FAQ’s on Neck pain Treatment in Las Vegas NV

Neck pain can occur due to a chronic spinal condition or from an injury to the cervical (neck) spine. Around 50% of neck pain can resolve without any treatment. However, for patients with chronic neck pain, pain management therapy may be required.

What are the risk factors for neck pain?

Neck pain is more common for persons who:

  • Are over the age of 50 years
  • Have poor posture
  • Sleep in bad positions
  • Suffer car injuries and accidents

What causes neck pain?

Neck pain often results in limited movement of the neck muscles, as well as stiffness. Common causes include:

  • Whiplash – Also called cervical strain, whiplash occurs when neck muscles and ligaments develop strains and small tears due to an accident. This also causes muscle spasms, neck stiffness, and headaches.
  • Cervical osteoarthritis – Wear and tear to the joints of the upper spine results in cervical arthritis. This pain is often described as dull or sharp, and it can radiate into the shoulder regions.
  • Cervical stenosis – Degenerative changes affect the bones of the cervical spine, which are called vertebrae. This often leads to narrowing of the spinal canal or spinal stenosis.
  • Herniated disc – When an intervertebral disc’s inner gel-like material protrudes from the protective outer layer, it can put pressure on and irritate the cervical spinal nerves. This can lead to neck pain, as well as arm weakness, numbness, and tingling.

What are the symptoms associated with neck pain?

A person who has a cervical spinal condition often has severe pain in the neck, stiffness, and can suffer from headaches. When there is pressure on one or more spinal nerves, the patient may experience shooting pain down one arm, accompanied by tingling, weakness, and/or numbness. Anxiety, depression, and fatigue are also associated with neck pain.

Is neck pain a common occurrence?

Based on statistics from research reports, approximately 10 percent of the general population suffer with some form of neck pain. Chronic neck pain is more common among computer workers, women, and older people.

How is neck pain treated?

The treatment of neck pain depends on the specific cause. Treatment options include:

Treatment of neck pain depends on the cause, the severity of the condition, and the patient’s willingness to participate in treatment. The pain specialist will use a combination of therapies, including:

  • Physical therapy – To provide pain relief, the therapist uses electrical stimulation, massage, ultrasound therapy, and heat/cold therapy. Physical therapy involves using strengthening and stretching exercises to improve neck flexibility and mobility.

 

  • Medications – For muscle spasms, the pain specialist may prescribe Baclofen or Robaxin, two muscle relaxants. Severe pain is often treated with prednisolone or dexamethasone, which are corticosteroids. Nonsteroidal anti-inflammatory drugs (NSAIDs) are also used, such as naproxen and ketoprofen.

 

  • Facet joint injection (FJI) – This procedure involves the insertion of fine needles into the tiny facet joints along the back of the cervical spine. X-ray guidance (fluoroscopy) is used to place the needles, and a long-acting anesthetic is instilled onto the nerves, with or without a corticosteroid agent. According to controlled studies. FJIs have an 85% success rate.

 

  • Trigger point injections (TPIs) – For painful contracted muscles of the neck, the doctor can inject an anesthetic into the area. This works to deactivate the trigger point and relieve pain. According to a clinical study, TPIs are 100% effective.

Resources

Dhadwal, N, Hangan, MF, Dyo, FM, Zeman, R, & Li, J (2013). Tolerability and efficacy of long-term lidocaine trigger point injections in patients with chronic myofascial pain. International Journal of Physical Medicine and Rehabilitation.

Hoy DG, Protani M, De, R, & Buchbinder R (2010). The epidemiology of neck pain. Best Pract Res Clin Rheum, 24(6), 783-792.

Manchikanti L, Singh V, Falco FJ, Cash KM, & Fellows B (2008). Cervical medial branch blocks for chronic cervical facet joint pain: a randomized, double-blind, controlled trial with one-year follow-up. Spine, 33(17):1813-20.