Secrets of natural health care treatments, tips and information. Learn about the secrets of a healthy long life. Secrets of ancient ayurvedic health treatments to modern medical discoveries. Learn all about your health and find-out answers to your common health problems. This blog is your family health care guide.
In some cases an injection may help. The injection may be a long-acting local anaesthetic or a ateroid preparation, and may be given into the small facet joints of the neck or sometimes into the narrow spaces where the nerves emerge from the spine. These injections are usually given by a specialist (a radiologist or anaesthetist) and are performed in an x-ray department so that the specialist can see exactly where the injection is going.
There is no evindence that these are any help for shortlived or long-lived neck pain. Some people find they help at night to keep that neck in a good position while they are asleep. An alternative for use at night is a 'neck pillow', which is a specially shaped piece of moulded foam. These are available from good department stores.
Physiotherapists, chiropractors and osteopaths are all trained to treat neck problems. Manual treatments carried to out by one of these therapists are often all that is needed. Sometimes manipulation is uncomfortable at the time, so it is important that you understand what is involved. Make sure you talk to your therapist about the treatments before they start.
If pain lasts for more than a few days, or if pain spreads into the arm, then you should see your doctor (GP). S/He will examine your neck and many arrange physical treatments.
Most cases of neck pain can be confidently diagnosed and treated without any special tests. Very occasionally your GP may ask for an x-ray out other important causes of neck pain, such as ankylosing spondylitis or an infection.
If your pain is very bad, or if it spreads into your arm or have dizzy spells, your GP may send you to see a specialist. The specialist may be a rheumatologist, orthopaedic surgeon or neurosurgeon, depending on the problem, further tests may be needed, such as x-rays, blood tests, An MRI scan will only be done if there is a suggestion that there is a nerve (or nerves) being pinched in the neck, and if further treatment is being considered. A specialist may recommend injections into certain parts of the neck, but only once is it clear exactly where the pain is coming from. Surgery is very rarely needed-only in severe cases or nerve or spinal cord involement.
Pain and stiffness can be caused by poor standing posture or by too soft a bed or the wrong thickness of pillow. If your desk is too low, so that your head is bent forward for long periods, then the neck may be stretched and you may develop muscle pain. Check your desk height and chair design at work and in the home-this is important to prevent problems. Similarly, if you work at a computer screen it is important to have screen, desk and chair set at the correct heights. Many firms employ people to check that their employees are sitting properly-check with your line manager or occupational health nurse.
Stress can make neck pain worse. One way of reducing the effects of stress is to learn how to relax the neck muscles. Relaxation and exercises are not mutually exclusive they complement each other. You can sometimes get audiotapes to help with relaxation from your doctor or a physiotherapist. They can also be bought from the pain relief foundation.
Simple exercises can help to restore your range of movement, promote strength, ease localised stiffness and help get your neck back yo normal. You should start by exercising very gently and gradually up. You can expect to feel some slight discomfort at first.
Figure 4 shows some simple stretching and strengthening exercises. Gently tense your neck muscles for a few seconds in each position. It you do this every day, the neck movements with increase your muscles strength.
