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Neck Pain

 

Health Information

Neck Pain

UW Health Orthopedics and Rehabilitation in Madison, Wisconsin provides comprehensive treatment for neck pain.
 

What causes neck pain?

 

Sometimes referred to as cervical pain, pain located in the neck is a common medical condition. Neck pain can come from a number of disorders and diseases of the tissues in the neck, such as muscle strain, ligament sprain, whiplash, a herniated or degenerated disc, joint arthritis and a pinched nerve.

 

Neck pain causes significant impairment. Sedentary lifestyle and occupational factors including prolonged computer keyboarding and cell phone texting play a large role in the increased prevalence of neck pain in the past 20 years.

 

UW Health Sports Medicine Athletic Trainer Julie Sherry
UW Health Spine Clinic physical therapist Julie Sherry, PT, MS
How is neck pain diagnosed?

 

In reviewing symptoms, the health care provider will note the location, intensity, duration and radiation of the pain. Any past injury to the neck is noted. Aggravating and/or relieving positions or motions are also recorded. The neck is examined at rest and in motion. Tenderness is detected during palpation of the neck. An examination of the nervous system is performed to determine whether or not nerve involvement is present.

 

Further testing of undiagnosed neck pain can include X-ray evaluation, CAT scan, bone scan, MRI scan, myelogram, and electrical tests such as electromyography (EMG) and nerve conduction velocity (NCV).

 

How is neck pain treated?

 

The treatment of neck pain depends on its precise cause. Treatment options include rest, heat/ice applications, soft collar, physical therapy (posture training, exercise combined with mobilization/manipulation, traction), massage therapy, acupuncture, chiropracty, local injections of cortisone or anesthetics, topical anesthetic creams or pain patches, prescription medications such as anti-inflammatories, muscle relaxants or analgesics, and various surgical procedures.

 

Even with this wide variety of treatment options available for the management of neck pain, not all treatments are equally effective. Current evidenced-based neck care guidelines categorize neck pain by the following five sub-types:

 

Examples of Treatment Approaches

 

 

Neck Pain  Non-surgical Treatment 
Chronic "mechanical" neck pain 

Joint mobilization/manipulation combined with exercise

Exercise alone: stretch and strengthen

Low-level laser therapy for associated degenerative changes

Acupuncture for short-term pain relief

Short-wave diathermy (deep heat) for short term pain relief  

Neck pain associated with acute whiplash 

Home exercise program, active range-of-motion exercises

Steroid injections for short-term pain relief

Short-wave diathermy (deep heat) for short-term pain relief 

Chronic neck pain with cervicogenic headache 

Exercise: strengthen neck flexion and stretching 

Chronic myofascial neck pain Intramuscular anesthetic injection 
Chronic neck pain with radicular pain into the arm and/or hand 

Intermittent traction

Epidural steroid injection

Acupuncture for short term-pain relief  

 

Bibliography  

 

Gross AR et.al. Cervical Overview Group of the Cochrane Collaboration. Knowledge to action: a challenge for neck pain treatment. JOSPT. 2009;39(5):351-363.