Neck Pain Or A Stiff Neck

Usually, the pain or stiffness gets better after a few days 

While this site is mainly concerned with dealing with backache I thought it a good idea to include some info on Neck Pain,Shoulder Pain,what causes it,and how to treat it.





Neck pain or a stiff neck is a common complaint and generally nothing to worry about.
Usually, the pain or stiffness gets better after a few days and is not a sign of any neck problem or serious underlying condition.
Neck pain or a stiff neck can result from a sprain after bending your neck into an abnormal position (for example, by sleeping on too many pillows), from poor posture, or even from sitting in a draught for too long.
But often, there is no obvious cause and doctors will refer to it as 'non-specific'.

This Page Covers:

• Managing your neck pain or neck stiffness at home
• When to see your GP
• A twisted or locked neck
• Problems with the nerves or bones in your neck

Back pain, shoulder pain and whiplash (neck injury) are covered in separate topics.

Managing Neck Pain Or A Stiff Neck At Home

Whatever the cause of neck pain or a stiff neck, the advice is generally the same:

• Carry on with your normal lifestyle, 
• keep active and take painkillers to relieve the symptoms.

See More Specific Advice Below. 

• Take regular doses of paracetamol, ibuprofen or a combination of the two to control pain. Ibuprofen gel can be rubbed onto the neck as an alternative to tablets. Always follow the dosage instructions on the packet.
• Try holding a hot water bottle or heat pack to your neck to reduce any pain and muscle spasms.
• Sleep on a low, firm pillow at night. Avoid using two pillows as this may force your neck to bend unnaturally.
• Check your posture, as this can aggravate the pain and may have caused it in the first place – see How to sit correctly.
• Avoid wearing a neck collar – there is no evidence that this will help to heal your neck, and it is better to keep the neck mobile. If you must wear one to make your neck more comfortable, do not wear it for more than 48 hours.
• Avoid driving until the pain and stiffness have gone, as you will not be able to turn your head to view traffic.
• If your neck is stiff or twisted, try some simple exercises within your comfort zone – gently tense your neck muscles as you tilt your head down and up and from side to side, and as you carefully twist your neck from left to right. These exercises will help to strengthen your neck muscles and improve your range of movement.

When To See Your GP

See your GP if the pain or stiffness does not seem to be getting better after a few days and you are worried, or if you cannot control the pain with ordinary painkillers. Your GP will examine your neck and ask questions to rule out any serious underlying condition, and may prescribe you a stronger painkiller, such as codeine, to take along with your usual over-the-counter painkillers.

If the pain or stiffness has persisted for a few weeks, ask your GP to refer you to a physiotherapist. There is no agreed scientific evidence that chiropractic or acupuncture are effective treatments for neck pain or a stiff neck.

If your symptoms do not improve, you should ask your GP to consider referring you to a specialist or pain clinic for painkilling injections. For more information and advice on persistent pain, see:Ten Self Help Tips For Pain management

A Twisted Or Locked Neck

Some people suddenly wake up one morning to find their neck twisted to one side and stuck in that position. This is known as acute torticollis. Any attempts to move the neck will cause sharp pain.

Torticollis can occur after long exposure to a cold draught, or after your neck has been in an unusual position. See your GP for treatment, and to rule out any serious underlying cause. Acute torticollis can take up to a week to get better, but usually only lasts 24-48 hours. Manage your pain at home by following the advice above.

Nerve Or Bone Problems In The Neck

Sometimes, neck pain may be caused by the general ‘wear and tear’ that occurs on the joints and bones in your neck. This is called cervical spondylosis, and is a type of arthritis.

It is important to note that cervical spondylosis happens naturally as people get older, and it often causes no symptoms. But for an unfortunate few people, the bone changes can cause stiffness in the neck and can sometimes squash the nearby nerves, leading to pain that radiates from the arms, pins and needles and numbness in the hands and legs. 

Neck pain caused by a squashed nerve is known as cervical radiculopathy. It is not always the result of cervical spondylosis – it may sometimes occur after your neck has been held in an awkward position or twisted, if you have twisted or bent your body abnormally, or after your hand and arm has been vibrating (e.g. after using power tools).

Pain can be controlled by following the advice above, but if your pain has lasted for more than four weeks you may be referred for an MRI scan to investigate the problem with your neck. Talk to your GP about being referred for pain management (see When to see your GP, above).

