The Best Care for Neck Pain Sufferers: A 7 Yr Study

February 2008- a seven-year, international study published finds that some alternative therapies such as acupuncture, neck manipulation and massage are better choices for managing most common neck pain than many current practices. Also included in the short-list of best options for relief are exercises, education, neck mobilization, low level laser therapy and pain relievers.

Therapies such as neck collars and ultrasound are not recommended. The study found that corticosteroid injections and surgery should only be considered if there is associated pain, weakness or numbness in the arm, fracture or serious disease.

The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders 236 page review of the current research on neck pain is published in the journal Spine. The multi-national and inter-disciplinary study team included Canadian, American, South American, Australasian and European researchers. The Task Force was created to help neck pain sufferers and health professionals use the best research evidence to prevent, diagnose and manage neck pain.

"Neck pain is not a trivial condition for many people," says Task Force president Dr. Scott Haldeman, clinical professor, department of neurology at the University of California, Irvine; and adjunct professor, department of epidemiology University of California Los Angeles. "It can be associated with headaches, arm and upper back pain and depression. Whether it arises from sports injuries, car collisions, workplace issues or stress, it can be incapacitating. Understanding the best way to diagnose and manage this problem is of high importance for those who are suffering and for those who manage and pay for its care."

The study found that neck pain is a widespread experience that is a persistent and recurrent condition for the majority of sufferers. It is disabling for approximately two out of every 20 people who experience neck pain and affects their ability to carry on with daily activities says the Task Force.

A key recommendation of the Task Force is that neck pain, including whiplash-related pain, be classified and treated in a common system of 4 grades:

Grade 1: neck pain with little or no interference with daily activities
Grade 2: neck pain that limits daily activities
Grade 3: neck pain accompanied by radiculopathy ("pinched nerve" -- pain weakness and/or numbness in the arm)
Grade 4: neck pain with serious pathology, such as tumor, fracture, infection, or systemic disease.

"The majority of neck pain falls into Grades 1 or 2," says Task Force member, Dr. Linda Carroll, Associate Professor, School of Public Health at the University of Alberta, and Associated Scientist, Alberta Centre for Injury Control and Research (ACICR). "Many sufferers manage to carry on with their daily activities. Others find their pain interferes with their ability to carry out daily chores, participate in favorite activities or be effective at work. For these people, the evidence shows there are a relatively small number of therapies that provide some relief for a while, but there is no one best option for everyone."

In addition to its comprehensive review of the existing body of research on neck pain, the Task Force also initiated a new study into the association between chiropractic care of the neck and stroke. This innovative piece of research found that patients who visit a chiropractor are no more likely to experience a stroke than are patients who visit their family physician. The study concludes that this type of stroke commonly begins with neck pain and/or headache which causes the patient to seek care from their chiropractor or family physician before the stroke fully develops.

"This type of stroke is extremely rare and has been known to occur spontaneously or after ordinary neck movements such as looking up at the sky or shoulder-checking when backing up a car," noted the study's lead author, Dr. David Cassidy, professor of epidemiology at the University of Toronto and senior scientist at the University Health Network at Toronto Western Hospital.

For the minority of neck pain sufferers who experience Grade 3 neck pain -- that is neck pain accompanied by pain, weakness and/or numbness in the arm, also referred to as a "pinched nerve", corticosteroid injections may provide temporary relief says the study. Surgery is a last resort according to the findings and should only be considered if accompanying arm pain is persistent or if the person is experiencing Grade 4 pain due to serious injury or systemic disease.

Top findings for neck pain suffers:

• Stay active as you can, exercise and reduce mental stress.
  
• expect to find a single "cause" for your neck pain.
  
• Be cautious of treatments that make "big" claims for relief of neck pain.
  
• Trying a variety of therapies or combinations of therapies may be needed to find relief -- see the therapies for which the Task Force found evidence of benefits.
  
• Once you have experienced neck pain, it may come back or remain persistent.
  
• Lengthy treatment is not associated with greater improvements; you should see improvement after 2-4 weeks, if the treatment is the right one for you.
  
• There is relatively little research on what does or does not prevent neck pain; ergonomics, cervical pillows, postural improvements etc. may or may not help.
  

"This is an important body of research that will help to improve the quality of patient care by incorporating the best evidence into practice and patient education," says Dr. Carroll. "Neck pain can be a stubborn problem -- we hope this comprehensive analysis of the evidence will help both sufferers and health care providers better manage this widespread complaint."


