Controlling neck pain and symptoms

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:: Controlling neck pain and symptoms
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Controlling neck pain and symptoms

Treatment

Controlling your pain and symptoms

Easing pain:
Choose from one or more of the following tools, or modalities, to help control the symptoms you are having:

Rest: Resting the painful joints and muscles helps calm soreness, giving your neck time to heal. If you are having pain with an activity or movement, it should be a signal that there is still irritation going on. You should try to avoid all movements and activities that increase your pain.

Specific Rest: Specific rest encourages safe movement of the joints and muscles on either side of a painful area, while protecting the sore spot during the initial healing phase. Select exercises can be given to encourage safe movement of the shoulders and upper back.

Positioning: The results of the evaluation will give us a clear picture of ways you can position your neck for the greatest comfort. A special pillow, called a contour pillow, may be suggested to help get your neck in the most comfortable position while sleeping or resting. A commercial neck roll, or even a rolled towel, can be slid inside your pillow case so that when you lie back, the roll fills in and supports the curve in your neck. Other special ways to rest your head and neck may be given by us to help take away arm pain that is coming from your neck.

Ice: Ice makes the blood vessels in the sore area become more narrow, called vasoconstriction. This helps control inflammation that is causing pain. Some ways to put ice on include cold packs, ice bags, or ice massage. Cold packs or ice bags are generally put on the sore area for 10 to 15 minutes. Ice massage is done by rubbing an ice cube or ice cup on a sore spot or tender point. It's as easy as freezing a small paper cup full of water. Once the water freezes, simply tear off the top inch of the cup and rub the exposed ice on the sore spot for three to five minutes, or until it feels numb.

Heat: Heat makes blood vessels get larger, called vasodilation. This action helps to flush away chemicals that are making your neck hurt. It also helps to bring in nutrients and oxygen which help the area heal. True heat in the form of a moist hot pack, a heating pad, or warm shower or bath is more beneficial than creams that merely give the feeling of heat. Hot packs are usually placed on the sore area for 15 to 20 minutes. Special care must be taken to make sure your skin doesn't overheat and burn. It's also not a good idea to sleep with an electric hot pad at night.

Ultrasound: An ultrasound machine produces high frequency sound waves that are directed toward the sore area. Passing through the body's tissues, these waves vibrate molecules. This causes friction and warmth as the sound passes through the tissue. The rest of the sound changes to heat in the deeper tissues of the body. This heating effect helps flush the sore area and brings in a new supply of nutrient and oxygen-rich blood. Ultrasound treatments are a way for your therapist to reach tissues that are over two inches below the surface of your skin.

Electrical Stimulation: This treatment stimulates nerves by sending an electrical current gently through your skin. Some people say it feels like sort of like a massage on their skin. Electrical stimulation can ease pain by sending impulses that are felt instead of pain. Two respected scientists discovered a theory, called the Gait Theory. This theory says that when you feel a sensation other than pain, like rubbing, massage, or even a mild electrical impulse, your spinal column will actually "close the gate" and not let pain impulses pass to the brain. In the case of electrical stimulation, the electrical impulses speed their way across the skin and on to the central nervous system much faster than pain. By getting there first, the electrical information "closes the gate" to pain, blocking its passage to the brain. Once the pain eases, muscles that are in spasm begin to relax, letting you move and exercise with less discomfort. Other settings on the machine can be used to help your body release endorphins. These are natural chemicals formed within your body that behave like a strong drug in reducing the perception of pain for up to eight hours at a time.

Soft tissue mobilization/massage: Dr. has had over 20 years of experience and is trained in many different forms of massage and mobilization when treating the neck. Massage has been shown to calm pain and spasm by helping muscles relax, by bringing in a fresh supply of oxygen and nutrient-rich blood, and by flushing the area of chemical irritants that come from inflammation. Soft tissue treatments can help tight muscles relax, getting them back to a normal length. This will help you begin to move with less pain and greater ease. Felizzy Dr. has special training in a variety of different ways to mobilize or massage. Myofascial release techniques help restore better movement by getting the thick layer of fascia below the skin and around muscles to "give". Strain-counter-strain is a type of therapy that is especially helpful when tender points are causing muscles to restrict movement. The treatment is usually done in a way that the muscle is put in a special position, usually where the muscle is shortest. The position is held long enough to "reset" the nerve input to the muscle. Another way to help soft tissues "move" is by the use of muscle energy technique. Felizzy Dr. will place your muscle in a certain position and then direct you to use your muscles against his force. As you relax, he will gradually "take up the slack", giving a stretch on the muscle.

Joint mobilization: These are graded pressures and movements. Gentle graded pressures help lubricate joint surfaces, easing stiffness and helping you begin moving with less pain. Pain that is left unchecked can quickly escalate to an uncomfortable "cycle of pain and muscle guarding." In other words, the pain can make your muscles go into spasm, in which your muscles try to guard the sore joints, keeping you from wanting to move your neck at all. When movement stops, your brain gets an uninterrupted flow of pain sensation. Ouch! This leads to a cycle of even more muscle spasm and pain because your muscles try to "protect" you from painful movement. By applying gentle pressures, or mobilizations, Felizzy Dr. will begin to halt the flow of pain information, which helps muscles relax. Once your muscles begin to relax, you will begin to feel other sensations than pain. As your pain eases, more vigorous grades of mobilization may be used to lengthen tissues around the joint helping restore better movement in your neck.

Traction: Sore joints and muscles in the neck often feel better when a traction "pull" is used. Fellizy Dr. will test at first to see if you can get relief with this type of treatment. Traction can be done in a variety of ways. There are traction machines that allow you to relax comfortably with either a halter or cushion behind your neck. The machine is set to pull on this halter or cushion for a certain amount of time and pressure. Manual traction is another way for Fellizy Dr. to put a graded pull on your neck. There are also traction devices that can be issued for you to use at home. The amount of pull that is used will depend on your condition. A gentle on/off pressure may be better early on to help control pain or if there is pain from arthritis. More vigorous traction can help take away pain if a joint is mildly sore or tight.


Exercises

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