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Pain in the neck. Question answer
Topic: Questions and Answers
Neck pain (Cervicalgia)
Topic: Encyclopedia of diseases
Title
- Causes of the disease
- Symptoms
- Diagnostics
- Treatment methods
Neck pain ( cervicalgia ) is a common pain syndrome. About 10 percent of adults experience neck pain at least once in their lives. Cervicalgia (neck pain) can be caused by a number of factors, including muscle strain, ligament strain, arthritis, or nerve root compression. Neck pain can occur from a number of diseases of the spine and diseases of any tissue in the neck area. In addition, neck pain can be associated with infections, for example, viral throat infections lead to swollen lymph nodes and neck pain. Neck pain may also be associated with rare infections such as tuberculosis, osteomyelitis, septic discitis or meningitis (often accompanied by a stiff neck). Neck pain can be caused by diseases that affect the muscle structures of the neck (fibromyalgia or polymyalgia rheumatica). Provoking factors for neck pain are contact sports, injuries such as road traffic accidents, and excessive physical activity.
Varieties
Unpleasant sensations can manifest as neck pain or shooting. Cervicago is an acute syndrome that prevents you from turning your head. Neck aching pain - cervicalgia. It happens:
- Superficial somatic. Occurs when the skin is damaged.
- Deep somatic. Appears when muscles and vertebrae are damaged.
- Visceral. Occurs as a sign of an infectious disease or pathology of internal organs.
If neck pain affects neighboring areas, either cervicobrachialgia (cervicobrachial syndrome) or cervicocranialgia (unpleasant sensations spread to the back of the head and then to the entire head) is diagnosed.
In what case should you see a doctor immediately?
It is not always necessary to consult a doctor if you experience the slightest discomfort or pain. If a spasm occurs in the muscle system, which is caused by overexertion, such symptoms disappear on their own within a week. In this case, you need to take an analgesic and perform simple exercises.
You need to sound the alarm if the pain persists for 2 weeks or if additional unpleasant symptoms occur:
- numbness, tingling in the upper extremities;
- limited mobility of the neck and arms;
- curvature of the neck;
- sharp and prolonged attacks of migraines;
- dizziness and loss of consciousness;
- sudden jumps in blood pressure;
- dyspnea;
- chest pain;
- attacks of nausea and vomiting;
- swallowing dysfunction;
- elevated body temperature.
If such symptoms appear, it is not recommended to make any diagnoses or start using medications. It is important to pay attention to whether there is swelling in the neck and what size the lymph nodes are. In this case, doctors prescribe a detailed diagnosis that will help establish the correct diagnosis. You will need to undergo the following types of examinations:
- radiography;
- CT scan;
- Magnetic resonance imaging;
- laboratory examination of blood fluid;
- electromyography;
- spinal tap;
- electrocardiography.
Depending on the diagnosis, the doctor selects the most appropriate treatment.
Causes
Most often, discomfort occurs due to muscle spasms or muscle strain. They happen for the following reasons:
- hypothermia;
- sudden turn of the head;
- staying in the same position for a long time;
- muscle overstrain during work.
The discomfort caused by these factors does not require complex treatment. As a rule, they go away on their own within 1-3 weeks.
If there is severe discomfort, numbness, the patient suffers from dizziness, impaired mobility, the causes of the illness may be much more serious. It is imperative to consult a specialist.
Acute pain syndrome is observed when:
- problems with the spinal column: bruises, soft tissue injuries;
- inflammatory and infectious diseases;
- radiculitis;
- herniated intervertebral discs;
- curvature of the spine in the cervical region;
- osteochondrosis, arthrosis;
- neurological diseases;
- fibromyalgia;
- oncology.
Depending on the disease and its degree, the pain syndrome may vary. Pathology can be suspected based on a number of accompanying signs.
How are lymph nodes treated?
The treatment tactics chosen by the doctor directly depend on the characteristics of the clinical symptoms and the diagnosis. If it's all about a bacterial infection, you can't do without antibiotics. For viruses, antiviral drugs and immunostimulants are indicated. In the case of an autoimmune disorder, the focus is on reducing the activity of specific culprit markers. If cancer is confirmed, chemotherapy, surgery, and immunomodulators are necessary.
If the lymph nodes are enlarged due to a certain dental disease, its step-by-step treatment is carried out. Almost immediately after this, the problem of increased lymphocyte production disappears by itself.
It is extremely important that the patient does not warm the lymph node or apply any compresses unless the doctor has prescribed it. Such actions can aggravate the situation and lead to the development of health-threatening complications.
Pain in the front of the neck
Unpleasant sensations under the chin or along the entire front of the neck may indicate a number of pathologies. The list is impressive:
- inflammation of the lymph nodes;
- angina pectoris;
- cysts and abscesses;
- inflammation of muscles, ligaments and nerves;
- pathology of the thyroid gland.
It is impossible to independently determine which disease this symptom has. The cause of pain can also be pinching of blood vessels or nerves by an intervertebral disc that has become deformed.
Our Innovative Medical Center has developed a set of programs aimed at eliminating diseases without surgery or pills. The team consists of experienced doctors: neurologists, osteopaths, chiropractors, kinesiotherapists, massage therapists.
Dental causes of inflammation of the lymph nodes on the chin
Since very often in their work dentists are faced with huge lymph nodes in patients, let us dwell in more detail on the diseases that cause this symptom:
- Periodontitis. It can occur in acute or chronic form. Leads to tooth loosening and severe pain. If you do not receive qualified dental care in time, there will be a need to remove the affected unit.
- Stomatitis. Causes painful ulcers to appear on the mucous membranes of the mouth. It is the result of injuries, low immunity, vitamin deficiency. In advanced cases, the entire oral cavity becomes covered with wounds. Then active production of lymphocytes is observed.
