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Neck painPrizm

Overview | Causes | Symptoms | Diagnosis | Treatment | FAQ

Overview

Like back pain, neck pain is an irritation to tendons, muscles and ligaments in the upper back and neck area. Whiplash is characterized by a collection of symptoms that occur following damage to the neck, usually because of sudden extension and flexion, such as in a car accident.
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Causes

Sometimes neck strain can be brought on by an abrupt movement of the neck, such as whiplash.
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Symptoms

dr john cuffSymptoms such as neck pain may be present directly after the injury or may be delayed for several days. In addition to neck pain, other symptoms may include neck stiffness, injuries to the muscles and ligaments (myofascial injuries), headache, dizziness, abnormal sensations such as burning or prickling (paresthesias), or shoulder or back pain. In addition, some people experience cognitive, somatic or psychological conditions such as memory loss, concentration impairment, nervousness/irritability, sleep disturbances, fatigue or depression.
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Diagnosis

Outlined below are some of the diagnostic tools that your physician may use to gain insight into your condition and determine the best treatment plan.

  • Medical history: Conducting a detailed medical history helps the doctor better understand the possible causes of your back and neck pain, which can help outline the most appropriate treatment.
  • Physical exam: During the physical exam, your physician will try to pinpoint the source of pain. Simple tests for flexibility and muscle strength may also be conducted.
  • X-rays are usually the first step in diagnostic testing methods. X-rays show bones and the space between bones. They are of limited value, however, since they do not show muscles and ligaments.
  • MRI (magnetic resonance imaging) uses a magnetic field and radio waves to generate highly detailed pictures of the inside of your body. Since X-rays only show bones, MRIs are needed to visualize soft tissues like discs in the spine. This type of imaging is very safe and usually pain-free.
  • spine surgeon and pmr at Georgia Neurological Surgery & Comprehensive Spine
  • CT scan/myelogram: A CT scan is similar to an MRI in that it provides diagnostic information about the internal structures of the spine. A myelogram is used to diagnose a bulging disc, tumor or changes in the bones surrounding the spinal cord or nerves. A local anesthetic is injected into the low back to numb the area. A lumbar puncture (spinal tap) is then performed. A dye is injected into the spinal canal to reveal where problems lie.
  • Electrodiagnostics: Electrical testing of the nerves and spinal cord may be performed as part of a diagnostic workup. These tests, called electromyography (EMG) or somatosensory evoked potentials (SSEP), assist your doctor in understanding how your nerves or spinal cord are affected by your condition.
  • Bone scan: Bone imaging is used to detect infection, malignancy, fractures and arthritis in any part of the skeleton. Bone scans are also used for finding lesions for biopsy or excision.
  • Discography - Discography is used to determine the internal structure of your disc. It is performed with a local anesthetic by injecting dye into the disc under X-ray guidance. An X-ray or CT scan is performed to determine if the disc’s structure is normal or abnormal and if the injection causes pain. A benefit of a discogram is that it enables the spine surgeon to determine the disc level that is causing pain. And if surgery is necessary, discography helps ensure a successful surgery and reduces the risk of operating on the wrong disc.
  • Injections: These can relieve back pain and give the physician important information about your problem, as well as provide a bridge therapy.

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Treatment

Treatment for individuals with neck strain may include pain medications, nonsteroidal anti-inflammatory drugs, antidepressants, muscle relaxants, and a cervical collar (usually worn for two to three weeks). Range of motion exercises, physical therapy, and cervical traction may also be prescribed. Supplemental heat application may relieve muscle tension.

Generally, prognosis for individuals with neck strain is good. The pain clears within a few days or weeks. Most patients recover within three months after the injury, however, some may continue to have residual neck pain and headaches.
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FAQs

dr bryan barnesWhen is neck strain serious?

As with back pain, any time symptoms do not improve after three days, it's a good idea to see a spine specialist. Also, red flag symptoms like pain or numbness radiating into an arm, especially down into the fingers, are emergency symptoms and should be seen by a spine specialist within 48 hours, or you risk permanent damage.

See our exercise library for helpful neck exercises.

How can I prevent neck strain?

You can minimize your risk of experiencing neck strain by strengthening the muscles and ligaments in your neck, avoiding contact sports, and driving cautiously.
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Need more information on back and neck pain?
Click here to view resource books on spine problems, what causes back pain, what causes neck pain and when to see the doctor.

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