Neck Pain Archives - Desert Institute for Spine Care Desert Institute for Spine Care Fri, 24 Jan 2025 16:21:11 +0000 en-US hourly 1 https://www.sciatica.com/wp-content/uploads/2023/03/favicon.png Neck Pain Archives - Desert Institute for Spine Care 32 32 Pros and Cons of Cervical Artificial Disc Replacement   https://www.sciatica.com/blog/pros-and-cons-of-cervical-artificial-disc-replacement/ Thu, 02 Jan 2025 20:49:08 +0000 https://www.sciatica.com/?p=39039      If you’re reading this, chances are you’ve been living with chronic neck pain, perhaps caused by conditions like degenerative disc disease, herniated discs or cervical radiculopathy. The discomfort can range from mild annoyance to debilitating pain, affecting everything from your ability to work to your quality of life. But you’re here because you’ve […]

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Dr Christopher Yeung
BY Christopher A. Yeung, M.D.
 
Dr. Christopher Yeung is a board-certified, fellowship-trained orthopedic spine surgeon, with a special interest in minimally invasive spine surgery techniques with a philosophy of choosing the least invasive yet most effective method to treat spine problems.
 

    

If you’re reading this, chances are you’ve been living with chronic neck pain, perhaps caused by conditions like degenerative disc disease, herniated discs or cervical radiculopathy. The discomfort can range from mild annoyance to debilitating pain, affecting everything from your ability to work to your quality of life. But you’re here because you’ve reached a crossroads — you’re considering cervical artificial disc replacement (ADR) as a solution.

It’s understandable if you’re feeling a bit uncertain. The decision to undergo surgery is never easy, especially when it involves your spine, a vital part of your body. You want to feel better, but you also need to know if it’s the right procedure for you. We’ll explore the pros and cons of cervical disc replacement to help you make an informed decision.      

The Pros of Cervical Artificial Disc Replacement

Treating your neck and spine conditions can bring much-needed relief and mobility back to your life. Here are the top advantages of cervical ADR.

1. Preservation of Neck Motion

For many patients, the most significant advantage of cervical ADR is the preservation of motion. During spinal fusion surgery, the two vertebrae are fused together, essentially locking that portion of your neck in place. It works well for pain relief, but it compromises flexibility. This can limit your range of motion and lead to discomfort when performing everyday tasks, such as turning your head to check your blind spot while driving or looking down at your phone for a long period.

Cervical ADR, however, preserves natural motion by replacing the damaged disc with an artificial one that mimics the flexibility of a healthy disc. This means that after surgery, you can maintain neck mobility — a huge advantage if you value functionality in your life. You’ll likely find it easier to get back to the things you love doing, whether it’s exercising, spending time with your family or simply living without the discomfort that has held you back.

2. Reduced Risk of Adjacent Segment Disease

Adjacent segment disease is a common complication for patients who undergo spinal fusion surgery. When two vertebrae are fused together, the added stress on the nearby discs can cause them to wear out faster, leading to pain or degeneration in other parts of the spine. This can create a vicious cycle of surgeries to address new issues.

With cervical ADR, your spine retains its normal range of motion. As such, it reduces the likelihood of adjacent segment disease, allowing the rest of your spine to function as it should. This is particularly beneficial for those who want a long-term solution without the need for future interventions. Your neck stays more stable and healthier over time.

3. Quicker Recovery Time

If you’ve been dealing with neck pain for a long time, you know how frustrating it can be to wait for relief. With cervical ADR, you’re looking at a faster recovery compared to traditional spinal fusion surgery. The minimally invasive nature of the procedure means less muscle disruption, less pain and a quicker recovery period.

Most patients return to light activities within a few weeks and are back to normal daily activities within two to three months. This is a stark contrast to spinal fusion, which often involves a much longer recovery time and movement restrictions for several months. Cervical ADR offers a quicker path to recovery so you can get back to your life sooner.

4. Immediate Pain Relief

One of the most appealing aspects of cervical ADR is the immediate relief it provides. Once the damaged disc is removed and replaced with an artificial one, the pressure on surrounding nerves is relieved. Many patients report feeling substantial pain relief within days of the surgery.

This is significant for those suffering from cervical radiculopathy, where nerve pain radiates down the arms. The decompression of the nerve often leads to nearly instant relief from the burning, tingling or weakness in the arms.

In contrast, spinal fusion typically takes much longer to provide noticeable pain relief since the vertebrae need time to heal and stabilize.

5. Improved Long-Term Quality of Life

Cervical ADR helps with both immediate pain relief and long-term functionality. Because the artificial disc mimics the natural movement of a healthy disc, patients often report an improvement in their overall quality of life.

They can go back to performing activities with fewer limitations, whether it’s exercising, working, cooking or playing with their children. Besides reducing pain, the procedure also improves your ability to move and live freely.

The Cons of Cervical Artificial Disc Replacement

All surgeries have potential downsides and may not be the best option for your spine or back conditions. Here’s what you should know about the challenges of artificial disc replacement.

1. Not for Everyone

If you suffer from severe spinal deformities, spinal instability or bone loss, cervical ADR may not be an option for you. Cervical artificial disc replacement (C-ADR) is primarily indicated for patients with symptomatic cervical degenerative disc disease (DDD) that has not improved with conservative treatments such as physical therapy or medication. According to a study published in Global Spine Journal, ideal candidates typically experience radiculopathy or myelopathy caused by herniated discs or osteophytes at one or two contiguous cervical levels. These patients should also have maintained cervical spine stability and no severe facet joint disease. C-ADR aims to relieve pain, restore function, and preserve cervical motion, making it a preferred option for eligible patients over traditional fusion techniques.

However, if multiple discs are involved, spinal fusion might be necessary or a combination of procedures may be recommended. It’s important to consult with a skilled spine surgeon to determine if you’re a good candidate for cervical ADR. Your provider will go over the potential pros and cons of spinal fusion versus ADR and determine a treatment plan.

2. Risk of Complications

Cervical artificial disc replacement (C-ADR) is generally considered a safe procedure, but like any surgery, it carries potential risks. According to a review published in the Journal of Spine Surgery, complications are relatively rare but may include device-related issues such as migration or subsidence (shifting of the device), as well as surgical site infections, difficulty swallowing, and adjacent segment disease. The study highlights that while the risk of major complications is low, careful patient selection and surgical expertise are crucial in minimizing adverse outcomes. Long-term data suggest that C-ADR offers a favorable risk profile compared to anterior cervical discectomy and fusion (ACDF), with lower incidences of adjacent segment degeneration and better maintenance of cervical motion. with any surgery, there are risks. Although complications from cervical ADR are rare, they can include:

  • Infection at the incision site.
  • Nerve or blood vessel damage during surgery.
  • Blood clots due to reduced mobility after surgery.
  • Artificial disc malfunction, which could require additional surgery.

It’s essential to discuss these risks with your surgeon, particularly if you have underlying health conditions that might complicate recovery. Knowing what to expect can help you prepare and make the decision with confidence.

3. Cost Considerations

While cervical ADR can provide lasting relief, it comes at a higher cost than spinal fusion. The procedure includes the cost of the artificial disc, hospital stay, surgeon fees, and any rehabilitation or physical therapy needed afterward. The cost of artificial disc replacement ranges between $30,000 and $50,000.

Although insurance may cover a large portion of the cost, it’s important to check with your provider to understand what will be covered and what you might need to pay out of pocket. The financial aspect can be a significant consideration for many people, so factor this into your decision-making process.

4. Durability of the Artificial Disc

While most artificial discs are designed to last for many years, their long-term durability is still being studied. Some patients may experience wear and tear on the artificial disc, which could require further surgery in the future.

This is rare, but it’s something to consider when making a decision. The artificial disc’s life span will depend on various factors, including your activity level and the type of disc used. One

Is Cervical Artificial Disc Replacement Right for You?

Cervical ADR offers a range of benefits for patients who want to preserve motion, achieve faster recovery times and improve their long-term functionality. It is an excellent option for individuals with single-level disc degeneration, as it can provide immediate pain relief and long-lasting results. 

However, it’s not right for everyone. The decision to undergo this treatment involves weighing the pros and cons of cervical ADR against your specific condition. It’s crucial to consult with an experienced spine surgeon who can evaluate your health and guide you in making the best choice for your future.

Contact Desert Institute for Spine Care Today

Choosing cervical artificial disc replacement is about more than just addressing neck pain — it’s about getting your life back. If you’re tired of being limited by pain and immobility, this procedure may offer the relief and flexibility you’ve been seeking.

While there are risks and costs to consider, the potential for quicker recovery, better functionality and long-term relief makes it a compelling option for many. At Desert Institute for Spine Care (DISC), we are trusted leaders in the gamut of spine surgery. We utilize the most innovative, effective and minimally invasive treatments to address your condition.

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Cervical Artificial Disc Replacement Recovery Time https://www.sciatica.com/blog/cervical-artificial-disc-replacement-recovery-time/ Mon, 23 Dec 2024 18:50:57 +0000 https://www.sciatica.com/?p=38803 Are you considering or have recently undergone a cervical artificial disc replacement? If so, you’re on the path to relief. Chronic neck pain caused by degenerative disc disease or herniated discs can be debilitating. This advanced procedure removes and replaces a damaged disc with a prosthetic one. It preserves and restores neck motion. The result […]

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By Justin Field, M.D.
 
Dr. Field is a board certified, fellowship trained orthopedic spine surgeon. Dr. Field has specialized training in minimally invasive spine surgery and motion sparing technologies, such as cervical and lumbar Artificial Disc Replacement, as well as non-fusion stabilization. In addition, he has extensive training in adult deformity correction and treatment.
 
 

 

Are you considering or have recently undergone a cervical artificial disc replacement? If so, you’re on the path to relief. Chronic neck pain caused by degenerative disc disease or herniated discs can be debilitating. This advanced procedure removes and replaces a damaged disc with a prosthetic one. It preserves and restores neck motion. The result is relief from pain and improved quality of life.

Surgery is a major milestone. Understanding the recovery process is crucial for a smoother, easier healing journey. Fortunately, the recovery time is often faster and less painful than traditional spinal fusion surgery. Many patients notice improvements within six weeks. 

This article walks you through the typical artificial disc replacement recovery timeline. Discover tips to speed up healing and valuable resources for a successful recovery. Let’s dive in and explore what you can expect on your journey!

What Is Cervical Artificial Disc Replacement?

Cervical artificial disc replacement surgery removes a damaged cervical spinal disc and replaces it with an artificial disc. The cervical spine, or neck, comprises seven vertebrae separated by discs. The discs may become damaged due to degenerative disc disease, injury or wear and tear. Once damaged, they can cause severe pain, numbness or weakness in the neck and arms. Artificial disc replacement restores normal spinal motion, relieving nerve pressure and improving mobility.  

This procedure is often considered a better alternative to spinal fusion. It preserves natural spine movement, reduces recovery time and improves long-term outcomes. Spinal fusion permanently joins the two vertebrae. Cervical artificial disc replacement preserves neck flexibility, making it ideal for patients who want to avoid spinal fusion surgery’s limitations. The costs of cervical total disc replacement depend on location, surgeon expertise and implant type. 

How Long Does Cervical Artificial Disc Replacement Recovery Take?

The cervical artificial disc replacement recovery process involves several phases, each with its own milestones. Recovery time can vary based on your health, age and postoperative care adherence. Here is what to expect at each stage of the artificial disc replacement recovery timeline:

The First 24-48 Hours: Immediately After Surgery 

The first few days after surgery are crucial for pain management and proper healing. Most patients go home the same day or stay the night in the hospital and go home the next morning, depending on their recovery rate and health. During this time, you receive medication for pain relief. The healthcare team monitors you closely to ensure there are no complications.

