Chronic neck pain is pain in the neck over a long period of time. It usually lasts more than 3 months. The pain can range from mild to severe.
Nerve Pain in Neck
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Chronic neck pain can be caused by a number of conditions, including problems with the muscles, nerves, or bones.
Chronic neck pain may also cause you to have neck stiffness. Pain may be worse when moving your neck. The pain can be any type of pain including burning, sharp, dull, and tingling. The pain may spread to other parts of the body such as the shoulders and arms.
Muscles of the Neck
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You will be asked about your symptoms and medical history. A physical exam will be done. You may be referred to a specialist. Orthopedists specialize in bones and joints. A neurologist or neurosurgeon specializes in the nerves and spinal cord.
Images of your spine may be needed. This can be done with: X-raysMRI scanCT scanMyelography
Your nerve and muscle function may need to be measured. This can be done using
Talk with your doctor about the best plan for you. Options include the following:
You may be able to decrease your pain by staying active and exercising. Your doctor may also refer you to a physical therapist. A therapist may work on strength exercises and stretching.
There are many different medications that may be used to help you manage your neck pain. Nonsteroidal anti-inflammatory drugs (NSAIDs)—to treat the pain and reduce inflammationAcetaminophen—to treat painCertain antidepressant medications—sometimes used for neck painCertain antiseizure medicationsCorticosteroid injection—to treat the pain and reduce inflammation caused by disc disease
There are other treatments that might be helpful for neck pain. Low-level laser therapy— a light source is directed on the painful areaElectrotherapy treatments, such as repetitive magnetic stimulation, and nerve and muscle stimulationChiropractic careAcupunctureIntermittent traction (pulling on the neck)Massage
Most cases of neck pain are treated medically. In some cases surgery is needed. The type of surgery will depend on the cause of pain. For example, if you have a herniated disc in your neck, surgery will
remove the damaged part of the disc.
To help reduce your chance of neck pain: Maintain good posture.Take breaks from activities that do not involve movement such as driving or working at a computer.Avoid sleeping with too many pillows.Get plenty of exercise.Make sure your desk chair and keyboard are at proper heights.Avoid cradling the phone in your neck.
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Neck pain. American Academy of Family Physicians website. Available at:
http://familydoctor.org/familydoctor/en/health-tools/search-by-symptom/neck-pain.html. Accessed September 3, 2015.
Neck pain. American Academy of Orthopaedic Surgeons Ortho Info website. Available at:
http://orthoinfo.aaos.org/topic.cfm?topic=A00231. Updated December 2013. Accessed September 3, 2015
What a pain in the neck! American Academy of Physical Medicine and Rehabilitation website. Available at:
http://www.aapmr.org/patients/conditions/msk/spine/Pages/Prevent-Neck-Pain.aspx. Accessed September 3, 2015.
12/31/2009 DynaMed's Systematic Literature Surveillance
http://www.ebscohost.com/dynamed: Chow RT, Johnson MI, Lopes-Martins RA, Bjordal JM. Efficacy of low-level laser therapy in the management of neck pain: a systematic review and meta-analysis of randomised placebo or active-treatment controlled trials.
Last reviewed September 2015 by James Cornell, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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