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Neck pain is a common problem both among young people and old aged people.
Its symptoms can be regional or conductive.
Regional pain means that only neck feel aching and it can be ligament sprain, muscle strain or fretting corrosion of joints.
Conductive pain means that there is also hand numb and ache besides neck discomfort.
This kind of condition is caused by the cervical nerve root being oppressed, or inflammation, adhesion and tightening occurring from neck to arm, even the fascia of wrist.
Causes of neck pain:
Neck pain is the problem that most white-collar workers who work in an office environment most of their time encounter, especially in big cities.
Neck pain has already become a kind of occupational disease.
Muscle spasm caused by sitting or laying in a kind of uncomfortable position or unaccustomed exercise or activities is the most common reason of neck pain or rigidity.
Of course, there are many other reasons for neck pain. It can not only be caused by long time staying in office (neck soft tissue strain), but can also be caused by cervical spondylosis, scalenus anticus syndrome, greater occipital nerve entrapment syndrome.
We will discuss the causes of neck pain in the following.
Neck soft tissue strain:
Neck soft tissue strain means that the soft tissues including neck muscle, fascia and ligament produce inflammation, spasm, adhesion, calcification after being damaged and the main manifestations are neck and shoulder pain accompanying movement disorder.
It is the common disease on clinical. It can be caused by acute trauma, chronic position damage, or can be induced by change of weather and environment.
The treatment is mainly expectant treatment, to correct bad habit. In the acute period and do not move the neck much and in the chronic period, exercise properly.
Enhance physical training and autoimmunity and avoid cold and clamminess.
It is because the retrogression of cervical vertebra stimulate or press the vessels or nerves around and cause shoulder aching or paralysis.
Shoulder aching is the most common, so it is also called neck shoulder syndrome. Someone has investigated that, about 25% people around 50 years old had or are having cervical spondylosis, for 60 years old, the proportion reaches 50%, for 70 years old, higher.
So we can see that cervical spondylosisis a frequently-occurring disease on clinical.
Cervical intervertebral disc herniation:
Cervical intervertebral disc herniation, is a series of syndrome of cervical intervertebral disc herniation due to excessive defenseless activities in the neck or intervertebral disc degeneration. Clinically, it is divided into acute and chronic cervical intervertebral disc herniation.
Acute cervical intervertebral disc herniation means that there is a neck trauma history and the imaging examination confirmed disc herniation or broken but without cervical spine fracture or dislocation and there are relevant clinical manifestations.
Chronic cervical intervertebral disc herniation and cervical spondylosis are similar, but not the same. The former generally occurs at younger age, and the illness development is rapid, the damage range is only 1-2 intervertebral disc, and there is disc herniation in CT and MRI testing.
Trapezius muscle syndrome:
It means the pain occurred in the trapezius muscle and the pressing pain can be regional or radiate to the shoulder.
The scalenus anticus syndrome:
The scalenus anticus syndrome means lesions in the scalenus anticus, which press the brachial plexus and subclavian vessel and cause vessel neurological syndrome.
Cervical syndrome after trauma:
Neck post-traumatic syndrome is at the unready state, the cervical vertebrae is suddenly stretched and then excessively bends caused by myotatic reflex or excessively stretches after bending injury, so it result in intense contraction and traction of neck muscle and tissue injuries in muscle, fascia, ligaments, etc., and syndrome with the neck pain or limited activities occurs.
The disease is the comm disease among car drivers. The disease and the strain is similar to the neck soft tissue injury.
The different part is that this disease has a definite history of trauma, while neck soft tissue injuries is a chronic disease with long-term accumulation.
The causes of neck pain also include Dislocation syndrome of Atlanto-axial joint, greater occipital nerve entrapment syndrome, etc.
Diagnosis of Neck Pain:
Evident traumatic history, neck pain after being damaged, with heavy feelings and pressing pain in the wound.
The pain can reach the occipitalia along the neck or radiate to one side or both sides of shoulder and scapular region.
When the injury is serious, the neck pain will also be serious or even present in stiff state and all activity functions are limited.
Some patients may get sympathetic symptoms like headache, heavy head, scieropia, tinnitus, etc.
Some may also have nerve root compression symptoms like one or both sides feel numb, weak, etc.
Judge from the aching feeling. When muscle strain, strained ligament or some protrusion of intervertebral disc occurred, you will feel aching when you move and you can hardly tolerate it. But when the acute period passed and you entered into the chronic period, the original pain will not that evident anymore, it will become a kind of aching pain, which make you not comfortable and always want to move.
If it is kind of deep pain, like being drilled, then the problems mostly occurred in the bones or joints.
If this kind of pain is conductive like electricity, it will be related to nerve pressing.
If you feel numb, then feeling nerve maybe pressed, or the blood vessels are pressed and are not circulated.
Secondly, the time length of pain. Generally speaking, the neck pain caused by muscle strain will take a few days or one or two weeks to cure; strained ligament may take one or two months; and protrusion of intervertebral disc may take three months or half a year.
Thirdly, the frequency of pain attacks. Muscle strain and strained ligament belong to mechanical injury, and the aching condition only occurs when rotate or stagger forward and back.
If you have a good rest, the pain will not occur.
If it is not simple mechanical pain, like excessive accumulation of hazardous substances, then no matter rest or treatment, the uncomfortable problem will be there still and the pain may bother the patient in the midnight.
If unfortunately, it is caused by tumor pressing, unless the patient receive operations, or he/she will always feel aching.