You can expect the following key activities in the first 24-48 hours:

  • Pain management: Soreness after surgery is normal. Prescribed medications help with pain management.
  • Movement and mobility: While rest is crucial, you must begin moving your arms and legs to prevent blood clots. Your surgeon may recommend light walking to improve circulation and speed up recovery.
  • Monitoring and care: The healthcare team continues to monitor your vital signs. Post-surgical care includes wound treatment to ensure no complications arise from the procedure.

Weeks 1-4: Early Recovery Phase

Your focus in the first few weeks is resting, managing pain and gradually regaining mobility. Most patients experience a noticeable reduction in neck pain during the first week. Numbness or weakness in the arms eases from relieved nerve pressure. 

At this stage, your doctor provides instructions on:

  • Neck brace: Many patients do not need bracing and are encouraged to move the neck.
  • Physical activity: Avoid heavy lifting and strenuous activities. However, light walking and gentle movements help promote healing and maintain circulation.
  • Follow-up appointments: Attend post-op appointments so your surgeon can track your recovery progress. These visits may include X-rays or other tests to check the artificial disc’s position.

Weeks 4-12: Intermediate Recovery Phase

As the weeks pass, you begin to feel stronger and may be able to resume more normal activities. Physical therapy often begins during this phase. This treatment is essential for strengthening cervical spine muscles and improving flexibility.

Here’s what to expect during this phase:

  • Physical therapy: Your doctor or physical therapist prescribes strengthening exercises. These aim to restore movement, flexibility and strength in the neck and upper back. Physical therapy is vital to ensuring long-term success and minimizing complications.
  • Pain reduction: Most patients experience significant pain relief by the end of the first month. Some discomfort, especially in the incision area or muscles, may persist as the body heals.
  • Resuming daily activities: After four weeks, many patients can return to light physical activities such as running and working out. The exception is patients with jobs that involve heavy lifting or excessive physical exertion. In a recent study, 90% of cervical artificial disc replacement patients returned to work within 14 days. Follow your surgeon’s specific recommendations on physical activity during this stage.

3-6 Months: Advanced Recovery Phase

The healing process continues during the three- to six-month period. You may notice considerable mobility and pain reduction improvements during this time. As neck pain and nerve symptoms subside, you should notice a drastic improvement in quality of life.

Milestones at this stage include:

  • Strengthening exercises: Your physical therapist may suggest advanced strengthening exercises to build muscle and support the cervical spine.
  • Return to physical activities: Depending on your recovery progress, you may get the go-ahead to resume more strenuous activities. Examples include jogging, cycling or swimming. You might still need to avoid high-impact sports or heavy-lifting activities. Your doctor will provide guidelines on when it’s safe to resume them.

6 Months to 1 Year: Full Recovery Phase

Most people experience significant relief and improved function in the first three to six months. Full recovery can take up to one year. During this time, the artificial disc settles and the surrounding muscles strengthen.

Here’s what you can expect:

  • Ongoing progress: By six months, many patients feel almost fully recovered. Remember that complete muscle and tissue healing can take up to one year.
  • Long-term results: With proper care, most people enjoy long-term benefits. You may experience reduced pain, enhanced motion and a better quality of life. Regular follow-up visits with your healthcare provider ensure that recovery continues as planned.

Factors Affecting Recovery Time

Cervical disc replacement recovery generally follows a predictable timeline. Several factors can influence how long full recovery takes:

Factors Affecting Recovery Time
  • Age: Younger patients often experience faster recovery. Better overall health and tissue healing speed up the process.
  • General health: Conditions like diabetes or obesity can affect healing and extend recovery time.
  • Post-op care: Follow your surgeon’s instructions, including physical therapy or wearing braces. These guidelines can help accelerate healing.

Tips for a Smooth Recovery

A smooth recovery increases your chances of regaining your mobility and quality of life. Follow your doctor’s guidelines for the best possible outcome. Be patient with your body and listen to your doctor’s advice about when to return to normal activities. Slow and steady wins the race! Physical therapy is vital to strengthen the muscles around your neck and spine. These exercises help you regain strength and flexibility.  

To ensure the best possible recovery, here are some tips:

  • Stay consistent: Keep up your rehabilitation exercises, but pay attention to your body!
  • Follow guidelines: Listen to your surgeon’s instructions. Adhering to activity restrictions and physical therapy recommendations is critical for successful recovery.
  • Maintain healthy habits: Eat a balanced diet, stay hydrated and get enough rest to support your body’s healing process.
  • Engage in activity: Begin with gentle movements and light walking to promote circulation and reduce stiffness. Avoid any heavy lifting or twisting motions that could strain your healing spine.

The most important tip is to keep a positive attitude. Committing to these steps can help you bounce back quicker, with less pain and better long-term results!

Talk to Desert Institute for Spine Care About Artificial Disc Replacement

Talk to Desert Institute for Spine Care About Artificial Disc Replacement

Cervical artificial disc replacement offers a promising solution for chronic neck pain. It is particularly effective for those with degenerative disc conditions. Most patients experience pain relief and increased mobility within the first few months. At Desert Institute for Spine Care (DISC), our board-certified surgeons specialize in cervical artificial disc replacement. We serve patients in Phoenix, Arizona, and surrounding areas.

To discover how DISC can help free you from chronic neck pain, reach out for more information or to schedule a consultation. 

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How Long Does Whiplash Last? https://www.sciatica.com/blog/how-long-does-whiplash-last/ Fri, 02 Aug 2024 12:34:17 +0000 https://www.sciatica.com/?p=33888 The post How Long Does Whiplash Last? appeared first on Desert Institute for Spine Care.

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Dr Christopher Yeung
BY Christopher A. Yeung, M.D.
 
Dr. Christopher Yeung is a board-certified, fellowship-trained orthopedic spine surgeon, with a special interest in minimally invasive spine surgery techniques with a philosophy of choosing the least invasive yet most effective method to treat spine problems.
 
 

 

 

Whiplash is an uncomfortable and painful injury sustained after your neck has been forcefully moved back and forth. Car accidents, sports injuries, blunt force to the head and slips and falls are common ways to get whiplash. This guide will explore the condition, the symptoms you might experience and how long it will take to recover from whiplash.

Symptoms of Whiplash

Whiplash typically occurs after a car accident or a fall. These are the most common symptoms of whiplash to look out for include:

  • Neck pain: Whiplash often causes immediate or delayed onset of neck pain due to sudden and forceful movement.
  • Stiffness: Stiffness in the neck and surrounding muscles is a common sign of whiplash. The stiffness will restrict the affected muscle’s normal range of motion.
  • Headaches: Whiplash can lead to tension headaches, typically originating from neck muscle strain.
  • Shoulder pain: Pain and discomfort are likely to extend from the neck to the shoulders. This is a result of impact on the cervical spine.
  • Fatigue: Whiplash can contribute to overall fatigue. The body is working to heal and cope with the trauma, which can leave you feeling drained and exhausted.
  • Dizziness: Some individuals may experience dizziness or lightheadedness following whiplash.
  • Difficulty concentrating: Cognitive symptoms, such as difficulty focusing or memory issues, may arise due to the traumatic nature of whiplash.

Diagnosis and Treatment

Diagnosing whiplash involves a thorough physical examination and imaging studies like X-rays or MRI scans if necessary. These scans assess the extent of soft tissue damage. Clinicians evaluate the symptoms, such as neck pain, stiffness and headaches, and note how the injury was caused. Treatment for whiplash aims to alleviate these symptoms and promote healing. Common approaches include rest, ice and over-the-counter pain relievers to manage pain and inflammation.

Physical therapy helps restore neck flexibility and strength through targeted exercises. A neck brace or collar might help in some cases. They support injured areas, helping them heal. Prescription medication might be an option in cases of severe pain. Most people with whiplash respond well to conservative measures. Regular follow-ups with healthcare providers are essential to monitor progress and adjust treatment as needed.

Factors Influencing Recovery Time

Several factors influence the recovery time for individuals experiencing whiplash. The severity of the injury plays a crucial role, with more extensive damage requiring a longer recovery period. Prompt and appropriate medical intervention, including early physical therapy, can positively impact recovery by addressing symptoms and promoting healing. Individual differences, such as age, overall health and pre-existing medical conditions, affect recovery time. Younger people generally recover quickly due to increased resilience. Those with existing health issues might face prolonged healing periods.

Adhering to prescribed treatment plans, like exercises and medication, significantly affects recovery. Psychological factors, like stress or anxiety, may hinder recovery. Support systems and access to healthcare resources shape the recovery process.

The Recovery Process

The recovery process for whiplash involves a combination of rest, pain management and physical therapy. In the initial phase, rest and the application of ice reduce inflammation and alleviate pain. Physical therapy becomes crucial for restoring neck mobility and strengthening muscles. Gradual reintroduction of regular activities, such as work and daily tasks, is encouraged as symptoms improve.

Cultivating good habits accelerates the recovery process. Consistent engagement in neck stretches and sticking to exercise routines are crucial. Maintaining a proper posture may improve recovery times. Your posture matters when sitting, standing and doing everyday activities. Pay close attention to your posture to prevent additional strain on the neck.

Getting quality rest promotes healing. More than just resting your muscles and taking things easy, you need to get enough sleep to give your body more energy to heal and minimize tension.

Long-Term Effects and Complications

These are some of the potential long-term effects and consequences individuals with whiplash might experience:

  • Chronic neck pain: Some individuals may experience persistent neck pain and stiffness beyond the expected recovery period. This is affected by and may hinder daily activities.
  • Headaches: Long-term headaches stemming from muscle tension or joint dysfunction can become a complication of whiplash.
  • Reduced range or motion: Incomplete recovery may lead to lasting limitations in neck mobility. This affects your posture and movement.
  • Sleep disturbances: Chronic pain and discomfort can contribute to sleep disturbances.
  • Emotional impact: Whiplash-related pain and limitations may contribute to emotional challenges. Examples include anxiety and depression.
  • Secondary musculoskeletal problems: Prolonged compensation for neck pain may lead to issues in other areas, like the shoulders or upper back. 

Regular monitoring and appropriate management are essential for mitigating these potential long-term effects.

FAQs About Whiplash

For those with urgent questions that need quick answers, here is a list of answers to frequently asked questions about recovering from whiplash:

What Is Whiplash?

Whiplash is a neck injury caused by the sudden back-and-forth motion of the head. It commonly occurs in incidents such as car accidents, slipping and falling. The injury often involves soft tissue damage.

How Long Does Whiplash Last After a Car Accident?

Whiplash is commonly induced by impact from a car accident. The amount of time to recover from this varies from person to person. The symptoms usually get better within two to three months. Following the prescribed treatments and exercises will speed up your recovery.

Why Does Whiplash Hurt?

Whiplash causes pain due to the rapid and forceful movement that strains and damages the neck’s soft tissue. Soft tissue includes muscles, ligaments and tendons. The sudden and unnatural motion during an impact leads to inflammation, muscle spasms and overall discomfort in affected areas.

How Long Does a Whiplash Injury Last?

The duration of a whiplash injury varies widely based on multiple factors. Severity, the health of a person and dedication to recovery processes play a vital role in reducing recovery time. While some people can heal in weeks with proper care, others may experience symptoms for several months. A comprehensive recovery requires ongoing treatment and monitoring.

How Long Does Whiplash Pain Last?

Whiplash pain duration hinges on factors like prompt medical intervention and adherence to treatment. While some may find relief in weeks, persistent chronic pain may endure for months. Necessitating a multidimensional approach, including physical therapy and pain management, will help ease the effects.