Ligaments and Tendons

Inside the skeletal muscles rests some powerful elements, which include ligaments and tendons. The ligaments alone are muscular bands of stringy-like threads that produce collagen threads of muscle fiber. The fibers and threads of ligaments connect to the bones, which attach to the muscles. Collagen is essential, since it exists in the connective proteins found in muscle fibers, skin, tendons, bones, cartilages, connective tissues, etc, which collagen halts the flow of semi-solid proteins, which are transparent and rests beneath the cartilages and bones. (Gelatin)

Ligaments join with the bones and joints, which in areas the fibers and bands of threaded-like elements will surround the joints. We get our strength from this action. Working with the ligaments are tough bands of connecting muscles that join with the bones. The inelastic bands and/or cords of tough fibers that join with the connective tissues and attach to the bones and muscles are known as tendons. Tendons can suffer tearing, which can also scar the muscles. Tendons provide us strength, power, resilience, and so forth.

Tendons join connective proteins, or collagen. The inelastic cords make up fiber proteins. Attached to tendons are joints and cartilages, which feed from the tendons and ligaments. Ligaments form a bond by connecting to the joints. The joints’ connective articulated junctions spread amid the bones. Within the connections, we get our ability to move, as well as our range of motion. (ROM) ROM is the level of joint is ability to move, which if range of motion is restricted; it causes swelling, inflammation, and pain. The back pain emerging from limited ROM can affect the joints, and the membrane known as synovium. This membrane is the joints’ liner and supplies antibodies. Antibodies are produced to ward off infections. The protein is manufactured via B cells, and acts through responses from the body of antigen. In short, if bacteria or virus is present the antibodies will kick in and ward the potential risks off. Now, if the antibodies do not kick in, it can lead to disorders of the synovium. We now have fluids that are not creating properly and are affecting the cartilages. Since the fluids are not responding, as it should, our body starts to avert the need to ward off infections.

Antigen is fluids that stimulate the production of antibodies. Now that we have problems emerging from ROM, etc, we can see that it moves to affect the cartilages. The problems outlined in this article not only cause back pain, but can also cause arthritic symptoms. Arthritic symptoms also cause back pain. Now that Range of Motion is interrupted, the smooth planes of the cartilages start to deteriorate. When deterioration sets up the cartilages will restrict range of motion. Deterioration also causes the cartilages to resist when weight-bearing joints are attempting to act. The cartilages are also sturdy elasticity tissues that form skeletal muscles and bones during the growth cycle. If the cartilages are disturbed, it can cause interruptions of the bursa. Bursa once more is a sac filled with fluid. The fluid in bursa assists the joints, bones, cartilages, synovium, etc, by reducing friction and minimizing risks. Bursa disorders cause swelling, and inflammation.

When bursa conditions are present, the pain will sometimes start at the lower back, and may continue to other areas. Symptoms, such as pain, fatigue, numbness, limited mobility, joint stiffness, fevers, swelling, and so on often emerge from bursa conditions.

In worst conditions muscle spasms, poor posture, skeletal deformity, edema, inflammation, and so on may arise.

Once the spinal canal, columns, etc are interrupted additional conditions follow that extend back pain to fractures.

Indicators in Back Pain

Back pain usually starts with signals or indicators. For instance, if your back hurt at one time and stopped, and later it started it again, you received your indicator at the start. In short, the first time your back started hurting is the sign. You want to pinpoint when the first pain started. Once you pinpoint the starting date, you will need to consider what inspired your back pain. For instance, did you fall? Were you in a motorized accident?

Once you find the trigger of your back pain, you want to consider the symptoms. Did you feel pain? Did you feel weak? Was your back stiff or numb?

Now you can use the indicators to discover where the pain started. Did the pain start at the lower back? Was the pain at the top area? Did the pain cause additional pain, such as around the neck? Was the pain intermittent? Did the pain consistently cause stress? Did the pain shoot to other areas of the body?

Did the pain get worse, when you walked, stood, sit, or lie down? Did the pain decrease, or did it increase?

When you first hurt your back did the pain stop, or did it frequently hurt? Did the pain cause long-term problems? Did the pain leave right away?

When you first injured your back, did the symptoms change gradually? Did the symptoms interrupt your daily duties? How did the symptoms change? How did the symptoms interrupt your daily duties?

Answering the questions can help you inform your doctor, as well as understand the cause of your condition. If you were in an accident and sought medical support when you first damaged your spine, you may want to consider what tests were used to spot your condition. What did you doctor find?

If you sought medical support and your doctor recommended treatment, what was that treatment? How did the treatment help your back condition? If the treatment helped your condition, can you try the remedies now?

Is your back pain caused from surgery, joint conditions, musculoskeletal disorders, or disease?

Does your job require mandatory lifting of heavy objects? Is your job emotional stressful? Do you stand long hours? Do you sit long hours?

