Have a nagging pain in your neck ?
What about headaches? Or Numbness or tingling in the arms or hands? Neck pain is a very common musculosketal conditions and can prevent you from doing many of the things you enjoy.
Why Does My Neck Hurt?
If you have a smartphone, tablet or computer, read books, or watch TV, chance are that you will experience neck pain at some point. Everything we do tends to be in the forward plane, which requires us to look down, straining our neck into flexion.
Our necks are made up of small bones, discs, joints and layers of small muscles that help to stabilize us. It must support our head, as well as allow us to look up and down, and all around, as we go about our day. The structures in our neck are constantly working, being twisted and compressed as we walk, stand or sit. Gravity, poor body mechanics / posture and aging takes its toll on our neck. Discs begin to dry out (desiccate), they may bulge (herniate) which can choke the spinal nerves or spinal cord. The vertebrae may slip forward or back on each other. Ligaments and joints will thicken as a result of stress and also choke out the spinal cord or nerves.
What Is Going On?
Neck pain can be classified into two major groups: Acute pain and chronic pain.
Acute pain is usually due to a traumatic event such as a slip & fall or car accident. It can also be caused by an accumulation of lot of smaller traumatic events such as repetitive motions, poor posture and poor body mechanics. Common forms of acute neck pain include whiplash and sprain / strains. Chronic pain is due to several factors. Aging (degenerative processes), arthritis/ arthrosis, spinal stenosis, bone spurs, disc bulges /herniation, misalignment of the spine and muscle imbalances. Chronic pain does not happen overnight and it is possible to have an acute condition of chronic pain.
How Dr. Fuhrmann can Help?
A proper history and physical exam will determine what is injured and once we diagnose your problem (s), a specific treatment plan will be designed to get you pain free as fast as possible. Dr. Fuhrmann has several treatment options available to reduce and eliminate your pain:
- Spinal Traction
- Spinal Manipulation
- Soft Tissue Therapy /Trigger point Therapy
- Instrument Assisted Soft Tissue Mobilization
- Cold Laser / Low Level Laser
- Rehabilitative Exercises
- Patient Education
Results of a 2008 best evidence synthesis by the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders found that manual therapy combined with exercise was more effective than other noninvasive interventions for neck pain.
Hurwitz EL, Carragee EJ, van der Velde G, et al. Treatment of neck pain: noninvasive interventions: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). Feb 15 2008;33(4 Suppl):S123-152. http://www.ncbi.nlm.nih.gov/pubmed/18204386
In a 2012 randomized controlled trial, spinal manipulative therapy was more effective than medication for acute and sub-acute neck pain for both short and long term outcomes.
Bronfort G, Evans R, Anderson AV, et al. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain. Annals of Internal Medicine. 2012;156(1):1–10. http://www.ncbi.nlm.nih.gov/pubmed/22213489
Studies indicate that spinal manipulative (SM) therapy is effective for cervicogenic and migraine headaches.
Bronfort G, Haas M, Evans R, et al. Effectiveness of manual therapies: the UK evidence report. Chiropractic & Osteopathy. 2010;18(3):1–33. http://www.ncbi.nlm.nih.gov/pubmed/20184717
The rate of serious complications is 5-10 per 10 million adjustments.
Hurwitz EL, Aker PD, Adams AH, Meeker WC, Shekelle PG. Manipulation and mobilization of the cervical spine. A systematic review of the literature. Spine. 1996;21(15):1746-59. http://www.ncbi.nlm.nih.gov/pubmed/8855459
There is no evidence of excess risk of VBA stroke associated with chiropractic care compared to primary care. Increased risks of VBA stroke associated with chiropractic and PCP visits are likely due to patients with headache and neck pain from VBA dissection seeking care before their stroke.
Cassidy JD, Boyle E, Côté P, et al. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and casecrossover study. Spine. 2008;33(4 Suppl):S176–S183. http://www.ncbi.nlm.nih.gov/pubmed/18204390
Chiropractic patients are more satisfied than medical patients with their back care providers after 4 weeks of treatment.
Hertzman-Miller RP, Morgenstern H, Hurwitz EL et al. Comparing the satisfaction of low back pain patients randomized to receive medical or chiropractic care: results from the UCLA low-back pain study. Am J Public Health 2002;92:1628-1633. http://www.ncbi.nlm.nih.gov/pubmed/12356612