Schedule an Appointment With DISC to Combat Your Whiplash

Knowing what whiplash is and how it is caused will help you identify it. If you have recently been in an accident and are experiencing any of these symptoms, DISC can help. We can diagnose your problem and treat whiplash effectively. Our experts have the expertise and qualifications to give you a recovery plan that you can rely on for relief and proper healing.

Schedule an appointment with us online today so we can give you the help you need right away. 

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Can Whiplash Symptoms Be Delayed? https://www.sciatica.com/blog/delayed-whiplash-symptoms/ https://www.sciatica.com/blog/delayed-whiplash-symptoms/#comments Fri, 09 Feb 2024 20:30:47 +0000 https://www.sciatica.com/?p=32562 The post Can Whiplash Symptoms Be Delayed? appeared first on Desert Institute for Spine Care.

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BY JOSHUA ABRAMS, DO
 
Joshua Abrams is a fellowship-trained and board-certified orthopedic spine surgeon who employs new cutting-edge techniques to minimize post-surgical pain and optimize patients’ experience.
 

Whiplash is caused by a rapid back-and-forth movement of the neck. It is sudden and quick, and the abrupt motion causes the muscles and ligaments to stretch and tear. Whiplash commonly occurs as a result of a car accident in which you come to a sudden halt after traveling at a high speed. However, you can experience whiplash because of a sports injury or an amusement park ride.

The cervical spine — the vertebrae just below the skull in the C1 to C7 region — is most directly impacted. However, lower vertebrae can also be affected, as can the intervertebral discs that act as shock absorbers between the spine bones. These discs can be displaced or even herniated as a result of whiplash. Additionally, ligaments and muscles can get pulled and torn, and the nerves that run through the vertebrae can get pinched. 

You’ll likely experience some symptoms immediately after impact, but certain other symptoms could come on later. If your experience matches those listed below, reach out to an orthopedic spine center to receive support.

The Immediate Impact of Whiplash

Many whiplash symptoms occur directly after the initial incident. Immediately after experiencing whiplash, you might feel: 

  • Neck pain and stiffness: Pain may be localized to the upper vertebrae. In more severe cases, it could spread to the shoulders and upper back, depending on what muscles were strained.
  • Headaches: After a few minutes, you might experience a headache that starts at the base of the skull and spreads upwards. This is typically caused by the pull and tug of the muscles in this area from the whiplash. 
  • Dizziness: If your nerves are disrupted, you might experience dizziness. This is caused by the connection of your nerves to your inner ear, which is what gives you balance.
  • Reduced range of motion: When muscles are torn or stretched, they often get inflamed afterward, causing a limitation in your movement. This is often accompanied by a sharp pain when you try to move or rotate your neck.

The Possibility of Late Whiplash Symptoms

While whiplash symptoms often arise quickly, experiencing a delayed response to whiplash is fairly common. You can experience delayed whiplash symptoms after a car accident or any other situation where your neck has been jerked. The delayed symptoms can appear anywhere from a few hours to a few weeks after the initial incident. This is often because your body releases adrenaline and endorphins right after the injury, which often mask the initial symptoms. Eventually, these chemicals disperse, and symptoms will begin to arise.

Another reason for the delay involves inflammation. Inflammation can take several hours to develop, and only at its height will you notice the full extent of the injury. Microtears could also happen at the time of the injury but be too small to notice at first. Over time, however, the weakened areas could escalate and become aggravated.

Recognizing and Treating Delayed Whiplash Symptoms

Most whiplash symptoms clear up on their own, but others slowly increase over time. Some delayed whiplash symptoms that you may experience include:

  • Persistent neck pain and stiffness.
  • Headaches, especially at the base of the skull.
  • Dizziness or blurred vision. 
  • Tingling or numbness in your arms.
  • Difficulty concentrating.
  • Memory problems.
  • Sleep disturbances.
  • Fatigue.
  • Depression. 
  • Ringing in the ears. 

You might also experience chronic pain as a result of whiplash, but this is more common when the initial symptoms started quickly and were very intense.  

Exploring Whiplash Treatments

You’ll want to seek the assistance of a medical professional if you notice any of these symptoms. A healthcare professional will likely suggest imaging tests — like CT scans or MRIs — to determine the extent of the injury. Once the scope of the injury has been determined, the healthcare professional will recommend a course of action, probably consisting of a combination of physical therapy, pain management and chiropractic care:

  • Pain management: Over-the-counter pain relievers like ibuprofen or acetaminophen are often recommended. These medications help relieve stress and tension in the body. They also help the muscles relax, giving them the opportunity to rest and heal. 
  • Heat and cold therapy: Another way to get the muscles to relax is with heat and cold packs. If there is inflammation, then cold packs are recommended to reduce the swelling. When the inflammation has resolved, but the pain still persists, then heat packs can be helpful. You can also take warm showers if heating pads are not available. 
  • Physical therapy: Gentle stretches and strengthening exercises can go a long way in the healing process. These can help slowly restore motion and rebuild the muscles. 
  • At-home exercises: You can also do a series of exercises at home, like walking around the garden or block. You can make gentle stretches part of your morning routine or when you sit down to do work. A few shoulder rolls and chin rotations can help you get the ball rolling. 
  • Chiropractic care: If the whiplash is severe and has caused vertebrae misalignment, then a licensed chiropractor can gently manipulate it back and restore mobility. They often use alignment techniques to relieve tightness and pain. 
  • Surgery: Surgery is typically reserved for when the discs have ruptured or herniated, which is very rare. However, if this is the case, then a spinal stabilization method is usually recommended. You can talk to a healthcare professional about a bone fusion or artificial cervical implant. 

Schedule a Whiplash Consultation With Desert Institute for Spine Care

Desert Institute for Spine Care (DISC) is made up of a team of spinal experts who come together with one goal: to identify and treat spinal issues. We always aim to find nonsurgical or minimally invasive spine surgery options. If there is a way that the body can heal without surgery, that is always the first priority. Our board-certified surgeons are leaders in spine surgery and collectively have over 50 years of experience. 

We believe that patients should not suffer in pain and have to wait to receive treatment. We will listen to your story and treat the whole situation, not just the symptoms. If you’re experiencing persistent or delayed whiplash symptoms, reach out to us and schedule an appointment today. If you have concerns that your whiplash has worsened over time and you are experiencing long-term problems, then we will help you find the root of the problem. 

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All About C5 and C6 Treatments https://www.sciatica.com/blog/cervical-spine-treatments/ https://www.sciatica.com/blog/cervical-spine-treatments/#respond Wed, 08 Nov 2023 00:06:38 +0000 https://www.sciatica.com/?p=30649 Each vertebra plays a role in supporting the body’s structure and facilitating movement. In this article, we will look at the cervical vertebrae, which comprise the upper portion of the spine. Specifically, the fifth (C5) and sixth (C6) vertebrae, as they hold special significance.  C5, the fifth cervical vertebra, finds its position just below C4 […]

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By Justin Field, M.D.
 
Dr. Field is a board certified, fellowship trained orthopedic spine surgeon. Dr. Field has specialized training in minimally invasive spine surgery and motion sparing technologies, such as cervical and lumbar Artificial Disc Replacement, as well as non-fusion stabilization. In addition, he has extensive training in adult deformity correction and treatment.
 
 
 
All About C5 and C6 Treatments

Each vertebra plays a role in supporting the body’s structure and facilitating movement. In this article, we will look at the cervical vertebrae, which comprise the upper portion of the spine. Specifically, the fifth (C5) and sixth (C6) vertebrae, as they hold special significance. 

C5, the fifth cervical vertebra, finds its position just below C4 and above C6. Its structural makeup includes a vertebral body and a vertebral arch. It is responsible for the processes, like spinous and transverse, that serve as anchor points for muscles and ligaments. At the C5 level, nerve roots emerge from the spinal cord, forming a part of the brachial plexus — a complex network of nerves governing movement and sensation in the arms and hands.

Underneath the C6, the sixth cervical vertebra features a vertebral body, vertebral arch and associated processes that provide structural support to the spine. Nerve roots originating from C6 are involved in the brachial plexus, influencing the functionality of the upper limbs, including arm and hand movement and sensation.

Conditions involved with the C5 and C6 are disc herniationdegenerative changes and nerve compression, which can lead to symptoms like neck pain, arm pain, weakness and numbness.

Nonsurgical Treatment Options

Nonsurgical treatments offer several advantages, so healthcare professionals often recommend them over surgical options. Here are a few of those benefits:

  • Conservative approach: Nonsurgical methods are less invasive and typically involve fewer risks than surgery, making them suitable for many patients.
  • Preservation of spinal function: These treatments aim to alleviate symptoms and improve function without altering the natural structure of the spine.
  • Lower recovery time: Nonsurgical interventions often result in shorter recovery periods, allowing individuals to return to regular activities sooner.

Nonsurgical treatment options offered to patients depend on their history and the severity of the issue. Here are some options a healthcare professional might suggest:

  • Physical therapy: Skilled therapists develop personalized exercise regimens that strengthen neck and shoulder muscles, improve posture, and enhance flexibility. These exercises help alleviate pain and prevent further injury.
  • Medications: Pain management through medications, such as non-steroidal anti-inflammatory drugs (NSAIDs), muscle relaxants and analgesics, can provide relief from discomfort associated with C5 and C6 conditions. 
  • Cervical traction: Cervical traction involves the application of gentle, controlled force to the neck. It can be administered by a health care professional or through devices used at home.
  • Cervical epidural steroid injections (ESIs) are administered by pain management doctors as a short-term solution to alleviate chronic neck pain stemming from specific causes. These injections involve the administration of an anti-inflammatory medication into the epidural space surrounding the spinal nerves. Temporary pain relief is reported by approximately 40% to 84% of individuals who undergo cervical ESIs.

Surgical Treatment Options

The choice of C5 C6 surgery conditions depends on various factors, including the specific diagnosis and the patient’s overall health and preferences. Individuals must thoroughly discuss with their healthcare providers to determine the most appropriate surgical approach tailored to their unique needs and circumstances. 

While non-surgical treatments can effectively address many C5 and C6 spine conditions, there are instances where surgical intervention becomes necessary to alleviate C5 C6 symptoms and prevent further complications. Here, we explore some standard surgical procedures:

Anterior Cervical Discectomy and Fusion (ACDF)

ACDF is a common surgical procedure to address herniated discsspinal stenosis and degenerative disc disease at the C5 and C6 levels. During the procedure, the damaged disc or portion of the disc is removed, and a bone graft is inserted to promote fusion between the adjacent vertebrae.

Cervical Artificial Disc Replacement

This surgical option involves removing the disc between C5 and C6 and replacing it with an artificial disc replacement via surgery. This artificial disc mimics a healthy disc’s natural movement and function. It can be a suitable alternative to fusion for certain patients.

Posterior Foraminotomy

In a posterior foraminotomy, surgeons access the C5 and C6 regions from the back of the neck. They remove bone and tissue to enlarge the neural foramen, the openings where nerve roots exit the spine. This procedure can relieve pressure on nerve roots caused by conditions like foraminal stenosis.

Laminectomy

A laminectomy involves the removal of a portion of the vertebral arch (lamina) to create more space within the spinal canal. It aims to relieve pressure on the spinal cord and nerve roots, reducing pain and neurological symptoms.

Fusion Procedures

Fusion procedures involve the fusion of adjacent vertebrae at the C5 and C6 levels using bone grafts or cages and plates and screws. Fusion is typically recommended when there is instability in the cervical spine due to conditions like severe degeneration, trauma or tumor removal.

Recovery and Rehabilitation

Recovery and rehabilitation phases optimize healing, restore functionality and help patients regain their quality of life. 

