Monday, April 27, 2009

Neckpains

Neck pain (or cervicalgia) is a common problem, with two-thirds of the population having neck pain at some point in their lives.[1]
Neck pain, although felt in the neck, can be caused by numerous other spinal issues. Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves eminating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back.The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain. The top three joints in the neck allow for most movement of your neck and head. The lower joints in the neck and those of the upper back create a supportive structure for your head to sit on. If this support system is affected adversly, then the muscles in the area will tighten, leading to neck pain.Neck pain may also arise from many other physical and emotional health issues.

Analgesics such as acetaminophen or NSAIDs are recommended for pain.[2] other medications like muscle relaxats such as orphenadrine or tizanidine are more of help. Over the counter topical creams and patches containing counterirritants are often used. However, there is little evidence to support efficacy.Surgery is usually not indicated for most mechanical causes of neck pain. If neck pain is the result of instability, cancer, or other disease process surgery may be necessary. Surgery is usually not indicated for "pinched nerves" or herniated discs unless there is spinal cord compression or pain and disability have been protracted for many months and refractory to conservative treatment such as physical therapy.

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