SOURCE: Angela M. Kargus for The Bone and Joint Decade Task Force on Neck Pain and Its Associated Disorders Contact info: +1-757-253-1676



NJ
Visit us at Arc4life.com
Join our Free Newsletter at Arc4life: The Healthy Back and Neck eNewsletter- Read March 2008
Arc4life is an Ehow expert on health related issues. Read our How to Articles here: Ehow Arc4life Articles
Contact NJ via email: info[at]arc4life.com
Subscribe to this Blog via FeedBurner

End Neck Pain By Improving Posture - How Proper Posture Improves Your Spine Relieving Nerve Pressure

How does posture have anything to do with neck pain?--Neck pain comes from pressure on the nerves. How does this happen?--Usually pressure from a misaligned neck spine. When your spine is misaligned (some call that subluxated) it does not move like it should and in turn creates inflammation in that area. Either out-of-alignment spinal vertebrae (spinal bones) put direst pressure on nerves or the inflammation, or built up degeneration causes the pressure.

The most common misaligned postural pattern in the neck that will result in neck pain, stiffness and lack of mobility is forward head carriage. This is when the head posture is forward of the shoulders and almost always reveals loss of the normal neck alignment or curvature.

In the neck spine we should have a well defined neck C-curve of approximately 40-60 degrees. Anything less and there is unwanted pressure on the nerves. Pain is often a sign that there is pressure on the nervous system but not all of that system is designed to feel pain so you may be pain free yet still have improper alignment.

With people today, more than ever we are seeing a misaligned neck posture of the neck curve flattening or straightening and protruding out forward. One of the reasons is that more and more people these days are on computers for long hours. Many jobs now require you to be on a computer continually, and even the people without a desk job are on the computer for hours on end; nights, weekends, mornings, you name it.

Also, more people are on the road driving. When driving, the majority of people’s heads, over the time traveling, drift forward. Some people are affected worse than others. Just recently I looked to my left while at a light and the woman next to me had both hands on the wheel with what looked like a death grip, and she just looked like her muscles were extremely tense and her head was about 6 inches forward of her shoulders. These are just a couple examples, others are: Poor sleeping habits, holding a phone on your shoulder for long periods, reading or studying with your head down often, etc...

Guilty of some of these examples or often suffer from neck pain?

Here's how to improve your neck posture-

1. Postural exercises for the neck
   
2. Eliminating bad posture as much as possible
   
3. A good support neck pillow for sleeping.

These to do's all help correct and maintain the proper alignment of the spine. Our spines are ergonomically built to withstand the forces of gravity. When looking at an individual from the front or back, the spine is straight should be up and down. From the side however we have distinct curvatures that are there for a reason – so our spinal cord is relaxed with no tension and our nerve roots coming off the spinal cord have no pressure and interference. Our spine is at it’s strongest position with this alignment as well. And don’t forget, why is it important we are in optimal alignment? Not only because it is the most beneficial for strength of our spine but because it is the healthiest position as well. Putting any pressure on nerves will decrease the bodies ability to perform at it’s maximum. Any pressure on nerves decreases your body's function and therefore health.

The best postural exercise to eliminate forward head posture are Head Retractions. Pretend your head is on a sliding track and pull your head back keeping it level. For example sit fully back against a wall or chair pull your head straight back without tilting or extending your head until you touch the wall, top of chair or headrest in your car.

Eliminate forward head posture as much as possible. Notice if your head is drifting forward; usually you may feel strain in the muscles of the back of your neck. Read with books propped up against something, take periodic breaks when working on the computer or driving for long periods. Sit up staighter, and keep your head up-right.

At night, you can not only protect yourself from poor posture but also can literally improve it as well, while you sleep. If you use a good support pillow like the Cervical Linear Traction Neck Pillow you can correct neck posture while resting comfortably. Sleeping on your back or side is perfectly fine. Stomach sleeping is not good because you have to crank your head to on side or another to breathe. Individuals who commonly sleep on their stomachs will find themselves waking up often with a sore, stiff, painful neck.

Be more aware of your posture. Poor posture means a poor spine and therefore pressure on nerves that will not only just cause neck pain but can cause other problems as well. The easiest way to start improving neck pain and neck posture is to use the proper neck pillow. The Cervical Linear Traction Pillow can be found at www.arc4life.com.

Dr Matt Bellinger is a Chiropractor in Connecticut. He has written many articles on how to easily and naturaly relieve pain, and has helped hundred of patients in his clinic end their neck and back pain. Visit Dr. Bellinger's Site at www.ctbackdr.com.