Post-Surgery Recovery

The duration of the hospital stay after surgical treatment for C5 and C6 conditions varies depending on the procedure and individual factors. Some surgeries require only a brief hospitalization, while others require a more extended monitoring stay. There are a number of C5 C6 pain treatments as follows:

  • Pain management: Patients are often given pain medications to alleviate discomfort during the initial recovery phase.
  • Wound care: Surgeons and health care providers will provide instructions on caring for the surgical incision, which may involve keeping the area clean and monitoring for signs of infection.
  • Mobility: Early mobilization is encouraged to prevent complications such as blood clots and muscle atrophy. Patients are typically encouraged to engage in gentle movements and walking under the guidance of health care professionals.
  • Brace usage: In non-fusion cases, patients may be fitted with a cervical collar or brace to immobilize the neck and support the healing process. All fusion patients utilize a brace to promote healing of the spinal fusion.

Rehabilitation and Physical Therapy

Rehabilitation and Physical Therapy

Physical therapists work with patients to gradually reintroduce movement and improve mobility while ensuring the surgical site remains stable and secure.

  • Strengthening exercises: Physical therapy includes exercises that strengthen the neck, shoulders and upper back muscles. These exercises help stabilize the cervical spine and promote proper posture.
  • Range of motion exercises: Patients will engage in motion exercises to improve flexibility in the neck and reduce stiffness. 

Long-Term Management

After completing the initial recovery and rehabilitation phases, individuals should continue to prioritize their spinal health. This includes maintaining a healthy lifestyle, practicing good posture and staying active. Regular follow-up appointments with health care providers help monitor progress and address any concerns.

Recovery and rehabilitation after surgical treatment for C5 and C6 spine conditions require patience and commitment. With the guidance of skilled health care professionals and a proactive approach to healing, individuals can often significantly improve their spinal health and overall well-being.

Prevention and Lifestyle Adjustments

By adopting proactive measures and making mindful choices, individuals can reduce the risk of developing spine issues and manage existing conditions more effectively. Here are some strategies for prevention and lifestyle adjustments that promote the well-being of the C5 and C6 vertebrae:

  • Maintain good posture: Be mindful of your posture, especially when sitting, standing or working at a computer. Ensure your head is neutral and shoulders relaxed and squared.
  • Regular exercise: Engage in exercises that strengthen the muscles supporting the neck and shoulders. Incorporate stretching routines to maintain flexibility and reduce muscle tension.
  • Aerobic exercise: Regular aerobic activities like walking, swimming or cycling can help improve overall spine health by promoting circulation.
  • Screening: Regular medical checkups can help identify early signs of spine issues or other health conditions that may impact spinal health.
  • Consult with a health care professional: If you experience persistent neck pain, numbness or other symptoms related to C5 and C6 spine conditions, seek prompt medical attention. Early intervention can prevent the worsening of these conditions.

Consult with Desert Institute for Spine Care

Consult with Desert Institute for Spine Care

The cervical spine, a remarkable region composed of seven vertebrae, gives us the extraordinary ability to move our heads precisely and gracefully. Yet, as with any intricate structure, it is not immune to wear and tear. Neck pain is a concern for 80% of the population at some point in their life.

Your neck deserves the best care available, and that’s precisely what Desert Institute for Spine Care (DISC) provides. Don’t let neck pain hold you back— contact us to schedule an appointment today. Your journey to a pain-free life begins here.

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Myelopathy: Causes, Diagnosis and Treatment https://www.sciatica.com/blog/what-is-myelomalacia/ https://www.sciatica.com/blog/what-is-myelomalacia/#respond Sat, 19 Aug 2023 22:43:07 +0000 https://www.sciatica.com/?p=29264 Spinal injuries can wreak havoc on your life, impacting your organs, motor functions or senses. They must be handled with prompt medical attention to prevent lasting damage. Speak with your doctor if you notice any peculiar symptoms, such as those caused by myelopathy. Myelopathy is a common spinal cord condition that can limit a person’s […]

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Dr. Nima Salari in Operating Room

By Nima Salari, M.D. FAAOS
 
Dr. Salari is a Board-Certified, Fellowship-Trained Orthopedic Spine Surgeon with specialized training in the operative and non-operative treatment of pathologic conditions affecting the spine. He specializes in ultra-minimally invasive endoscopic spine surgery and cervical artificial disc replacement.
 
 

 

Myelopathy: Causes, Diagnosis and Treatment

Spinal injuries can wreak havoc on your life, impacting your organs, motor functions or senses. They must be handled with prompt medical attention to prevent lasting damage. Speak with your doctor if you notice any peculiar symptoms, such as those caused by myelopathy.

Myelopathy is a common spinal cord condition that can limit a person’s function and mobility. The condition can take a toll on a person’s physical and mental health when left untreated, so prompt intervention is critical. Understanding the condition and the treatments available can help you better navigate a diagnosis.

What Is Myelopathy?

Myelopathy refers to severe spinal cord compression, which can have different causes. A compressed spinal cord can limit or alter function, resulting in pain, poor motor function or numbness. The nerves within the compressed area can also be at risk of long-term damage without prompt treatment. Different types of myelopathy, such as cervical myelopathy and spinal myelopathy, affect different areas of the spine.

Pain in the neck or back is the primary symptom of myelopathy since spinal cord compression puts pressure on nerves. Pain is enough to limit a person’s daily activities or their involvement in life. However, other notable symptoms of myelopathy include:

  • Pain in the arms and legs
  • Poor motor skills, which you may notice when getting dressed, cooking or performing other daily activities
  • Weakness, tingling or numbness in the extremities
  • Limited bladder or bowel control
  • Poor coordination or balance
  • Reflex changes in the legs and arms
  • Difficulty walking

These symptoms can make it challenging or impossible for a person to live a well-rounded life. The pain and loss of motor functions reduce how much activity a person can do, which can limit job opportunities, social outings and other activities or responsibilities.

What Causes Myelopathy?

What Causes Myelopathy?

Myelopathy occurs when the spinal cord becomes compressed, so anything that puts pressure on the spinal cord can cause this condition. People can develop an acute form of the condition from accidents or infections, such as:

  • Car accidents
  • Falls at work
  • Sports injuries to the neck, back or spine
  • Infections caused by viruses, bacteria, parasites or fungi

While acute myelopathy is possible, most people develop the condition slowly over time due to other spinal conditions or regular wear and tear. Some spinal conditions that can cause myelopathy include:

  • Spondylosis, a condition where the spine slowly degenerates
  • Spinal stenosis, characterized by the narrowing of the spaces in the spinal cord
  • Herniated discs, which means that a disc that usually cushions the spine is bulging and creating pressure
  • Spinal tumors, which are capable of putting additional pressure on the spine
  • Degenerative diseases, such as Parkinson’s, can impact the nerves and their functionality within the spinal cord

Other conditions unrelated to the spine can also cause myelopathy, including autoimmune conditions, inflammatory diseases or radiation treatment.

Myelopathy can affect anyone, but it is more likely to occur in older people, as people of a certain age are likelier to have weak bones. These individuals also have a higher chance of developing a spinal condition that turns into myelopathy because many of the conditions above generally happen later in life. Despite this, people of any age should have their symptoms evaluated if they believe they’ve developed myelopathy.

How Do They Diagnose Myelopathy?

The symptoms of myelopathy can overlap with other conditions, including some of the spinal conditions mentioned above. In some cases, myelopathy symptoms have been mistaken and misdiagnosed as another condition. It’s essential to seek a diagnosis from a spinal specialist who knows what to look for so they can make a proper diagnosis.

A myelopathy diagnosis involves plenty of testing to identify spinal cord compression. Some of the different tests that are used for a myelopathy diagnosis include:

  • X-rays, CT scans, MRIs and other imaging tests
  • A myelogram, which involves taking an X-ray along with contrast dye to see the spinal cord, soft tissue and the relationship between them
  • Nerve function tests to determine how good your body is at sending messages to your brain, which includes evoked potentials or electromyogram

Myelopathy Treatment Options

Myelopathy treatment is critical to prevent permanent nerve damage and improve overall quality of life. Without treatment, myelopathy can result in permanent nerve damage. Your spine specialist will walk you through different treatment options, from surgery to steroid injections. 

The earlier you can catch myelopathy, the better your outcome. Early intervention can prevent severe nerve damage that would be extremely challenging or impossible to reverse. Treatment can also help you get back to the activity you once enjoyed. Treatment for myelopathy can either be non-surgical or surgical, depending on the patient and the progression of their condition.

1. Non-Surgical Treatment Options

If your doctor has diagnosed you with a mild form of myelopathy, you’ll likely only need non-surgical treatment to improve your condition and quality of life. Non-surgical treatment is usually also tried before invasive surgeries. Some non-surgical treatments your doctor may have you try include:

  • Physical therapy to build strength and mobility around the spinal cord, reducing pain and other symptoms
  • Medications to help manage your symptoms
  • Bracing to keep your spinal cord in the proper position to ease symptoms

It’s essential to note that non-surgical treatments won’t fix your spinal cord compression, and the condition will gradually progress, though some people only experience acute myelopathy. Instead, non-surgical treatment is meant to help improve your quality of life by reducing symptoms.

2. Surgical Treatment Options

Surgery is often used in myelopathy patients who aren’t finding any success in managing their symptoms through non-surgical methods. Once the condition has progressed far enough, surgical intervention may be the only treatment option available to help improve quality of life.

Surgery will involve spinal cord decompression, which helps take pressure off the spinal cord. Surgery for myelopathy may also remove herniated discs or bone spurs that could be causing myelopathy to progress. For myelopathy caused by more advanced or serious spinal conditions, such as spinal stenosis, other surgeries may be recommended — for example, laminoplasty helps widen the space in the spinal cord to relieve compression. 

You can also find minimally invasive spine surgery options depending on the specifics of your condition, which could be an excellent way to find relief without the potential for as many complications or a long recovery. While you wait for surgery, your doctor will recommend making lifestyle changes and other non-surgical treatments to help your symptoms.

Find Relief From Myelopathy Symptoms With DISC

Untreated myelopathy can significantly impact a person’s quality of life. The Desert Institute for Spine Care (DISC) understands how challenging it can be to live with myelopathy, so we’ve dedicated a team of experienced surgeons to help you manage your symptoms.

Our team of surgeons has a long history of providing cutting-edge surgical options for various spinal conditions, including myelopathy and spinal conditions that could cause the condition to develop. We can help you find solutions to manage your pain and slow the progression of your condition. Our team will also help you manage your post-operation recovery, which includes any additional treatments, such as medication or physical therapy.

Get in touch with our experienced team today to request an appointment and start your path to healing.

Find Relief From Myelopathy Symptoms With DISC

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How to Overcome Chronic Neck Pain Without Surgery https://www.sciatica.com/blog/how-to-overcome-chronic-neck-pain-without-surgery/ Wed, 07 Dec 2022 14:55:27 +0000 https://www.sciatica.com/?p=21156 Chronic neck pain can take a significant toll on your daily routine, activities and life. You likely don’t want to turn to surgery right away. Thankfully, there are many ways to alleviate neck pain naturally.

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By Justin Field, M.D.
 
Dr. Field is a board certified, fellowship trained orthopedic spine surgeon. Dr. Field has specialized training in minimally invasive spine surgery and motion sparing technologies, such as cervical and lumbar Artificial Disc Replacement, as well as non-fusion stabilization. In addition, he has extensive training in adult deformity correction and treatment.
 
 

 

Chronic neck pain can take a significant toll on your daily routine, activities and life. You likely don’t want to turn to surgery right away. Thankfully, there are many ways to alleviate neck pain naturally.

