Neck pain is defined as pain between the occiput and third thoracic vertebrae (Cote et al., 2003) and is a common debilitating condition (Carroll et al., 2008). It is estimated 30-50% of all adults will develop neck pain at some point in their lives and of those affected, 11-14% will experience a degree of work-related limitation (Cote et al., 2008). Studies conducted in South African settings reported that the prevalence of neck pain was 50% in the Caucasian population and 45% in the indigenous African population. Indians, males had a higher prevalence of 55.7% compared to females (44.3%) (Ndlovo, 2006; Slabbert, 2009; Muchna, 2010).
Neck pain is categorised clinically as either non-specific or pathologic. Non-specific neck pain is pain in the cervical spine without any identifiable evidence of disease
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and Evans, R. 2004. The clinical effectiveness of spinal manipulation for musculoskeletal conditions. In: Haldeman, S. ed. Principle and Practice of Chiropractic. 3 edn.Palatino: The McGraw-Hill companies, 147-165.
Carroll, L., Hogg-Johnson, S., Velde, G. V. d., Haldeman, S., Holm, L., Carragee, E., Hurwitz, E., Cote, P., Nordin, M. and Pelso, P. 2008. Course and prognostic factors for neck pain in the general population: results of the bone and joint decade 2000-2010 task force on neck pain and its associated disorders. Spine, 33 (4): S75-82.
Cote, P., Velde, G. V. d., Cassidy, J., Carroll, L., S.Hogg-Johnson, Holm, L., Carragee, E., Haldeman, S., Nordin, M. and Hurwitz, E. 2008. The burden and determinants of neck pain in workers: results of the bone and joint decade 2000-2010 Task force on neck pain and its associated disorders. Spine, 33 (4): S60-74.
Cote, P., Cassidy, J., Carroll, L., Kristman, V. 2003. The annual incidence and course of
Neck pain in the general population: a population-based cohort study. Pain, 112(2004):
267-273.
Ferrari, R. and Russell, A. 2003. Neck pain. Best Practice & Research Clinical Rheumatology, 17:
Spine - Cervical area, Thoracic, Lumbar, Sacrum and Coccyx. This is an area that is affected
Shoulder and neck pain are the most common musculoskeletal disorders one can get. Right sided neck and shoulder pain is one that the assistant is highly prone to developing, and is difficult to avoid. Reason being is frequent reaching across the assistant’s mid-line with the right arm. Neck pain can also be caused by leaning forward with your head bent down for a long period of time.
Musculoskeletal pain affects the bones, muscles, ligaments, tendons and nerves, its commonly but not always it is caused by physical injury, which can be widespread or localised in just one body part. Joint and muscle pain is the probably the number one symptom that prompts people to seek the help of health professionals like osteopaths.
One of the basic reasons that people doubt chiropractic care is that they do not truly understand the practice. A large controversial topic around chiropractic is the causation of strokes that supposedly come from neck manipulations, better known as neck adjustments. George Magner wrote, “I learned that manipulation of the neck can cause tinnitus by injuring arteries that supply blood to the ear” (Magner 3). He also documented several other patients of chiropractic who suffered from additional pain, even strokes, from an adjustment of the neck. The strokes that the patients endured do not necessarily mean chiropractors caused them. Early signs of strokes include neck soreness, headaches, and reduced function of limbs which are all reasons why people visit a chiropractor in the first place. Therefore, chiropractors are not the sole purpose a stroke occurs. Also, adjustments with low force techniques show a zero percent chance of causing a stroke and those odds seem extremely
The NDI has shown to be reliable and valid for patients with neck pain. Because patients with cervical radiculopathy frequently presents with neck pain and as no other outcome tools has been shown to be superior to the NDI for use with patients with cervical radiculopathy, NDI has been included as one of the health outcome assessment tools.11
Chronic stiff neck can cause debilitating pain and difficulty in performing daily activities. Fortunately, drugs and therapies are available to help relieve pain and stiffness. Sometimes, the condition requires surgery. The treatment has a better chance of success when it starts preparation for use, particularly for children.
Institute of Medicine Report from the Committee on Advancing Pain Research, Care and Education. (2011). Relieving Pain in America A Blueprint for Transforming Prevention, Care, Education and Research. Retrieved from http://books.nap.edu/openbook.php?records_13172
At the time of the study, a tri-axial accelerometer (ADXL 327, Analog Devices, Norwood, Massachusetts) was taped to the participants neck at the level of the cricoid cartilage such that the sensitive axes of the accelerometer were aligned to the anatomical anterior-posterior (A-P), superior-inferior (S-I) and medial-lateral (M-L) axes. Signals from A-P,S-I, and M-I were bandpass filtered from 0.1 to 3000 Hz with ten times amplification (model P55, Grass Technologies, Warwick, Rhode Island) prior to storage on a research computer. The voltage signals for each axis of the accelerometer were fed into a National Instruments 6210 DAQ and recorded at 20 kHz by the LabView program Signal Express (National Instruments, Austin, Texas). Concurrent with the accelerometer, bolus
Conclusions. An adequate and clear understanding of the concept of pain and implementing interventions of pain treatment and management is essential in the clinical settings. Understanding the concept of pain is necessary for its relationships with other concepts that are related and similar to the pain experience for theory building. The in the end, understanding the concept of pain will ultimately benefit the patient and lead to better and approp...
Pain is subjective, acknowledging the level of the pain as reported by the patient is important. (Pellico p. 1242)
One of the most common symptoms related to these untreated injuries include headaches. To effectively treat a headache, the chiropractor needs to have the skills necessary to diagnose the type of headache a patient is experiencing. One headache that our chiropractors frequently treat is caused by tension and stress in the cervical spine. These headaches are very responsive to chiropractic care and other forms of physical medicine.
Pain affects everyone; it sends thousands of people to hospitals, clinics and private care providers daily. A primitive warning system, pain is an unpleasant but important function for survival. In the physiological sense pain is the uncomfortable sensation felt by the sensory nerves (Taber’s). Pain can be described in a number of ways such as burning, aching or crushing. When assessing pain in her patient, a nurses first measure would be a question; “are you having pain”? No one will dispute the fact that this is the most reliable method of assessment, because pain is exclusively subjective in nature. Most schools teach that ‘pain is present when the patient says it is’.
To diagnose the main cause of TJ pain, history, physical examination, laboratory tests, and imaging studies must be
A cross- sectional study was done to assess musculoskeletal pain disorders among 35 school and 35 university female teachers in the age group of 25- 45 years in Delhi and NCR region.
following back pain (Chapman-Smith, 71). Treatment for head and neck pain are similar to back treatments in that they both undergo a sequence of mechanical and neurological effects (Chapman-Smith, 72).