Brain and Spine Surgery



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Overview

 


What is Cervical Pain?

The cervical spine is a marvelous and complex structure. It is capable of supporting a head weighing 15 or more pounds while moving in several directions. No other region of the spine has such freedom of movement. This combination however, complexity and mobility, make the neck susceptible to pain and injury.

This complex structure includes 7 small vertebrae, intervertebral discs to absorb shock, joints, the spinal cord, 8 nerve roots, vascular elements, 32 muscles, and ligaments.


Neck Pain


Cervical Pain Surgery, Cervical Spondylosis Pain Surgery, Neck Pain, Cervical Spondylosis, Neck Pain, Neck Traction, Cervical Pain During Pregnancy, Physiotherapy, Cervical Pain Surgery Center The neck (cervical spine) is composed of vertebrae that begin in the upper torso and end at the base of the skull. The bony vertebrae along with the ligaments (which are comparable to thick rubber bands) provide stability to the spine. The muscles allow for support and motion. The neck has a significant amount of motion and supports the weight of the head. However, because it is less protected than the rest of the spine, the neck can be vulnerable to injury and disorders that produce pain and restrict motion. For many people, neck pain is a temporary condition that disappears with time. Others need medical diagnosis and treatment to relieve their symptoms.

This is a non-surgical option cleared by the FDA for cervical decompression. This technology marks another breakthrough in our commitment to providing the most effective solutions for our patients. Our system provides a comprehensive approach to the successful treatment of cervical pain, one of the most recognized problems in healthcare.



Cause


Neck pain may result from abnormalities in the soft tissues—the muscles, ligaments, and nerves—as well as in bones and joints of the spine. The most common causes of neck pain are soft-tissue abnormalities due to injury or prolonged wear and tear. In rare instances, infection or tumors may cause neck pain. In some people, neck problems may be the source of pain in the upper back, shoulders, or arms.



What are the structures of the neck?

There are seven vertebrae that are the bony building blocks of the spine in the neck (the cervical vertebrae) that surround the spinal cord and canal. Between these vertebrae are discs, and nearby pass the nerves of the neck. Within the neck, structures include the neck muscles, arteries, veins, lymph glands, thyroid gland, parathyroid glands, esophagus, larynx, and trachea. Diseases or conditions that affect any of these tissues of the neck can lead to neck pain.

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How is neck pain diagnosed?

In diagnosing the cause of neck pain, it is important to review the history of the symptoms. In reviewing the history, the doctor 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.



How is neck pain treated?

The treatment of neck pain depends on its precise cause. Treatment options include rest, heat/ice applications, traction, soft collar, traction, physical therapy (ultrasound, massage, manipulation), local injections of cortisone or anesthetics, topical anesthetic creams, topical pain patches, muscle relaxants, analgesics, and surgical procedures.


Treatment


Most cases of neck pain originate from strain and can be treated non-surgically. Helping the patient through the acute phase addresses breaking the pain cycle. This involves relieving neck pressure and muscle spasm.

Cervical collars limit movement and support the head taking the load off the neck. Lying down has a similar affect. Limiting neck movement and reducing pressure (weight) gives muscles needed rest while healing.


Cervical traction may be prescribed for home use. This form of traction gently pulls the head, stretching neck muscles while increasing the size of the neural passageways (foramen).

Depending on the cause of the neck pain, non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, and/or short-term use of narcotics may be prescribed. In some cases trigger point injections are beneficial.

Often Physical Therapy (PT) is incorporated into the treatment plan. Passive forms of PT such as heat/cold, ultrasound, and massage may help alleviate pain and stiffness. Therapeutic exercise can help build strength and increase range of motion. Therapists also educate the patient about their condition and teach posture correction and relaxation techniques.

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Recovery


Following doctor's/physical therapist's orders along with time are often all that is needed to overcome neck pain. Whether neck pain is treated with or without surgery, eating properly, regular exercise, and weight maintenance help healing and benefit spinal health.

For patients who undergo a surgical procedure the road to recovery may be a bit longer. However, that is not reason to become discouraged. It is normal to feel tired and emotionally down following surgery. During stress such as surgery, the body cranks out extra hormones - after surgery the level drops, which may result in a 'down' period.

Prevention can be a key to avoiding neck pain in the future. Remember the neck - although very mobile, it has limitations. Avoid activities that cause the neck to hyperflex or hyperextend, maintain good posture, and take frequent stretch breaks from desk/computer work. Incorporate neck safety into your activities of work and play.







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