You can try numerous self-care techniques for chronic neck pain at home. Learn about neck pain types, causes and symptoms, as well as various nonsurgical neck pain treatments that might work for you.

Anatomy of the Neck

Understanding how the neck works can provide insight into treating pain or injury when necessary. The neck contains the spine’s first seven vertebrae, a section called the cervical spine. The uppermost vertebra, or C-1, attaches to the base of the skull to enable head rotation.

The cervical spine’s bones support the neck’s soft tissues, including the muscles, ligaments and tendons that allow for movement and flexibility. Together, these internal neck structures support and balance the head.

Your neck also contributes to your body’s shock-absorbing system, meaning your head is somewhat physically isolated from the body during a collision or impact. This potentially minimizes the severity of the blow and the risk of a concussion.

What Is Chronic Neck Pain?

Neck pain is among the most common musculoskeletal conditions, affecting 80% of people at some point during their life. As the name suggests, neck pain describes any painful sensation or discomfort in the cervical spine. It can range from a mild ache to a sharp, stabbing pain that compromises normal tasks and activities.

Neck pain can be:

  • Acute: Acute pain lasts for a few days to a few weeks.
  • Subacute: Subacute pain lasts four to 12 weeks.
  • Chronic: Pain becomes chronic if it lasts for three months or longer.

Neck pain often goes away within a few days or weeks, but pain that persists for months may indicate an underlying condition requiring professional care. Long-term neck pain can suggest problems with the spine’s nerves, vertebrae or discs.

Types of Neck Pain

Neck pain typically falls into one of four categories. Any of these types can occur independently or with others.

1. Axial

Axial or mechanical neck pain is the most common type. It impacts a single neck region without moving or radiating. It often causes an achy, dull or throbbing sensation, but it can also cause stinging or sharpness. Pain can increase with specific movements or poor posture.

Axial neck pain usually stems from neck strains or sprains. However, it can also result from trauma- or spinal degeneration-related issues, such as:

2. Radicular

Radicular pain starts in the neck and spreads to other areas, like the shoulders, arms and hands. It usually occurs when a cervical spine’s nerve root becomes inflamed.

This type of neck pain can feel searing or almost like an electric shock. Certain postures and movements can escalate the pain. Most people experience it on one side of the body, but it can affect both sides.

Radicular pain often derives from spinal degeneration, such as osteophytes — or bony spurs — irritating the nerve root, or a cervical herniated disc.

3. Referred

Referred neck pain occurs when you experience pain in a location other than its source, and it isn’t caused by nerve root irritation. For instance, when a trigger point is compressed, the pain can refer to other parts of the body.

This type of pain is typically a deep, throbbing, achy or cramping sensation. The pain is often more spread out than radiating pain, but the two types can feel similar. Referred pain is commonly experienced on one side of the body but can impact both.

Pain can refer to the neck in numerous ways, such as from the jaw via temporomandibular joint (TMJ) dysfunction or from the heart during a heart attack. A neck-related condition can also refer pain to other bodily areas, such as shoulder pain, upper back pain or a headache.

4. Myelopathic

Myelopathic pain results from compression of the spinal cord and exiting nerves. Aside from neck pain, symptoms can also occur in regions below the neck or compression site, like in the arms, legs or feet. Medical conditions like rheumatoid arthritis, spinal stenosis, herniated discs and spinal tumors can increase your risk of myelopathic pain.

What Causes Chronic Neck Pain?

Various factors that weaken or damage the cervical spine can drive neck pain, and they can vary from person to person. One individual may experience short-term discomfort from a mild injury, while another might have chronic pain from an underlying condition. Here are a few common causes of neck pain:

  • Muscle tears, strains and fractures
  • Nerve damage or impingement
  • Poor posture or awkward sleeping positions
  • Whiplash
  • Degenerative disc disease
  • Pinched nerve
  • Viral or bacterial throat infections
  • Cervical stenosis
  • Herniated discs
  • Osteoarthritis or rheumatoid arthritis
  • Traumatic injury from a fall or accident
  • Joint wear and tear from aging

While neck pain can occur at any age, it’s most common in adults aged 45 to 54. Additionally, psychological risk factors like depression, anxiety, long-term stress and other mental health-related conditions can contribute to chronic neck pain.

Symptoms of Chronic Neck Pain

Depending on the person and condition, cervical spine pain may cause dull aching or soreness, sharp pain, tenderness or pulsations. Other symptoms associated with serious, chronic neck pain might include:

  • Radiating numbness or tingling
  • Difficulty with balance, walking and coordination
  • Difficulty holding and lifting objects
  • Muscle cracking, popping or grinding
  • Decreased range of motion
  • Upper or lower back pain
  • Swollen lymph nodes or difficulty swallowing
  • Sleep problems
  • Headaches and jaw pain

How to Overcome Chronic Neck Pain Without Surgery

While some severe cases of chronic neck pain might require surgery, many cases can be treated with nonsurgical methods at home. Here are some remedies to consider if you’re seeking chronic neck pain relief without surgery.

1. Rest, But Not Too Much

A couple of days of rest can help alleviate neck pain following an injury. Give your neck some time to recover naturally, breaking from strenuous activities like running, playing sports or carrying heavy loads.

Remember that excessive rest and constant inactivity can do more harm than good. Too much rest can weaken the body and muscles, which may increase your risk of reinjury upon returning to your normal routine. After a day or two of rest, try returning to your activities gradually and carefully.

When resting to reduce neck pain, experts recommend laying on your side or your back. Sleeping on your stomach can put pressure on your spine, as it arches your back and turns your neck to the side. If you prefer to sleep on your back, use a rounded pillow that supports your neck’s natural curve and a flatter pillow to cushion your head.

2. Adjust Your Exercise

An effective exercise routine can help reduce pain and restore muscle and nerve function. Rather than high-impact exercises like aerobics, running and mountain biking that can risk further injury to your neck, opt for low-impact activities that reduce your overhead work. A physical therapist can recommend safe exercises to help manage chronic neck pain and improve your cervical disc health based on your condition.

Chin tucks are a simple yet effective exercise for building your neck muscles:

  1. Sit in a chair with your upper back, shoulders and head firmly supported. You can also lie flat with your back on the floor.
  2. Move your chin back and down slowly to align your ears with your shoulders. You should feel a stretch in the back of your neck.
  3. Hold this position for about 10 seconds, then release. Repeat several times.

Strengthening your core muscles can also prevent your shoulders and neck from becoming overworked. Chair stands are a simple way to do so:

  1. Sit in a chair with your feet hip-width apart.
  2. Stand up slowly while tightening your abdominal muscles.
  3. Sit down slowly, then repeat these steps several times.

Gentle cardio and aerobic exercise may also help alleviate chronic neck pain. Aerobic activity can stimulate blood flow to soft tissues and muscles in the upper back and neck. It can also strengthen weak muscles, loosen tight muscles and improve your range of motion. Here are some low-impact cardio and aerobic exercises to try:

  • Walking
  • Swimming and water aerobics
  • Yoga
  • Stationary cycling
  • Rowing

Let pain be your guide when building an exercise routine. Don’t push yourself too hard, and have someone supervise you when necessary.

3. Receive Physical Therapy

Many think of physical therapy as a rehabilitation method following a collision or sports injury. However, it can also be an effective chronic neck pain treatment. Physical therapy can benefit the body by:

  • Using targeted exercise to strengthen weakened neck areas
  • Identifying improper habits or posture that may contribute to pain and stiffness
  • Helping reduce the risk of reinjury

Building your neck’s strength and flexibility may help reduce pain and support the cervical spine, especially when combined with other treatments like aerobic exercise. Speaking with your doctor can help determine if physical therapy may help manage your chronic neck pain.

4. Consider Acupuncture

Acupuncture is a traditional Chinese medicine involving the insertion of needles into different acupuncture points. This practice aims to improve circulation, reduce inflammation and release neurochemicals like serotonin and dopamine, promoting relaxation and pain relief. Some people use acupuncture for chronic neck pain.

During an acupuncture session, a specialist will determine which points require stimulation depending on your symptoms and health history. Some practitioners combine acupuncture with aromatherapy, massage and relaxation techniques. Acupuncture generally isn’t painful since the needles only penetrate the outer skin layer. You may find it can reduce your neck pain, stiffness and stress levels.

5. Look Into Advanced Ultrasound-Guided Injections

Ultrasound technology captures internal body images using high-frequency sound waves. Besides monitoring pregnancy progression, many medical professionals also use this safe, noninvasive technology for joint injections, including those in the cervical spine area.

Guided ultrasound injections resemble conventional injections, but they offer the benefit of seeing inside the body during the procedure. Rather than relying solely on touch to determine the correct injection placement, the practitioner uses the imaging probe to produce a live video of the joint tissues. The clear, high-resolution images help guide needle insertion and medicine administration.

6. Contemplate Manual Therapy

Manual therapy is a physical treatment that involves kneading and manipulating the joints and muscles to treat musculoskeletal pain. Manual neck manipulation can help relieve symptoms and tension when used properly and carefully.

Talk to your health care provider if you think chiropractic, osteopathic or another manual therapy may be an effective neck pain treatment option or if you’ve had success with manual therapy before.

7. Change Your Diet

Certain diets are highly inflammatory, particularly those high in processed foods, refined sugars and trans fats. Talk to your doctor to see if your diet may be contributing to your neck or back pain and how you can adjust it. Maintaining a healthy weight may also relieve pain by reducing the pressure on your spine.

Your doctor might recommend limiting or cutting out inflammatory foods, such as:

  • Red and processed meats
  • Soda and other sugary beverages
  • Margarine, lard and shortening
  • White bread and pasta
  • Snack foods like cookies, chips and pastries
  • Fried foods
  • High-fructose corn syrup

They’ll likely encourage you to consume a more anti-inflammatory diet with foods such as:

  • Leafy green vegetables like kale, spinach and collards
  • Tomatoes
  • Olive oil
  • Nuts like walnuts and almonds
  • Fruits like blueberries, strawberries, oranges and cherries
  • Fatty fish like mackerel, salmon, sardines and tuna

8. Practice Mindfulness and Meditation

Chronic neck and back pain can be both physically and emotionally taxing. A rehabilitation psychologist may be able to help manage the negative feelings and psychological aspects of chronic pain. This practitioner might suggest yoga, tai chi, meditation and other relaxation techniques to divert your focus from the pain.

9. Take Pharmacologic Treatments

Medications like anti-inflammatory drugs, analgesics and muscle relaxants may help manage your chronic neck and back pain. Remember that many have unwanted side effects and aren’t intended for long-term use. You shouldn’t use medication as your first or only treatment option for chronic pain.

Furthermore, many of them can be addictive and don’t address the source of your pain. Take opioid medications only if your doctor has recommended and prescribed them and only if other drugs have been unsuccessful. It might be time to seek a second opinion if you rely on opioids to get through each day.

When to See a Doctor

We recommend seeking medical care if your neck pain:

  • Is accompanied by headaches, numbness, tingling or weakness
  • Worsens despite self-care
  • Continues after several weeks of home care techniques
  • Radiates down your arms or legs

If you’re looking to reduce neck pain with a minimally invasive surgical procedure, our team at Desert Institute for Spine Care in Arizona may be able to assist you. We specialize in cutting-edge, innovative surgical methods combined with personalized patient care.

With vast experience in both traditional and minimally invasive spine procedures, like endoscopic and microscopic surgeries, we can help you determine an effective treatment plan based on your condition, pain levels and symptoms.

Let us help you restore your lifestyle. Contact DISC to schedule a consultation appointment for chronic neck pain treatment today!

