FEATURED TOPIC - NECK SPRAINS/ STRAINS (NECK PAIN)
This 'Featured Topic' is Neck Pain: Whiplash and Neck Sprains / Strains. Whether the neck pain is due to whiplash in a motor vehicle accident (MVA) or a congenital condition, it is a common complaint heard by the physical therapist in a clinical orthopedic setting. This week we feature two articles from one of our content partners. On this page you will find Article 1 - Neck Strains / Neck Sprains
- Article 1: Neck Strains / Neck Sprains
- Article 2: Collars and the Acute Whiplash Patient
ARTICLE 1: NECK STRAINS / NECK SPRAINS
What is a neck strain?
The term "neck strain" is used to describe an injury to
the muscles and/or ligaments of the neck. In this
article the term neck strain is used but the term "neck
sprain" can also be used to mean the same thing.
What are the functions of the muscles and the
ligaments of the neck?
The complex anatomy of the lumbar region of the spine
(neck) allows it to perform various functions. The
lumbar region supports the weight of the body, protects
the spinal cord and it allows the body to move by
providing attachment sites for muscles. The muscles
located closest to the vertebrae (neck bones) help to
provide stability to the spine. The muscles located
further from the vertebrae play a role in movement of
the spine.
Ligaments are like strong ropes that help connect bones and provide stability to joints. Six major ligament groups run down the spine and the low back. These ligaments attach to each vertebra and form a strong support system for the spine and the neck.
How do neck strains occur?
Neck strains can occur as a result of motor vehicle
accidents, during sporting activities or as a result of
repetitive stress at work. In some cases the muscles
and ligaments around the neck can become injured during
a single activity, or the neck can become injured
during a repetitive task.
What does a neck strain feel
like?
There is usually pain and tenderness around the muscles
or ligaments that are injured. The affected muscles may
also tighten up to protect the injured area. People
with just neck strains usually do not complain of the
following problems:
- Changes in the way their bowels and/or bladder work.
- Weakness in their arm muscles.
- Loss of arm muscle endurance.
- Pain and numbness that travels down either arm.
- Pain that is made worse by sneezing or coughing.
- Pain that is associated with fevers, weight loss, or anything else that suggests that they are feeling unwell.
- Pain that consistently wakes them up at night.
People with these warning signs need to see a doctor about their neck pain right away.
How is a neck strain diagnosed?
The first step in the diagnosis of a neck strain is to
obtain a good medical history and perform a physical
examination. X-rays of the neck may help to rule out
degenerative disc disease. X-rays may be completely
normal. Depending on the severity of the problem,
further tests such as MRI and CT scans may also be
required to rule out other causes of neck pain.
What is the treatment for a neck
strain?
In most cases, the damaged muscles and ligaments will
begin to repair themselves. It is usually recommended
that people consult with their doctor or physical
therapist to help guide them back to health.
Available treatments include physiotherapy to learn
proper movement patterns, education on activity
modification, proper posture, and exercises.
Physiotherapy may also include manual
mobilization/manipulation of the affected area, and
modalities such as gentle electrical currents and heat
or ice to help with pain. Medications may also be an
important part of the initial treatment. Doctors may
prescribe anti-inflammatory medications, pain
medications and/or muscle relaxants.
After someone recovers from a neck strain it is
important to maintain a healthy neck with proper
posture, and exercises to maintain strong neck muscles.
These measures may help to decrease the chance of
another neck strain. Doctors and Physical Therapists
that deal with people with neck strains can help
outline an individualized treatment and recovery
program.
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This content is provided courtesy of Joint Pain Info .com .