• Chronic Neck Pain

    (Neck Pain, Chronic)

    Definition

    Chronic neck pain is pain in the neck over a long period of time. It usually lasts more than 3 months. The pain can range from mild to severe.
    Nerve Pain in Neck
    Neck pain
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    Causes

    Chronic neck pain can be caused by a number of conditions, including problems with the muscles, nerves, or bones.

    Risk Factors

    Factors that may increase your risk of chronic neck pain include having:

    Symptoms

    Chronic neck pain may also cause you to have neck stiffness. Pain may be worse when moving your neck. The pain can be any type of pain including burning, sharp, dull, and tingling. The pain may spread to other parts of the body such as the shoulders and arms.
    Muscles of the Neck
    Neck Muscles
    Copyright © Nucleus Medical Media, Inc.

    Diagnosis

    You will be asked about your symptoms and medical history. A physical exam will be done. You may be referred to a specialist. Orthopedists specialize in bones and joints. A neurologist or neurosurgeon specializes in the nerves and spinal cord.
    Images of your spine may be needed. This can be done with:
    Your nerve and muscle function may need to be measured. This can be done using electromyography (EMG).

    Treatment

    Talk with your doctor about the best plan for you. Options include the following:

    Activity and Exercise

    You may be able to decrease your pain by staying active and exercising. Your doctor may also refer you to a physical therapist. A therapist may work on strength exercises and stretching.

    Medications

    There are many different medications that may be used to help you manage your neck pain.
    • Nonsteroidal anti-inflammatory drugs (NSAIDs)—to treat the pain and reduce inflammation
    • Acetaminophen—to treat pain
    • Certain antidepressant medications—sometimes used for neck pain
    • Certain antiseizure medications
    • Corticosteroid injection—to treat the pain and reduce inflammation caused by disc disease

    Other Treatments

    There are other treatments that might be helpful for neck pain.
    • Low-level laser therapy— a light source is directed on the painful area
    • Electrotherapy treatments, such as repetitive magnetic stimulation, and nerve and muscle stimulation
    • Chiropractic care
    • Acupuncture
    • Intermittent traction (pulling on the neck)
    • Massage

    Surgery

    Most cases of neck pain are treated medically. In some cases surgery is needed. The type of surgery will depend on the cause of pain. For example, if you have a herniated disc in your neck, surgery will remove the damaged part of the disc.

    Prevention

    To help reduce your chance of neck pain:
    • Maintain good posture.
    • Take breaks from activities that do not involve movement such as driving or working at a computer.
    • Avoid sleeping with too many pillows.
    • Get plenty of exercise.
    • Make sure your desk chair and keyboard are at proper heights.
    • Avoid cradling the phone in your neck.

    RESOURCES

    Family Doctor—American Academy of Family Physicians http://www.familydoctor.org

    Ortho Info—American Academy of Orthopaedic Surgeons http://orthoinfo.org

    CANADIAN RESOURCES

    The Canadian Orthopaedic Association http://www.coa-aco.org

    When it Hurts to Move—Canadian Orthopaedic Foundation http://whenithurtstomove.org

    References

    Binder A. Neck pain. Am Fam Physician. 2005;71(11):117-118.

    Cervical radicular pain and radiculopathy. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116531/Cervical-radicular-pain-and-radiculopathy. Updated September 16, 2016. Accessed September 29, 2016.

    Langevin P, Lowcock J, Weber J, et al. Botulinum toxin intramuscular injections for neck pain: a systematic review and metaanalysis. J Rheumatol. 2011;38(2):203-214.

    Misailidou V, Malliou P, Beneka A, Karagiannidis A, Godolias G. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med. 2010;9(2):49-59.

    Neck pain. American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/health-tools/search-by-symptom/neck-pain.html. Accessed September 3, 2015.

    Neck pain. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00231. Updated December 2013. Accessed September 3, 2015

    What a pain in the neck! American Academy of Physical Medicine and Rehabilitation website. Available at: http://www.aapmr.org/patients/conditions/msk/spine/Pages/Prevent-Neck-Pain.aspx. Accessed September 3, 2015.

    12/17/2010 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T116531/Cervical-radicular-pain-and-radiculopathy: Andersen LL, Christensen KB, Holtermann A, et al. Effect of physical exercise interventions on musculoskeletal pain in all body regions among office workers: a one-year randomized controlled trial. Man Ther. 2010;15(1):100-104.

    11/11/2013 DynaMed Plus Systematic Literature Surveillance http://www.dynamed.com/topics/dmp~AN~T116531/Cervical-radicular-pain-and-radiculopathy: Kroeling P, Gross A, Graham N, et al. Electrotherapy for neck pain. Cochrane Database Syst Rev. 2013;8:CD004251.

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