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Tips for Flying With Back and Neck Pain https://www.sciatica.com/blog/tips-for-flying-with-back-and-neck-pain/ Thu, 21 Jul 2022 19:04:01 +0000 https://www.sciatica.com/?p=20735 Despite its primary purpose to provide passengers with a place to relax during a flight, airplane seating does not offer much comfort. Sitting on a plane gives minimal support to the back and neck, resulting in travelers taking matters into their own hands by bringing pillows and blankets from home.

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BY MARK WANG, MD
 
Dr. Mark Wang is a fellowship-trained and board-certified orthopedic spine surgeon. He dedicates his full attention to working together with his patients to identify their pain source and find the least invasive treatment that works for them.
 

 


Despite its primary purpose to provide passengers with a place to relax during a flight, airplane seating does not offer much comfort. Sitting on a plane gives minimal support to the back and neck, resulting in travelers taking matters into their own hands by bringing pillows and blankets from home. You can take more precautions by preparing for your flight to fit your personal needs for comfort.


You should not have to limit your traveling opportunities because of your back and neck pain. You can still make lasting memories while traveling with the support of numerous tips, so discomfort while flying is more manageable. You can apply these tips before booking a plane ticket, during the flight, and after landing at your destination. Evaluate the following steps to alleviate the anxiety about traveling with back pain.

How to Alleviate Back and Neck Discomfort Before, During and After a Flight

Flying with a herniated disc or other neck and back pain symptoms can make each trip uncomfortable for hours on end. A decrease in air pressure, crowded cabins and little to no support for your back can make traveling long distances a troublesome journey.

Luckily, there are a few tips for flying with back and neck pain that you can try to make traveling easier on your body and mind. Simple changes such as investing in some neck support for flying and doing airplane stretches during the trip will allow a smooth transition from the land to the sky. Preparing exercises for long flights, recognizing the support your airline can provide for your condition and practicing destressing methods after a trip can make traveling easier on your neck and back.

 

Before the Flight

Before scheduling a flight, make an appointment with your doctor to inform them of your travel plans. They may be able to supply a letter of recommendation to the flight’s crew asking for special accommodations to support your condition. A doctor can suggest allowing extra pillows and blankets, opportunities to walk around or lie down during the flight or a change in seating to provide more comfort. 

Choosing an airline that can make special accommodations for medical conditions is a great first step to take before booking a flight. If you prefer to fly with a particular airline, try to find reviews written by others who experience back or neck pain and who have flown with them in the past. They may be able to provide some insight into the services the crew supplied before and during the flight to ease their discomfort. You can also contact the airline to ask if they make special accommodations before boarding. 

 

Airlines should be able to provide support for your condition, including:

  • Wheelchair access and early boarding
  • Assistance with luggage
  • Shuttle transportation 
  • Assistance through security lines

Once you have chosen an airline that can make your trip as comfortable as possible, schedule your flight well in advance. Flying in the middle of the week in the early morning or late in the evening often means fewer flight passengers, giving you more space in your cabin to stretch out.

Tuesdays and Wednesdays are the slowest days of the week for most airlines, so try to schedule your trip for these days at a time that works best for you. 

Pack the essentials, but pack lightly. Carrying heavy suitcases around the airport can increase back pain. Keep this in mind as you begin packing for your trip. Consider using bags without shoulder straps instead of duffle bags to minimize discomfort in the neck region. While packing, remember to have all of your medication stored securely for your trip. 

As you eventually make your way to the airport, avoid trips to the coffee shop. Caffeine can make it challenging to relax as it causes the muscles to tense and the lower back to tighten. 

During the Flight

Now that you have had time to prepare for the flight, there are several practices you can try out to make the trip as comfortable as possible. With the help of your doctor’s letter, the flight crew can complete small tasks such as placing your luggage in the overhead compartments and finding comfortable seating for you as you board the plane. 

During the flight, try to walk around the cabin at least once an hour. Airplane seats can be very compact and provide little support for you to sit comfortably for multiple hours. If you find yourself itching to move around during the flight, take a few laps from your seat to the bathrooms to give your back time to stretch. 

Exercises for long flights are popular among flight passengers. Stretching while sitting on a plane can provide immense relief during long flights. Engaging the muscles and meditating ease discomfort to make the trip as relaxing as possible. 

 

Effective airplane stretches that you do in your seat include:
 
  • Neck rolls

    Relax the shoulders and bend the neck sideways so the ear touches the top of one shoulder. Roll the neck around ten times to reduce shoulder and neck tension. 

  • Shoulder rolls

    Slouch the shoulders forward and rotate them clockwise from the front of the body, down to the floor, backward and up to the ears. 

  • Ankle rolls

    Rotate the ankles one at a time in a clockwise and counterclockwise motion ten times each. 

  • Foot raises

    With your heels flat on the floor, lift your toes into the air as high as they can go. Switch to heel raises with your toes on the floor and repeat ten times. 

  • Forward bend

    While being cautious of the person in front of you, place your feet flat on the ground and lean forward as much as possible. Your chest should be touching the tops of your thighs. Lower your hands toward your feet to stretch the back and shoulders. 

  • Knee hugs

    To ease the tension on your back from the sitting position, raise one knee at a time up to your chest and hold for about 15 seconds. 

  • Knee raises

    Similar to the knee hug exercise, raise one knee at a time into the air to allow your thighs to move around. Do this ten times to ease the tension off of your feet. 

  • Cross-legged stretch

    Try to avoid sitting with your legs crossed throughout the flight. However, the cross-legged stretch can help stretch the hips and lower back when you need to move. Sit with one ankle across the opposite knee for about 10 seconds and press down on the raised knee. Repeat on the opposite side. 

Sleeping during a flight can make it go by much quicker. However, sleeping on an airplane can cause the neck to bend at awkward angles in hopes of finding some form of comfort. The back can also stiffen to support the rest of the body during a nap. Investing in neck pillows for flying can ease the tension off your back and support the head’s weight. 

Neck pillows keep your neck upright and provide enough movement to gently rest your head against the sides for better sleep. This effective neck support tool for flying can help eliminate discomfort for the whole body while you rest. 

Hot and cold compresses can ease your body’s tension throughout the flight. As soon as you board the plane, apply a hot pack to your back and neck to relax the muscles and comfort the joints. After a few hours, reapply a cold pack to the same areas to reduce inflammation and stiffness. 

Prepare mentally engaging activities for the flight. Taking your mind off the trip can make it go by quicker and help alleviate discomfort. Whether you enjoy reading, puzzle books, entertaining apps or card games, having fun distractions throughout the flight benefits all passengers. Remember that slouching to look at your phone or a book can make neck and back pain more noticeable. Try keeping your neck pillow on at all times and maintain good posture throughout the flight to minimize this discomfort as much as possible. 

Remember to stay hydrated throughout the flight. Limiting caffeine intake and drinking lots of water can help the body rejuvenate after a long flight much quicker. Staying hydrated also eases the tension off of your joints and gives you the opportunity to walk around for a few bathroom breaks during the trip.

 

After the Flight

Passengers can typically feel a little disoriented after a long flight. Headaches and exhaustion are common symptoms that can last anywhere from a day to a week. When your body has been 35,000 feet in the air for a few hours, it can take a while to recuperate fully. Allow yourself some time to relax after your flight. Once your plane has landed, take a few minutes to walk around the airport so your body can adjust to its new standing position. 

Staying hydrated after the flight can keep your mind and body alert and relaxed. Try to stray from caffeine for at least a day after flying so your body can adjust to its new surroundings. Getting a good night’s rest may feel easier after a long flight, so make sure to find a comfortable place to sleep and take as much time as possible to reset your body.

Making the most of your flight by stretching, taking a power nap, or occupying your mind with engaging activities can significantly benefit your back and neck. Once the plane has landed, you can continue applying effective exercise techniques to straighten your spine and loosen up the rest of your body.

 
Easy yoga exercises to ease back and neck discomfort after a flight include:
 
  • Cat-cow stretch

    While sitting in a chair, place both feet flat on the ground with your knees at a 90-degree angle. Place both hands on your knees and curve your back so your chest touches the top of your thighs. Then, bend your spine in the opposite direction with your stomach turning inward. This move stretches your spine and shoulders. 

  • Two-knee spiral twists

    For this exercise, start by lying with your back flat on a yoga mat. Place both palms face down on the floor with your arms stretched in opposite directions away from the body. Press both knees together and bring them up into the air until your hips create a 90-degree angle with your knees. Maintain this position and keep both knees connected. Then, twist your hips to the left until your left knee touches the floor. Twist your hips the other way until your right knee almost touches the floor. This exercise engages your lower back and hips. 

  • Hand-clasp pose

    This move requires a bit of flexibility. Take your left arm and reach over your left shoulder until your hand reaches your back’s upper or middle part. Your other arm should look the opposite. Reach your right hand around your middle or lower back. Try to clasp your hands together where they meet in the middle of your spine. Hold this pose for a few seconds before switching arms. This stretch is still effective if you can only reach your back’s lower or upper quadrant. 

  • Sphinx pose

    While lying flat on your front on a yoga mat, place your hands on either side of your head with your palms facing down. Use your hands and elbows to lift your chest to face the space in front of you. Keep your hips on the floor and curve your back in a sphinx-like position.

  • Neck rolls

    Similar to the airplane stretches you can practice during the flight, neck rolls are great for stretching out a sore neck after a flight. Since you have more room to move around, you can engage your shoulders in this exercise. Place your left arm over your head and gently rest your palm against the right side of your face. Tilt your head to the left until the ear touches its connected shoulder by using the weight of your arm. Hold this pose for about 10 seconds and do the same stretch on the other side. 

  • Warrior II pose

    Start this exercise in a lunge position with one leg stretched straight out behind you and the other at a 90-degree angle with the floor in front of you. Both feet should be flat on the floor. Stretch both arms in a straight line on opposite sides of the body. Hold this position for 30 seconds before switching sides. This pose can help straighten the spine and align the shoulders. 

  • Cross body shoulder stretch

    This simple pose is excellent for stretching the shoulders after a long flight. Start by crossing your left arm across your chest. Use your right arm to hold up the opposite arm. Hold this pose for 10 seconds before switching sides. 

Remember only to do exercises that your back and neck can handle. Overexerting these body parts can increase discomfort, so stretch beforehand and exercise safely. 

 

Trust DISC to Provide Quality Back and Neck Treatment

If you notice your back and neck pain persisting or becoming chronic over time, schedule an appointment with a doctor at DISC. At Desert Insitute For Spine Care, we prioritize minimally invasive spine surgery techniques to provide as much comfort as possible with equally effective improvement to your condition. 

Rest assured that our team of doctors can provide life-long comfort for conditions such as scoliosis, herniated discs, osteoporosis, whiplash and many other painful back conditions you may have. We take great care of your medical needs so you can get back to doing what you love most — including traveling. 

Contact us today to start on your road to recovery. 

 


 

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12 Treatment Options for Neck Pain https://www.sciatica.com/blog/12-treatment-options-for-neck-pain/ Fri, 17 Jun 2022 15:30:46 +0000 https://www.sciatica.com/?p=20618 Neck pain is a common condition that can hinder a person’s ability to perform daily tasks and routines. While some instances of neck pain are temporary and heal fairly quickly, chronic neck pain can persist for months or years without treatment.

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BY Justin Field, M.D.
Dr. Field is a board certified, fellowship trained orthopedic spine surgeon. Dr. Field has specialized training in minimally invasive spine surgery and motion sparing technologies, such as cervical and lumbar Artificial Disc Replacement, as well as non-fusion stabilization. In addition, he has extensive training in adult deformity correction and treatment.
 

