Is It Only A "Pain In The Neck"?
Pain in the cervical region can cause arm pain as well as the "pain in the neck." Why? In the case of the arms, it's because the nerves that branch out from the neck go all the way down into the arms and into the hands. Sometimes it's difficult to tell whether the pain is actually originating in the neck, or the arms, or both.
Symptoms in the arms include numbness, tingling, cold, aching, and "pins and needles." These symptoms can be confused with carpal tunnel syndrome (CTS), a condition found in people who work at computer keyboards or perform other repetitive motion tasks for extended periods. In CTS, the nerve sheath that runs down the center of the forearm becomes inflamed and restricts the gliding movement of the nerve. It is possible, however, for a nerve impingement to start much further "up the chain," in the neck region. It's also possible for the nerve impingement to be taking place both in the neck and in the arm.
When your neck hurts, and no major trauma is involved, rest is the first order of business. But don't stuff too many pillows under your neck- that will only make things worse. The goal is to keep your spine and neck in a neutralposition. Make sure that the "gap" between the back of your neck and the bed is filled in by a pillow (or foam support) that keeps your neck in a neutral position.
You can also apply ice or heat.
Many physical therapists prefer ice because of its effectiveness in reducing pain and inflammation. (To use ice, fill a plastic bag with crushed ice, place a towel over the affected area, then apply the ice-filled bag to the area.) Heat also provides relief to some people, but should be used with caution because it can sometimes make an inflamed area worse.
Apply heat or ice for 15-20 minutes at a time, and give yourself a 40-minute rest between applications. If you use both heat and ice, make sure to alternate between the two.
How Physical Therapy Can Help With Neck Pain and Headaches Physical therapy always begins with a detailed history and evaluation of the problem. Your physical therapist will take many things into account, including your age, general health, occupation, and lifestyle. If major trauma or disease is involved, your physical therapist will work with you in consultation with a physician.
After a diagnosis has been made, your physical therapist may choose from a range of treatment options, including exercises for flexibility, strength, stability, and restoration of range of motion. Other options include ice, heat, electrical stimulation, traction or mobilization, and massage. Your physical therapist may also analyze your home and work environment in order to ensure that you're not re-injuring yourself.
Much evidence suggests that low-impact aerobic exercise such as swimming, walking, low-impact aerobics, and stationary bicycling may also be helpful in decreasing neck pain. A physical therapist can design a pain-free exercise program just for you.
Once your physical therapy goals are met, your physical therapist will help you continue therapy on your own with a home program designed to fit your needs.
The goal of physical therapy is to return you to normal activity as quickly as possible, with the knowledge you need to minimize or eliminate your problem.
Writers Bio
Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.
Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.
Call Steve Jones at
(619) 280 0554
San Diego Chiropractic
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