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Neck Pain
Neck Pain The odds are that you'll get a pain in your neck at
some time or other. After all, the neck has the enormous job of
holing up and balancing a head that weighs approximately 10 pounds.
And it has to perform this task with only seven small cervical
vertebrae and a few dozen muscles that must flex and relax, with
even the slightest nod, thousands of times a day.
Considering the
toughness of its job and its vulnerability to vary stresses, it
is no wonder that the neck is strained more often than any other
body structure, according to some authorities.
What are the particular
stresses and strains that hit us in the neck? What should we do
when our necks are strained? And, finally, how can we save our
necks - how can we avoid strains?
Minor Neck Aches
You may get
a stiff or sore neck from fatigued muscles or strains you may not
even notice it happening. For example, holding your head in an
awkward position, sleeping upright in a chair, or plain overwork
can lead to neck pain. Slumping over a desk or a machine can strain
the trapezius muscle that runs down the neck from the base of the
skull and fans out to the shoulder blades and back. Unbalanced
acts such as carrying a heavy suitcase or briefcase or scrunching
a telephone receiver between your shoulder and ear can strain the
sternomastoid muscle which runs from the base of the skull below
the ear down the front of the neck to the clavicle.
Mental stress
can also cause neck pain - sometimes severe. A common stress reaction
to anger, fear, or depression is the tightening of the neck muscles.
If prolonged, this muscle tightening builds up by-products that
can cause muscle spasms. This brings on more pain and more spasms.
To break the spasm-pain-spasm cycle (and the "tension headache" that
frequently accompanies it), it's necessary to relax the neck muscles.
Use mild neck exercises (see illustrations) and gentle massage,
along with rest and relaxation to prevent neck pain.
Many minor
neck strains will clear up with a good night's sleep. Learn what
brings on such neck pains for you (stress, slouching in chairs,
fatigue, ect.) and adopt good posture and stress control habits.
Major neck problems, however, are another matter.
Major Neck Aches
Major neck problems may be involved if you have neck pain or stiffness
that lasts more than 24 hours, if the ache or stiffness recurs
frequently, or if you've had an accident or fall. If this is the
case, you'd be well advised to see your Doctor of Chiropractic
as soon as possible. Chiropractic evaluation is also needed if
any of these symptoms - frequently caused by irritation of the
nerves in the neck - are experienced: persistent or frequent headaches;
pain in the face, ears, scalp, shoulder, arm or hand; numbness
in the fingers; dizziness; difficulty in breathing; or chest pains.
Through careful examination, possibly including x-ray, your Doctor
of Chiropractic can determine the specific kind of problem you
have and what can be done to correct it.
For example, if your neck
becomes more painful during the course of the day, it's probably
reacting to fatigue and muscular weakness. This can be corrected
through strengthening the neck muscles and rest.
If, however, your
neck is stiff in the morning and improves during the day the day,
it's possible that the culprit is some underlying problems, such
as arthritis. Improved flexibility ("range of motion")
can be achieved through chiropractic technique and proper exercise,
and the pain can be lessened.
Neck pain that is worsen by coughing
or sneezing may be a sign of disc involvement. A fairly common
disorder, "cervical spondylosis," affects some of the
neck vertebrae and the cushiony "discs" that lie between
them, causing nerve irritation. Chiropractic methods to increase
spinal mobility and, in some cases, cervical collars to temporarily
support the head, can treat such problems.
A stiff neck that tilts
the head to one side, "torticollis," may indicate that
one or more of the vertebrae in the neck has become "fixed," again
irritating the nerves and sometimes resulting in muscle spasms.
Treatment may involve chiropractic manipulation, Physicaltherapies,
and exercise. Injuries require special attention. The "whiplash" injury,
most common when car passengers are subjected to rear-end collisions,
put a tremendous strain on the neck. The sudden impact from behind
causes the head to flip backwards, and then deceleration thrusts
the head forward. This whipping motion distorts the natural curve
of the neck. Symptoms such as headaches, visual disturbance, shoulder,
neck and arm pain, and neuralgia are frequent. But it sometimes
takes hours, even days or months, for these symptoms to appear,
If you have a serious fall or accident - particularly on that could
involve whiplash - see your Doctor of Chiropractic immediately,
even if you don't notice serious problems
Exercises For Your Neck
These two exercises, done regularly, will
strengthen and relax your neck muscles and help maintain the
normal range of motion in your neck. Do each three or four times
slowly and deliberately, relaxing as you do them, twice a day.
(If you are under care for circulatory, bone or muscle problems,
check with your doctor before doing them.)
Picture The Shrug- Draw
your shoulders up toward your ears slowly. Breathe deeply and
return to original position. Relax and repeat. Slowly rotating
your shoulders forward and back is a variation of the shrug.
The
Trapezius Stretch- While standing with a straight back, lock
your hands behind your head slowly bring your elbows together in
front of your face. Reverse the exercise by again locking your
hands behind your head and slowly pulling your elbows back. Repeat.
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