 

 

Neck pain is a common condition that can hinder a person’s ability to perform daily tasks and routines. While some instances of neck pain are temporary and heal fairly quickly, chronic neck pain can persist for months or years without treatment. Some people find relief with simple solutions, such as rest, physical therapy, medications or hot and cold therapy, while others need more intensive treatment to relieve their discomfort.

Treatment for neck pain ranges from non-surgical treatment to surgical procedures. Steroid injections or radio-frequency energy can sometimes help manage chronic neck pain, but more serious conditions causing neck pain may require surgery.

It’s important to consider surgery as an option only if necessary. If you struggle with persistent neck pain, an experienced physician can evaluate your situation and determine if you’re a candidate for surgery. There are many ways to treat and manage temporary and chronic neck pain, so it’s important to understand what causes neck pain and what your options are if you experience it.

What Causes Neck Pain?

To understand neck pain, its causes and potential treatment options, it’s important to understand the neck’s unique anatomy. The neck is also referred to as the cervical spine, and it consists of the spine’s first seven vertebrae. Spinal nerve roots are connected to the rest of the body through several holes in each of the cervical spine’s vertebra.

Each vertebra in the spine is connected to the next via facet joints and a connective tissue disc containing a gelatinous substance known as nucleus pulposus. Discs support proper spine alignment, and they provide spacing and cushioning for the vertebrae.

The cervical spine supports the head and allows for the neck’s range in motion. Any damage or strain to the components that make up the cervical spine can cause temporary or chronic neck pain. Neck pain can occur for a variety of reasons. Temporary neck sprains and strains caused by minor injuries and poor posture usually subside fairly quickly. Nonpermanent pain typically has the following causes:

  • Holding your head in an abnormal position for a long time
  • Sleeping with your head in an unnatural position
  • Sports injuries
  • Repetitive motion
  • Slouching or slumping when you sit

Chronic neck pain persists for longer than a few weeks. Sometimes, chronic neck pain comes with additional symptoms such as difficulty walking, numbness and weakness, which can indicate a serious underlying condition. Chronic neck pain can occur due to the following:

  • Aging
  • Injuries
  • Overuse of neck muscles
  • Continuous poor posture
  • Degenerative diseases such as arthritis
  • Damage to the neck bones
  • Abnormal structures within the neck bones
  • Damage to the discs that are located between each cervical vertebrae
  • Facet joint damage
  • Severe muscle strains
  • Tumors
  • Severe ligament damage
  • Cervical bone fractures and cracks

Whiplash can also cause neck pain, occurring after an incident when the neck moves back and forth rapidly. Whiplash can occur due to several traumas such as falls, car accidents and sports accidents.

Chronic neck pain is most commonly caused by disc and facet joint damage. Discs are flexible and elastic, but they can tear due to overuse, injury or aging. If the center of a disc tears, it can leak the nucleus pulposus and cause the nerves surrounding it to become irritated and inflamed. If the nucleus pulposus causes the disc to swell or distort, it is known as a herniated disc, which presses against cervical nerves and pinches them.

Over time, discs can naturally lose cushioning, thickness and hydration. This is known as cervical degenerative disc disease, and it can cause the same complications as a herniated disc such as arthritis and pinched nerves.

How to Prevent Neck Pain

Neck pain is one of the most common disorders that affect the musculoskeletal system. However, there are some steps you can take to prevent neck pain. If you work at a desk in front of a computer all day, try to do some gentle neck stretches every hour and sit in a chair with an adjustable straight back, swivel seat and armrests.

You can also prevent neck pain by wearing shoes with cushioned soles and avoiding standing for long periods. If you are able to, you should sleep on a firm mattress and use a supportive pillow. Massages and yoga can also help prevent neck pain.

12 Treatment Options for Neck Pain

There are many cervical neck pain treatment options available if your pain is making it difficult to perform daily routines and live your life comfortably. Treatment for chronic neck pain can be as simple as resting, or it may require more intensive treatment options such as physical therapy or, in some cases, surgery.

The best treatment for neck pain varies by person, so what helps you will depend on your level of pain, how long it persists and what is causing it.

Non-surgical Options

Individuals can sometimes manage neck pain without surgery. In some cases, simple therapy, medications and nonsurgical procedures can deliver chronic neck pain relief so people can continue performing their normal routines.

Nonsurgical solutions for neck pain are typically helpful if the pain is due to a minor strain or poor posture. However, if pain continues for a few weeks or more and pain relief efforts are unsuccessful, you may need to consider surgical options.

1. Rest and Proper Posture

Sometimes, simply resting an injured neck can reduce pain. Spend some time with your neck in the most comfortable position that brings the least amount of pain. You can also roll up a towel and place it under your neck to keep your neck and head in a straight, neutral position.

Try to keep your neck and head upright and straight to maintain the correct posture while sitting. This can help relieve neck pain, and it also helps to prevent it. Avoid slouching or slumping when you sit on your couch or on chairs, and try to only sit on chairs that provide proper back support. If you work in front of a computer, keep it at eye level and avoid leaning backward or forward at your desk.

2. Hot and Cold Therapy

You can use hot and cold therapy to relieve neck pain if you experience a ligament sprain or muscle strain. For the first one or two days, you can apply ice to reduce swelling in your neck. Once the swelling subsides, you can use heat wraps to help your muscles relax and loosen. You should only use hot and cold therapy if it provides comfort. Use heat or ice at 20-minute intervals each.

If you experience pain for a few weeks or longer, there may be damage to your bones, facet joints or cervical discs. In this situation, hot and cold therapy will typically be ineffective because your condition requires more aggressive treatment.

3. Stretches and Exercise

You can use hot and cold therapy to relieve neck pain if you experience a ligament sprain or muscle strain. For the first one or two days, you can apply ice to reduce swelling in your neck. Once the swelling subsides, you can use heat wraps to help your muscles relax and loosen. You should only use hot and cold therapy if it provides comfort. Use heat or ice at 20-minute intervals each.

If you experience pain for a few weeks or longer, there may be damage to your bones, facet joints or cervical discs. In this situation, hot and cold therapy will typically be ineffective because your condition requires more aggressive treatment.

4. Water Therapy

Water therapy can involve exercising in water, receiving an underwater massage or a hydro-massage that uses various levels of water pressure to target certain muscles. Water therapy can help to relieve neck pain because it does the following:

  • Increases blood flow to muscles
  • Reduces stress and tension
  • Relaxes the body

5. Medications

You can also manage chronic neck pain with over-the-counter medications. Pain relievers such as acetaminophen and aspirin or non-steroidal anti-inflammatory medications (NSAIDs) such as naproxen and ibuprofen can help alleviate neck pain. The best medicine for neck pain can vary by person, so the key is to find the medication that works best for you. Keep in mind any other medications you take and potential reactions, and speak to your doctor to determine what medications are safe to take.

6. Steroid Injections

Epidural steroid injections deliver an anesthetic and a steroid to the epidural space around your spinal cord where the nerves are irritated and inflamed. The steroid reduces inflammation, and the anesthetic relieves pain by temporarily blocking the nerves from transmitting pain signals to the brain. Epidural steroid injections can relieve pain when the cervical spine’s nerves are compressed.

Facet joint injections are similar to epidural steroid injections because they help to manage pain and reduce inflammation. Facet joints allow you to move, twist and bend your neck without moving it too far in any direction, and injections to the area can help you control pain and tolerate rehabilitation after a neck injury.

7. Radiofrequency Ablation

Cervical Radiofrequency Ablation (RFA) is a nonsurgical and fairly painless treatment that blocks nerves. During this treatment for neck pain, radiofrequency energy produces heat that creates a lesion on the nerves that disrupts and blocks pain signals from reaching the brain. RFA typically lasts longer than anesthetic nerve blocks and blocks pain for approximately nine months to one year.

Surgical Options

In some cases of neck pain, you may need to seek surgical options. Surgery may be necessary if you experience persistent pain or if you also experience numbness, weakness or pain in your hands, arms or shoulders. In these situations, your doctor may recommend any of the following surgeries:

  • 1. Anterior Cervical Discectomy and Fusion

    During an anterior cervical discectomy and fusion (ACDF) surgery, a surgeon will remove an entire damaged disc through the front of the neck. They will then surgically fuse the two vertebrae together so the spine remains stable after surgery. This is the most common type of neck surgery.

  • 2. Artificial Disc Replacement

    When a surgeon performs cervical artificial disc replacement surgery (ADR), they remove an affected disc and replace it with an artificial disc. The main goals of ADR surgery are to relieve nerve compression and maintain motion. This procedure can help qualified patients preserve more of their natural spine motion than a traditional fusion could.

    An ADR procedure can help treat pain if a disc degenerates or herniates and begins to collapse. A damaged disc has very little room for the spinal cord and nerve roots to function, which can cause numbness, tingling, weakness and chronic pain. When a surgeon replaces a degenerating disc with an artificial one, the artificial disc relieves pressure and creates space for nerves to heal so they can function normally.

    While it does not improve the range of motion in the neck, the ADR procedure can help a patient maintain their cervical spine’s natural motion and biomechanics. This helps them move their neck with the regular range of motion they had before the disc began to degenerate.

    This type of procedure is best for patients who experience symptoms beyond their neck area. This is because it relieves symptoms that are caused by spinal cord compression and nerve root inflammation.

  • 3. Laminectomy

    A laminectomy can ease neck pain that interferes with daily life after other medical treatments are unsuccessful. During a laminectomy, a surgeon will remove all or part of the lamina, which is the part of the vertebra over the spinal canal. Removing the lamina relieves pressure on the nerve roots or spinal cord to reduce pain caused by a herniated disc, a tumor, a narrow canal or an injury.

    A laminectomy can help you keep more of the regular flexibility in your neck. However, you may have reduced flexibility if you also require a spinal fusion procedure.

  • 4. Laminoplasty

    A laminoplasty procedure creates space and enlarges the spinal canal. During laminoplasty surgery, a surgeon doesn’t remove an entire lamina but instead cuts it. The surgeon creates a hinge on a side of the lamina and wedges the other side open with a small metallic plate or a bone strut. This restructures the bone to create more space.

  • 5. Foraminotomy

    If nerve openings, known as foramina, in the spine are narrowing, nerve cords are compressed as a result, and doctors may recommend a foraminotomy. During a cervical foraminotomy procedure, a surgeon will remove a small section of facet joint bone in the neural foramen, as well as soft tissue that is compressing one or more exiting spinal nerves. This procedure most commonly helps patients who have a degenerative disorder or a bulging disc, and it can relieve both arm and neck pain.

Find Chronic Neck Pain Relief at the Desert Institute for Spine Care

The Desert Institute for Spine Care (DISC) offers cutting-edge treatment options to help patients find relief from chronic neck pain. Our surgeons treat a wide variety of spine conditions including degenerative disc disease, herniated disc and other cervical spine complications.

We offer advanced nonsurgical spine treatments and minimally invasive spine surgeries, and our board-certified surgeons hold 50 years of collective patient care experience. DISC is a worldwide leader in endoscopic spine surgery, and we provide patients with consistent results so they can enjoy life without pain. We will carefully choose the least invasive treatment method or surgical option to help you restore your lifestyle with minimal side effects.

Take control over your pain and get back to living your life comfortably. Contact us to learn more about how we can help you relieve your chronic neck pain.

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12 Facet Joint Syndrome Pain Treatments https://www.sciatica.com/blog/12-facet-joint-syndrome-pain-treatments/ Fri, 10 Jun 2022 15:31:23 +0000 https://www.sciatica.com/?p=20608 One of the most common causes of neck and back pain is facet joint syndrome. Facet joints make up important parts of the skeletal system that support the spine and help people move, bend, turn and twist.

