Cervical Anatomy
The first 7 vertebral bones of the spinal column form the cervical spine in the neck region. The neck bears the weight of the head, allows a significant amount of movement, and is less protected than other parts of the spine. All these factors make the neck more susceptible to injury or other painful disorders.
What is Neck Pain?
Common neck pain may occur from muscle strain or tension from everyday activities including poor posture, prolonged use of a computer and sleeping in an uncomfortable position.
Causes of Neck Pain
The most common cause of neck pain is injury to the soft tissues (muscles, ligaments or nerves) or prolonged wear and tear. Traumatic accidents or falls and contact sports can cause severe neck injuries and pain. Neck pain can also occur from infections, tumours or congenital abnormalities of the vertebrae. The common conditions producing neck pain include:
- Rheumatoid arthritis: It is an autoimmune disease in which the body's immune system attacks healthy joints, tissues, and organs. The condition occurs most often in the upper neck area, causing inflammation of the lining (or synovium) of joints, and resulting in neck pain, stiffness, swelling, and loss of function.
- Cervical disc herniation: Disc herniation is the bulging or rupture of the soft fibrous disc that cushions the vertebrae. The soft central portion called nucleus pulposus bulges out through the tear in the capsule. Cervical disc herniation refers to the herniation of the discs in the cervical spine region or neck region. The condition can be caused by normal ageing or by traumatic injury to the spine. The condition results in painful, burning, tingling or numbing sensations in the neck.
- Cervical spondylosis: Cervical spondylosis refers to the abnormal degeneration of the cartilage and bones in the neck region. The condition results in neck pain radiating to arms or shoulder and neck stiffness that gets worse over time.
- Cervical stenosis: Cervical stenosis refers to the narrowing of the spinal canal that protects the spinal cord and its branching nerves. The condition causes neck pain radiating to your arms and hands.
- Degenerative disc disease: Degenerative disc disease refers to the gradual deterioration of the disc between the vertebrae and is caused due to ageing. As people age, intervertebral discs lose their flexibility, elasticity and shock absorbing characteristics, resulting in neck pain.
Diagnosis of Neck Pain
The diagnosis of neck pain is made with a review of your history, physical examination and other imaging techniques including electromyography (EMG), X-ray, MRI scan, CT scan, blood tests, and bone density assessment.
Treatment Options for Neck Pain
The treatment options for neck pain may include rest, ice application, use of a soft neck collar and neck immobilization using a splint, cast or sling. Medications such as anti-inflammatory drugs, analgesics, and muscle relaxants may be prescribed to reduce pain and inflammation. Certain stretching and strengthening exercises may be recommended to strengthen the neck muscles.
Surgical treatment by anterior cervical discectomy with spinal fusion is typically recommended only after non-surgical treatment methods fail to relieve the pain. An anterior cervical discectomy is a surgical procedure performed to remove a herniated or degenerative disc in the cervical (neck) spine. Spinal fusion may be performed to provide stability to the spine.
Prevention of Neck Pain
The following steps may help you prevent or improve your neck pain:
- Practice relaxation exercises to prevent undesirable stress and tension to the neck muscles.
- Perform stretching exercises for your neck before and after exercise.
- Maintain good posture if you work at a computer and adjust the monitor to your eye level. Stretch your neck frequently.
- If you use the telephone a lot, use a headset.
- Use a pillow that keeps your neck straight.
- Wear seat belts and use bike helmets to reduce injuries.
