Neck Pain


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Neck pain lecture created for anatomy and physiology lecture for yoga students

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  • Neck Pain

    1. 1. Neck Pain The Nob Hill Yoga Teaching School Lee Sloan, MD, RPP
    2. 2. Neck Pain Causes <ul><li>Muscle strain </li></ul><ul><li>Ligament sprains </li></ul><ul><li>Arthritis </li></ul><ul><li>Pinched Nerves </li></ul>
    3. 3. Neck Pain <ul><li>10% of adults have neck pain at any one time </li></ul><ul><li>Majority, regardless of cause, recover </li></ul>
    4. 4. Trapezius Splenius Capitus
    5. 5. Cervical Strain <ul><li>Injury to muscles cause spasm of cervical and upper back muscles </li></ul><ul><li>Caused by everyday life, poor posture, muscle tension, psychological stress, poor sleeping habits. </li></ul><ul><li>Symptoms: pain, stiffness, tightness in upper back and shoulders </li></ul><ul><li>Lasts up to six weeks. </li></ul>
    6. 6. Cervical Spondylosis <ul><li>Abnormal wear and tear of soft tissues, discs or vertebrae </li></ul><ul><li>Gradual narrowing of disc space, loss of normal square shape of bone, growth of edges of bone (bone spurs) </li></ul><ul><li>Bone spurs increase pressure on surrounding tissue and cause 90% of pinched nerves </li></ul><ul><li>Symptoms: neck pain, weakness, numbness or arms or shoulders, headaches, limited neck mobility </li></ul>
    7. 7. Cervical Discogenic Pain <ul><li>May be most common cause of neck pain </li></ul><ul><li>Caused by changes in structure of cervical intervertebral discs </li></ul><ul><li>Symptoms: pain in neck when turning or tilting head, worsened when neck is held in one position for prolonged periods like driving, reading, working at computer </li></ul><ul><li>Associated muscle tightness and spasm </li></ul>
    8. 12. Neck Pain Tests <ul><li>If pain is mild, it’s not absolutely necessary to determine cause of pain </li></ul><ul><li>If severe pain or person has had severe neck injury, can’t control bowel bladder or has numbness or changes in sensation, or doesn’t improve after a week, then go to doctor </li></ul><ul><li>Evaluation of ability to move head/neck </li></ul><ul><li>X-ray, CT, MRI, EMG </li></ul>
    9. 13. Neck Pain Treatment <ul><li>Pain relief with NSAIDS, white willow bark, muscle relaxants </li></ul><ul><li>Ice left in place 15-20 minutes and repeated every 2-4 hours </li></ul><ul><li>Moist heat applied for 10-15 minutes </li></ul><ul><li>Massage </li></ul><ul><li>Stretching </li></ul><ul><li>Accupuncture and chiropractic </li></ul>
    10. 14. Neck Pain Treatment with Yoga <ul><li>Neck bending </li></ul><ul><li>Shoulder rolls </li></ul><ul><li>Neck rotation </li></ul><ul><li>Neck tilting </li></ul><ul><li>Vertical shoulder stretches </li></ul><ul><li>Upper back stretches </li></ul><ul><li>Upper back side bends </li></ul>
    11. 15. Surgery for Neck Pain <ul><li>Usually not useful </li></ul><ul><li>Has role if pinched nerve is caused by a herniated disc but only after a trial of therapy with exercises and physical therapy </li></ul><ul><li>If chronic neck pain doesn’t improve, then consider referral to spine or pain specialty clinic </li></ul>
    12. 16. Suggestions to Clients <ul><li>Reduce emotional stress via relaxation techniques and pranayama </li></ul><ul><li>Recommend posture and body positions that prevent and reduce neck pain </li></ul><ul><ul><ul><li>Neutral neck position </li></ul></ul></ul><ul><ul><ul><li>Minimize tension of supporting muscles and ligaments </li></ul></ul></ul><ul><ul><ul><li>Avoid same position for long periods of time </li></ul></ul></ul><ul><ul><ul><li>Avoid carrying heavy bags </li></ul></ul></ul><ul><ul><ul><li>Sleep with small pillow under nape of neck or put pillow under knees to flatten spine and relax neck muscles </li></ul></ul></ul><ul><ul><ul><li>Avoid overhead work until neck pain improves </li></ul></ul></ul>