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BY MARK WANG, MD
 
Dr. Mark Wang is a fellowship-trained and board-certified orthopedic spine surgeon. He dedicates his full attention to working together with his patients to identify their pain source and find the least invasive treatment that works for them.
 

 


One of the most common causes of neck and back pain is facet joint syndrome. Facet joints make up important parts of the skeletal system that support the spine and help people move, bend, turn and twist. Various factors such as aging, obesity, poor posture and spinal injuries can cause facet joints to degenerate over time.


Facet joint syndrome causes symptoms such as inflammation and pain, which affect movement and the ability to continue with normal daily routines. Facet joint syndrome cannot be reversed, but simple home therapies, as well as innovative non-surgical and surgical procedures, can help alleviate pain and improve a patient’s quality of life.


If you experience back pain, facet joint syndrome may be causing your discomfort. An experienced physician can evaluate the cause of your pain and recommend a facet joint treatment method based on your condition.

What Are the Causes and Symptoms of Facet Joint Syndrome?

According to the Centers for Disease Control and Prevention (CDC), lower back pain causes more disability worldwide than any other condition. Acute back pain typically lasts less than four weeks, and chronic back pain persists longer than 12 weeks. Facet joint syndrome can cause both acute and chronic back pain

A chain of connected and moveable bones known as vertebrae make up the spine. The spine is able to bend and twist while the bones remain linked together because each vertebra contains a disc and two facet joints above it to form a three-joint complex. Facet joints contain synovial fluid lubrication, cartilage lining and a joint capsule cover. This allows them to slide, glide and prevent over-twisting as the spine bends and moves. 

Facet joint syndrome is an arthritis-like spine condition that causes pain in one or more facet joints. When degenerative changes occur in the spine, it can cause body weight to unevenly shift and place more pressure on the facet joints. The additional pressure causes wear and tear on the joints, and as a result, the following occurs over time:

  • Joint capsules become thin.
  • Smooth cartilage gradually breaks down.
  • Bone spurs can develop.

As the joints undergo these changes, they fail to move fluidly, and they become irritated and inflamed. Pain signals travel from the joint’s sensory nerves to the brain, and this can cause discomfort as well as muscle spasms and stiffness. 

Facet joint syndrome may be painless until something triggers pain, but the pain can also be chronic. If any of your facet joints are damaged or degenerating, you will typically feel pain when you twist in the direction of the damaged joint or bend backward. You may also feel pain when you stand or sit still for some time. Leaning forward, sitting in certain positions or changing positions may temporarily ease the discomfort.

This spine condition usually causes a dull pain or ache that occurs over the spine in the lower back and extends to the buttocks, or it can cause pain at the base of the skull and in the shoulders. If bone spurs develop and place pressure on spinal nerves, pain can also extend down the legs or arms. Lumbar facet joints cause 14%-41% of lower back pain, which is the most common pain syndrome. 

People typically develop facet joint syndrome between the ages of 40 and 70. However, it is more common in adults over 50 years old. A spine injury, whiplash, genetics, poor posture, obesity, repetitive movements and various spine conditions can also increase the likelihood of developing the syndrome.

Facet Joint Syndrome Diagnosis

The pain that comes with facet joint syndrome can mimic other spine conditions, so a physician will carefully evaluate your condition to determine the source of your pain and make a diagnosis. To accurately diagnose facet joint syndrome, your doctor will consider the following factors:

  • Your medical history
  • Physical exam results
  • History of injuries
  • Any problems sleeping or standing
  • Pain location

If your doctor suspects you may have facet joint syndrome, they may ask you to move or stand in various positions and indicate where you feel pain. They may also feel for tender spots on your spine and work your joints to determine where the damaged facet joints may be located. 

Once your doctor has a general idea of where your pain is coming from, they may order imaging studies to support their diagnosis and rule out any other spine-related conditions. An MRI, CT scan or X-ray provides a clear image of the spine so your physician can locate the damaged facet joints. 

12 Facet Joint Syndrome Treatment Options

Facet joint syndrome can complicate daily life due to pain and discomfort. However, there are some treatment methods that can relieve or eliminate pain to help you live more comfortably. Some patients experience pain relief with nonsurgical treatment methods, while others need to undergo a surgical procedure to achieve pain relief. 

The facet syndrome treatment method that’s best for you will depend on your condition and pain level, and a doctor can determine the proper treatments and procedures for you to try. 

Non-surgical Options

If you develop facet joint syndrome and experience pain, you may be able to alleviate your discomfort with some at-home remedies or non-surgical medical procedures. Your doctor may recommend any of the following pain management treatment options:

1. Heat and Cold Therapy

Heat and cold therapy can help ease pain caused by facet joint syndrome. Heat boosts circulation, relaxes muscles and dilates blood vessels, while cold can constrict blood vessels to reduce swelling. When you apply heat, it allows more oxygen and blood to nourish tissues. You can use heat therapy throughout the day or try it when you wake up each day to relieve stiffness and pain. 

Cold therapy typically works best when you experience acute pain or have a flare-up. Placing a cold pack on the affected area for no more than 20 minutes at a time can restrict blood vessels to reduce blood flow to numb the pain. 

Both methods can alter pain sensations, and they can be used together or separately. You can try cold gel packs, heat patches, heating pads, hot water bags and warm baths to find which method or combination works best for you. 

2. Medications

Some patients with facet joint syndrome take medications to alleviate back or neck pain. The medication that’s right for you may depend on your pain level, any medications you’re currently taking and how you react to different types of medication. Helpful medications can include any of the following:

  • Oral anti-inflammatory medications
  • Topical creams or salves
  • Topical patches
  • Muscle relaxers

Your doctor can recommend specific medications and treatments, taking into account your medical status.

3. Physical Therapy and Exercise

Exercise can help ease facet joint pain and speed the healing process. A physical therapist can instruct you on stretching and strengthening routines as well as proper walking and lifting techniques. They will help you learn how to properly stretch your leg, stomach and lower back muscles, and you can use what you learn to continue exercising on your own to aid your healing process and alleviate pain.

It’s important to consult with your doctor before beginning an exercise regimen. An experienced physician will be able to tell you how much physical activity is safe for your body and its condition. 

4. Proper Posture

It’s important to keep your spine in its proper alignment to reduce or prevent pain. Keep a correct posture by keeping your spine straight, and avoid slouching or slumping. 

If you work at a desk, try to sit in a swivel chair that has a straight back and armrests. You may need to adjust your sleeping position to avoid compromising your posture overnight. You can also reduce pressure on your facet joints and reduce pain by losing weight and strengthening your core, which can benefit posture. 

5. Back Brace

A mechanical back brace can help you to keep your back straight while standing and sitting. It can also limit twisting, bending and micro-motions and decrease pressure on the facet joints. It’s important to consult with a doctor before using a back brace because some situations may require alternative or additional treatment methods. A doctor will also recommend the correct type of back brace and instruct you on the proper way to wear it.

6. Epidural Steroid Facet Injections

Physicians can use epidural injections to both diagnose facet joint syndrome and ease pain caused by the condition. This injection method uses either steroids or a combination of steroids and anesthetics. 

When either of these injection types is used to diagnose facet joint syndrome and locate pain points, the diagnostic injection includes an anesthetic. The anesthetic helps locate the affected facet joints or medial branch nerves.

Synovial membrane tissue makes up joint capsules that surround facet joints. Each joint capsule’s upper pad is fused with the spinal nerve’s fatty sheath, and the capsule contains nerves that send signals to the brain. When a joint capsule’s synovial membrane is inflamed, facet joint injections can reduce pain in the following ways:

  • Reducing pain receptor sensitivity to decrease pain signals to the brain
  • Hindering inflammatory chemical production

If several facet joints are producing pain, your physician may deliver more than one injection to target each affected facet joint. The success rate of facet joint arthritis treatment injections can vary from person to person. Some patients experience short-term pain relief, while others experience long-term pain relief or find that their pain completely dissipates. 

Patients who experience short-term relief can use their time without pain to work on physical therapy until they need to receive repeat injections. Improving flexibility and strength can increase the chances that injections lead to long-term pain relief. 

7. Medial Branch Injections

Medial branch nerves extend from each spinal nerve’s dorsal rami, and they mainly have sensory properties with which they supply the facet joints. When a person receives injections near their branch nerves, it can reduce pain in the following ways:

  • Decreasing nerve fiber permeability to reduce the blood each nerve receives
  • Suppressing pain signals from the nerve
  • Blocking C fibers to reduce pain transmission to the brain

For both facet joint injections and medial branch injections, the doctor will use ultrasound or fluoroscopy to deliver the needle to the correct area. 

Surgical Options

When non-surgical pain treatment methods are unsuccessful, you may need to consider surgical pain management options. While surgery cannot reverse facet joint syndrome, it can help reduce or eliminate pain and improve your quality of life. Your doctor can evaluate your situation and recommend one of the following surgeries based on your condition:

  • 1. Lumbar Spinal Fusion

    Lumbar spinal fusion surgery is a minimally invasive treatment for facet arthropathy that can reduce pain, nerve damage and spinal pressure. During this procedure, a surgeon fuses vertebrae in the lower back together to eliminate the motion between them. 

    This procedure can help alleviate the symptoms of facet joint syndrome, but it does not eliminate the condition. It’s important that patients follow their doctor’s recommendations for physical therapy and live a healthy lifestyle to maintain positive results following the surgery. 

  • 2. Laminectomy

    During a laminectomy surgery, which is also known as lumbar decompression, a surgeon will remove the back of a vertebra. A doctor will typically recommend this surgery if the patient’s condition could lead to spondylolisthesis. Spondylolisthesis causes a vertebra to slide over the vertebra underneath it and can potentially compress the spinal cord or spinal nerves. Lumbar decompression decreases compression by creating space for neural tissues. 

  • 3. Facetectomy

    If a patient has bone spurs in their facet joints, a surgeon can perform a facetectomy to remove excess bone by trimming part of the affected facet joint. Bone spurs can impact the spinal cord and spinal nerves, so the purpose of a facetectomy is to remove the spurs and protect the spinal cord and nerves from damage.

  • 4. Nerve Ablation

    A nerve ablation procedure or Endoscopic Rhizotomy cauterizes and disconnects the nerves that deliver pain signals to the facet joints. During a facet nerve ablation, a surgeon under direct visualization via a endoscope will use a laser or bipolar radiofrequency energy to cauterize the medial branch nerves in the affected area. They essentially burn the nerves and disconnect them so they can no longer deliver pain signals. 

    Rather than eliminating the condition, nerve ablation eliminates the pain caused by facet joint syndrome. Patients experience long-term pain relief (up to 5 years) after receiving this procedure.

  • 5. Discectomy

    A discectomy can restore strength and reduce pain. During this procedure, a surgeon will remove any damaged parts of a disc to prevent it from compressing the nerves around a facet joint. A doctor will recommend this surgery if a damaged disc is causing pain. 

Find Facet Joint Pain Relief at the Desert Institute for Spine Care

Facet joint syndrome causes wear on the spine over time, but it is still possible to live a comfortable life with minimal or no back pain. Various at-home treatments, physical therapy and nonsurgical medical procedures can help alleviate the pain that comes with facet joint syndrome. If these remedies are unsuccessful, you can talk to a qualified physician about surgical treatment options for facet syndrome. 

The Desert Institute for Spine Care (DISC) offers highly advanced treatment options, including nonsurgical procedures, least-invasive surgeries and minimally invasive surgeries. Our board-certified surgeons have over 50 collective years of experience in patient care, and we will care for you with the least invasive treatment options to help restore your lifestyle. Contact us to learn more about how we can help you relieve back pain and live life more comfortably. 

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