Patients frequently seek a chiropractor for treatment of neck pain or stiffness. Neck pain symptoms may include:
- Sharp pain which radiates into the head and causes headaches
- Stiffness in one or both sides of the neck
- Neck muscle spasms
- Difficulty or neck pain when turning the neck, looking down or looking up
- Pain, burning or pins and needles shooting into the arm or shoulder
- Numbness, tingling, pain or burning radiating into the upper back
- Soreness or ache in the neck when the weather changes
- Neck pain after activity
- Neck pain when sleeping or when waking up
When a patient presents with neck pain, the following factors are important in assessing the cause:
- When did the pain in the neck start? ( yesterday, two weeks ago, years ago)
- Was there an accident or activity which caused the neck pain? ( car acident, work injury, sports injury)
- What does it feel like? ( sharp, sore, burning, stiff)
- Does the pain radiate? ( into the arm, hand, head or back)
- What makes the neck pain better? What makes it worse?
- What normal activities are affected by the pain?
- Is there a history of injury or other medical conditions?
Once the history of the complaint is discussed, an examination will be performed which will look at the following:
- Resting posture ( is the head tilted to one side, is one shoulder higher than the other, is the head tilted)
- The curve of the neck and low back
- The range of motion of the neck and spine
- Which structures are affected ( muscles, soft tissue, joints, nerves)
- Strength, reflexes and sensation dysfunction
Additional tests may be required such as x-rays, MRI, EMG or lab work if examination findings warrant
Once the history, examination and additional tests are completed and it is found that chiropractic treatment is appropriate, a treatment plan is created which often will address the following:
- Reduce pain and inflammation: Reducing the neck pain is the reason patients present for care and initial treatment will target the pain and also decrease the inflammation of the involved tissue
- Restore proper motion of the spine and extremities
- Remove or reduce subluxations
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