muscles tense, they shorten limiting the movement of the neck
- Poor Posture – Neck pain can be due to weakness or fatigue of neck muscles and over-stretching of ligaments, resulting in increased pressure on the discs, nerves and the neck joints. Long hours in front of the computer, sleeping with your head in an awkward position, or working with your head down for long periods all tend to cause or worsen neck pain.
- Degenerative and Inflammatory Diseases – Like Osteoarthritis and Rheumatoid Arthritis can result in stiffness and pain of the neck
- Disc Degeneration – The disc acts as a shock absorber between the bones in the neck. In Disc Degeneration, the gelatin-like disc loses it elasticity and the space between the vertebrae narrows causing further wear and tear. The disc may also protrude or herniate, and may cause pressure on the nerve roots.
- Injury – With the increased mobility and weight of the head resting on it, the neck is extremely vulnerable to injury. Motor vehicle accidents, contact sports, and falls may result in neck injury.
- A rear vehicle collision may result in extreme backward and forward motion, also known as Whiplash Injury. Most common injuries are on the soft tissues, i.e. muscles and ligaments. Severe injuries may result in fracture or dislocation of the neck.
- In rare cases, infection or tumors may cause neck pain.
Treatment commences initially with pain alleviation and gradually incorporates back strengthening program.
SPECIALISED TREATMENT MODALITIES:
- Spinal Decompression Therapy (DTS/DOC): This works better than conventional neck traction without causing any discomfort. This causes a distraction force between the spinal vertebrae, to reduce pain and stiffness.
- Mobilization & Manual Therapy: To restore restricted mobility between the spinal vertebrae and to reduce pain, muscle spasm and stiffness
- Low-Level Laser Therapy: Aids in pain management and helps with wound healing.
- Postural Assessment and Ergonomics Tips and Advice: For work desk set-up and neck postural care
SCORES BACK AND NECK CARE PROGRAM
Please check the brochure on SCORES – Spinal Core Stability Program for training the deep core muscles. Includes muscle stretches and strengthening program for the neck and shoulder, to improve overall spinal stability and control. This involves use of Biofeedback Stabilizer and Real Time Ultrasound.
GENERAL TREATMENT MODALITIES:
- Ultrasound – Improves cell metabolism and cell membrance permeability, thereby enhancing tissue healing.
- Interferential Therapy – Electrical current that stimulates the peripheral sensory and muscle nerve fibers to reduce pain and inflammation.
- Heat – To reduce pain and muscle spasm, heat in the form of shortwave diathermy and moist heat.
- Posture: Think tall; chest lifted, shoulders relaxed, chin tucked in and head level. Your neck should be straight and relaxed. Observe your posture in standing and sitting position.
- Sleeping: Use a good pillow that supports your neck well. Avoid sleeping on your stomach.
- Work: Avoid working with your head down or on one side for long periods. Frequently stretch and change position.