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NECK PAIN. Prepared by : Nik Nabilah Nek Rakami 141 Nawwar Afifah Zakaria 151 Nurul Iman Noor Zaidi 152 Nor Aznieda Mohd Rosli 159. Introduction.
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NECK PAIN Prepared by : Nik Nabilah Nek Rakami 141 Nawwar Afifah Zakaria 151 Nurul Iman Noor Zaidi 152 Nor Aznieda Mohd Rosli 159
Introduction • Neck pain (or cervicalgia) is a common problem, with two-thirds of the population having neck pain at some point in their lives. • Neck pain may come from any of the structures in the neck including: vascular, nerve, airway, digestive, and musculature / skeletal or be referred from other areas of the body
CAUSES OF NECK PAIN Nor Aznieda binti Mohd Rosli 159
Major and severe causes of neck pain include: • Carotid artery dissection • Referred pain from acute coronary syndrome • Infections: retropharyngeal abscess, epiglottitis, etc. • Spondylosis - degenerative arthritis and osteophytes • Spinal stenosis – a narrowing of the spinal canal • Spinal disc herniation – protruding or bulging discs, or if severe prolapse.
Carotid artery dissection We must differentiate between pseudoangina and true angina.
The more common and lesser neck pain causes include: • Stress – physical and emotional stresses • Prolonged postures – many people fall asleep on sofas and chairs and wake with sore necks • Minor injuries and falls – car accidents, sporting events and day to day minor injuries • Referred pain – mostly from upper back problems • Over-use – muscular strain is one of the most common causes • Whiplash
More causes include • poor sleeping posture, • torticollis, • head injury, • rheumatoid arthritis, • congenital cervical rib, • mononucleosis, rubella, • certain cancers(metastasis) • ankylosing spondylitis, • cervical spine fracture, • FMS
Differential Diagnosis and Work Up Nik Nabilah Nek Rakami 06-04-141
TREATMENT OF NECK PAIN NurulImanNoorZaidi 06-4-152
Physical therapy • ice or heat • electrical • stimulation therapy
Neck traction • Massage therapy.
Exercise therapy • strengthening and improving the muscles, tendons, and ligaments that support the vertebrae • Physical therapists can instruct you on proper posture, lifting, and walking techniques
Alternative Therapy • chiropractic manipulation • acupuncture
Herbal Remedies Capsaicin Cream Devil's Claw White Willow Bark • Yoga
Medication • nonsteroidal anti-inflammatory drugs -ibuprofen -naproxen to reduce inflammation and relieve pain • analgesic -taken with the NSAID or muscle relaxant 2. Steroids -reduce the swelling -reduce inflammation of the nerves -immediate pain relief within 24-hours. severe
Surgery • rarely recommended….unless you have; • a proven disc herniation, • cervical cord compression, • problems with balance and coordination, • the pain is severe
The surgical procedures to treat neck pain includes : • Anterior cervical discectomy • Laminectomy • Laminoplasty • Cervical spinal fusion. -for instability; -rheumatoid arthritis subluxation -car accident
Neck Pain Prevention and Relief NawwarAfifahBintiZakaria 151