Neck pain (or cervicalgia) is a common problem, with two-thirds of the population having neck pain at some point in their lives
Neck pain, although felt in the neck, can be caused by numerous other spinal issues. Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves eminating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back.
The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain. The top three joints in the neck allow for most movement of your neck and head. The lower joints in the neck and those of the upper back create a supportive structure for your head to sit on. If this support system is affected adversly, then the muscles in the area will tighten, leading to neck pain.
Reasons for neck pain can be complex. Major and severe causes of neck pain include:
* Spondylosis - degenerative arthritis and osteophytes
* Spinal stenosis – a narrowing of the spinal canal
* Spinal disc herniation – protruding or bulging discs, or if severe prolapse.
* Severe degeneration – usually as a result of past injuries or whiplash accidents.
The more common and lesser neck pain causes include:
* Stress – physical and emotional stresses
* Prolonged postures – many people fall asleep on sofas and chairs and wake with sore necks
* Minor injuries and falls – car accidents, sporting events and day to day minor injuries
* Referred pain – mostly from upper back problems
* Over-use – muscular strain is one of the most common causes
* whiplash
Analgesics such as acetaminophen or NSAIDs are recommended for pain. other medications like muscle relaxats such as orphenadrine or tizanidine are more of help. Over the counter topical creams and patches containing counterirritants are often used. However, there is little evidence to support efficacy.