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Neck pain: causes, warning signs and non-surgical care

Long days at a desk, hours on the phone and stress all land on the neck. Most neck pain is mechanical, which means it comes from muscles, joints and discs rather than a serious disease, and it usually responds well to the right mix of care.

Common causes

  • Muscle strain from desk work, phone use or sleeping awkwardly
  • Stiff or irritated facet joints in the neck
  • A disc or bone spur pressing on a nerve, which can send pain, tingling or numbness into the arm
  • Whiplash after a car accident
  • Headaches that start in the neck, often felt at the back of the head

Warning signs: see a doctor straight away

  • Neck pain after a major fall or accident
  • Fever with a stiff neck
  • Weakness in the arms or legs, clumsy hands, or trouble with balance or walking
  • A sudden, severe headache unlike any before
  • Dizziness, double vision, slurred speech or trouble swallowing

What research says about non-surgical care

  • In a randomised trial of recent neck pain, people who had spinal manipulation, or home exercise with advice, did better than those who took medication alone (Bronfort, Annals of Internal Medicine 2012).
  • Chiropractic guidelines based on 41 studies recommend manipulation or mobilisation together with exercise and advice for adults with neck pain (Bryans, JMPT 2014).
  • A Cochrane review found specific neck and shoulder exercises can help reduce neck pain (Gross, Cochrane 2015).
  • Guidelines also support chiropractic care for headaches that start in the neck (Bryans, JMPT 2011).

How BP Chiro helps with neck pain

  • A full assessment first, including checks for the warning signs above before any neck adjustment
  • Chiropractic adjustment, or gentler mobilisation and Activator therapy where they suit you better
  • Physiotherapy exercises for the deep neck and upper back muscles
  • Soft tissue therapy, dry needling and modalities depending on your assessment
  • Simple changes to your desk, screen height and pillow

Small habits that help

  • Raise your screen so the top is around eye level.
  • Hold your phone higher instead of looking down for long periods.
  • Get up and move your neck and shoulders gently every so often.

Related reading:

Neck pain care in Kuala Lumpur, Johor Bahru and Penang

Every first visit at BP Chiro starts with a full spinal assessment. Choose the clinic nearest you:

References

  1. Bronfort G, Evans R, Anderson AV, Svendsen KH, Bracha Y, Grimm RH. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Ann Intern Med. 2012;156(1 Pt 1):1-10.
  2. Bryans R, Decina P, Descarreaux M, et al. Evidence-based guidelines for the chiropractic treatment of adults with neck pain. J Manipulative Physiol Ther. 2014;37(1):42-63.
  3. Gross A, Kay TM, Paquin JP, et al. Exercises for mechanical neck disorders. Cochrane Database Syst Rev. 2015;1:CD004250.
  4. Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther. 2011;34(5):274-289.

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