Neck Pain

Neck pain is very common complaint of patients visiting orthopedic clinics. People doing work with improper posture (e.g. leaning in front of computer) or carrying weight over head (e.g. Farmer, construction worker) develops neck pain frequently.

Symptoms

Pain in neck region – this is commonest symptom. Dull achy pain is usually present in neck, upper part of back. Pain radiating from neck to arm or hand can be seen.
Muscle tightness and spasm
Difficulty in moving head
Numbness or tingling sensation in arm , forearm or hand
Weakness or decreased power of hand

Causes

Muscle strain
Degenerative disc disease
Injuries
Diseases like rheumatoid arthritis and ankylosing spondylitis

Diagnosis

X ray – helps us to see changes in shape e.g. straightening/list and degenerative changes.
MRI – is helpful in diagnosing extent of degeneration, prolapse and nerve compression.
CT scan and nerve conduction studies may be needed in some patients.

Treatment

Medicines – relieves pain and muscle spasm
Physical therapy – helps in relief and prevention of recurrences
Postural correction
Surgery may be needed in severe cases

Prevention

Most of neck pains are associated with poor posture while working and Age related degeneration.

Correction of posture while working – preferable to sit upright
Adjust position of desk, computer, and chair as per your height and maintain ergonomic posture.
Adequate breaks at regular interval –while working for long hours or while travelling
Avoiding lifting weight over head or shoulder
Sleeping in appropriate posture
Minimize use of smart phones