How are your exercise habits? Do you workout often. Do you engage in stretch exercises? What is your stress level? Do you do something active to relieve stress?

Is there a hereditary back problem in your history?

Once you ask questions related to your back condition you might want to mark points that you can mention later to your doctor. Noting the problems can help you and your doctor find the cause. Often patients fail to do this, which is why many back pain problems go unnoticed.

If your back pain has recently started again after the initial indicator, you may use treatments at home to relieve the pain, unless it is demanding. Rest is a common treatment doctor prescribes to reduce back pain. I am a fan to chiropractor support, yet some people have issues with this notion, therefore if you feel a chiropractor can benefit you, seek support. Massage and physical therapy is also recommended to reduce back pain. In many areas, massage therapists are available, which charge reasonable fees. Check your areas to learn more about massage therapy. Common stretch exercises can reduce back pain, which has emerged from tension. If you overworked the muscles, you may want to rest and do a few exercises later.

Whatever you do, avoid ignoring the indicators. Once pain starts in the back, note the area and discuss the problem with your doctor.

Brief History of Osteoarthritis and Back Pain

At the spinal column are the elongated columns of bones, which the thoracic ribs support. The thoracic ribs push the bones the length of bone structure. The ribs join with the spinal column in various areas. Joints connect with these ribs, which are field of studies, since they often wear and tear, causing gradual degenerative diseases, such as osteoarthritis.

Osteoarthritis is defined in medical terms as a metabolically dysfunction of the bones. The results of the drops in our life-sustaining chemicals, which promote activity causes the bones to reduce mass whilst increasing porosity. The disease can cause osteoporosis to set in and intensify risks of fractures.

How do doctors consider osteoarthritis and/or osteoporosis?

Doctors often consider etiology aspects, including hyperthyroidism, deficiency of estrogen, Cushing’s syndrome, immobility, increases in phosphorus, liver illness, lack of exercise, deficiency of calcium and protein, deficiency of Vitamin D, and bone marrow conditions. Wear and tear of specific joints as mentioned above is also linked to osteoarthritis.

According to the Pathophysiology in medical terms, osteoarthritis is assessed by considering the rates of bone resorption that exceeds the rate of the bone structure or formation. Experts will often test the patient while considering rises in “bone resorption” and increases in phosphate (Salt of Phosphoric Acids) that stimulates the parathyroid activities. Phosphoric acids will form ester, which emerge from reactions via alcohol, metal, and radicals. If estrogen shows a decrease in resorption, it could also show traits of osteoarthritis.

What are the symptoms?

The symptoms may emerge from Kyphosis or otherwise known as Dowager’s hump. Back pain, as well as damage to the thoracic and lumbar may be present. In addition, the patient may loose height, and demonstrate an unsteady walk. Joint pain and weakness is also present.

How do doctors determine if osteoarthritis is present?

First, they assess the symptoms and then request tests, such as x-rays and photon absorptiometry. X-rays of course helps the doctor to locate thinning of bone structures, porous structures in the bones, and rises in vertebral curvatures. The photon tests help the expert to spot decreases in minerals.

What if I test positive for osteoarthritis:

If you test positive then the doctor considers treatment. The treatment often includes management, interventions, and further assessments. Further assessments help the doctor weed down potential complications. The complications often include pathologic fractures, which are complex.

How does the doctor manage osteoarthritis?

No two people are alike therefore medical management varies. Yet, most doctors set up a high-calcium, protein diet, as well as increasing minerals, vitamin regimens, and boron.

Doctors may include in the management scheme alcohol and caffeine restrictions. In addition, the scheme may compose tolerated exercise, monitoring, lab studies, specifically studies on phosphorus and calcium. Doctors may also include into your management scheme estrace increase, i.e. estradiol or estrogen intake. Supplements with calcium carbonates (Os-CAL) are often prescribed as well. Additional treatment includes mineral and vitamin regimens, exercise, and so on. Many doctors prescribe Aldactazide, Dyazide, which is a thiazide diuretic hydrochlorothiazide. Over-the-counter meds, such as the NAID-based painkillers is prescribed as well. Prescriptions often include ibuprofen, Motrin, Indocin, Clinoril, Feldene, Ansaid, or flurbiprofen, voltaren, naproxen, Dolobid, and naprosyn is often prescribed.

How intervention helps:

Interventions assisted by nursing staff include balanced diets, pain and musculoskeletal assessment, monitoring, meds, home care instructions, posture training, body mechanic support and training, and so on. The patient should also be informed about osteoarthritis as outlined by the Foundation of Osteoarthritis. In addition, the doctor is advised to allow the patient to express his/her emotions, feelings, etc in relation to the illness.