Neck Pain and Problems

What is neck pain?

The neck is located between the head and the shoulders. Because of its location and range-of-motion, it is often left unprotected and subject to injury.

What causes neck pain?

Neck pain can result from many different causes - from injury to inflammatory disease. Causes of neck pain and problems may include the following:

• injury (damage to the muscles, tendons, and/or ligaments)

• herniated cervical disk

• arthritis (i.e., osteoarthritis, rheumatoid arthritis)

• cervical disk degeneration

• congenital (present at birth) abnormalities of the vertebrae and bones

• tumors

How is neck pain diagnosed?

In addition to a complete medical history and physical examination, diagnostic procedures for neck pain may include the following:

• blood tests

• x-ray - a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.

• magnetic resonance imaging (MRI)- a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body; can often determine damage or disease in a surrounding ligament or muscle.

• computed tomography scan (Also called a CT or CAT scan.) - a diagnostic imaging procedure that uses a combination of x-rays and computer technology to produce cross-sectional images (often called slices), both horizontally and vertically, of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general x-rays.

• myelogram - a procedure that uses dye injected into the spinal canal to make the structure clearly visible on x-rays.

• electromyogram (EMG) - a test to evaluate nerve and muscle function.

Treatment for neck pain:

Specific treatment for neck pain will be determined by your physician based on:

• your age, overall health, and medical history

• extent of the condition

• your tolerance for specific medications, procedures, or therapies

• expectations for the course of the condition

• your opinion or preference

Treatment may include:

• medication (to reduce inflammation)

• medication (to control pain)

• rest

• physical therapy

• neck brace or immobilization

• exercise

• surgery