- Pulpitis. Inflammatory lesion of pulp tissues. A very insidious disease. Through the pulp, pathogenic microorganisms penetrate into the lymph nodes and other tissues. It is important to clean the canals and seal them as soon as possible.
- Advanced caries. Despite the fact that many people do not take caries seriously, it is a rather insidious infectious process. If the deep tissues of the tooth are damaged, the lymph nodes come to the aid of the body - they try to neutralize pathological agents by producing lymphocytes. This can be understood by their increased size.
- Periodontal disease. Causes hypertrophy of periodontal tissues, leading to local hypoxia. Periodontal disease does not cause pain, so most often the patient learns about it by chance during a medical examination for some other condition. With periodontal disease, the gums become lighter, the interdental papillae atrophy, and the dental necks become exposed. If treatment is not started in time, the teeth will begin to loosen and fall out.
- Periodontitis. A disease that develops due to metabolic disorders, neurosomatic abnormalities, poor oral hygiene, and deficiency of vitamins and minerals. It manifests itself as bleeding gums, bad breath, and loose teeth.
- Gingivitis. Inflammatory reaction in the gums. Appears against the background of gastrointestinal pathologies, allergies, infections. The patient experiences bleeding gums even with minor mechanical stress. A burning sensation in the mouth bothers me. Ulcerative-necrotic areas may form.
These are not all dental conditions in which the lymph nodes under the chin become inflamed. In medical practice there are many more such diagnoses. This once again proves that the patient himself will not be able to understand why his submandibular area is swollen.
Back neck pain
Changes in the spine are the main cause of aching, sharp or nagging pain in the neck area. They occur due to low physical activity and constant work at the computer. Discomfort can be a symptom of the following diseases:
- osteochondrosis - changes in the structure of intervertebral discs;
- protrusion of intervertebral discs (their protrusion);
- intervertebral hernia;
- spondylosis - bone growths on the vertebrae;
- muscle spasms;
- vertebral fractures as a result of whiplash injuries or osteoporosis.
Pain in the back of the neck is a non-standard symptom of spinal tuberculosis, osteomyelitis, and Reiter's syndrome.
Prevention
A variety of preventive measures will help prevent the disease from exacerbating and returning. First of all, it is maintaining a healthy lifestyle. Engage in moderate physical activity and avoid eating unhealthy foods in excess. If you periodically have pain in your neck under your chin, then do not forget to visit a doctor and consult with him before you feel another pain syndrome. Stop smoking or reduce the number of cigarettes you smoke per day. Try not to abuse alcohol or take medications not directly prescribed by your doctor.
Pain syndrome in the lateral surfaces of the neck
Discomfort in these areas manifests itself as a burning, throbbing pain, sometimes accompanied by tingling. Unpleasant sensations spread to the shoulder or ear on the right or left. Sometimes they are accompanied by the appearance of secondary torticollis due to the constant tilt of the head to the affected side.
This symptom is inherent in the following pathologies:
- problems with blood vessels, atherosclerosis;
- muscle spasm due to a sharp turn of the head, hypothermia or physical exertion;
- malignant tumors localized in the larynx, thyroid gland, pharynx.
At the initial stage of rheumatoid arthritis, pain can spread to the cervical region, back of the head, and head. When turning the head or bending the neck, it intensifies.
First actions
What to do if there is pain in the head and neck? Before you see your doctor, you can try the following:
- Open the windows and ventilate the rooms. The fact is that lack of oxygen also often causes headaches.
- Go for a massage. The main thing is to pay attention to the neck, back of the head and shoulders.
- Lie on your back. The surface must be hard. You need to “stretch” and relax.
- Any bad thought must be driven away. This will help you relax faster.
Symptoms
If unpleasant sensations rarely bother you, they may be the result of an uncomfortable sleeping position or awkward head movement. No special treatment is required. To eliminate discomfort, do exercises, light rubbing, take warm baths, it is recommended to use an orthopedic mattress and pillows. But there are situations when you urgently need a consultation with a neurologist or chiropractor.
Warning signs include:
- stiffness of movements;
- the duration of painful sensations is more than 1-2 days;
- the appearance of concomitant pain in the shoulder, arm;
- frequent headaches, especially in the back of the head, which are accompanied by dizziness;
- numbness of fingers, hands.
If you have suffered a neck, head or spine injury and are constantly experiencing pain in these areas, we invite you to contact our Innovative Medical Center for help.
How to use the applicator, application zones
In 90% of cases it is necessary to act on the pain zone, and to increase efficiency on additional and auxiliary zones.
The general formulation should always include the core area (spine area).
The main zones are located on the back surface of the torso, head, and neck.
They are named the main ones due to the fact that the areas of skin on both sides of the spine and directly above the spine are closest to the exits of the roots of the cranial and spinal nerves and other structures.
Very important meridians also pass here, which influence all organs and systems of the body in the area in which they pass, control a person’s protective energy, and influence his resistance to diseases.
Thus, multi-needle multi-metal exposure is desirable and most effective on the area of the skin surface above the spine to the right and left of the spinal column and on the back surface of the torso, head and neck. You can apply it to the spine itself.
The choice of the most important area (zone, strip, segment) of the skin on the posterior surface of the body will depend on the main diagnosis, pathology, area of damage to certain organs, and the level of segmental innervation of these organs.
In the methodological recommendations for the use of Lyapko's application therapy, a schematic drawing is always given for each disease indicating the required areas of application.
Auxiliary zones are the anterior surface of the torso, head and neck. Due to the fact that the internal organs and endocrine glands are located directly under the anterior abdominal wall, under the chest, in the neck, face, exposure to them or to individual skin areas (metameres) in these areas using different metal needle applicators helps regulate, normalization, restoration, improvement and activation of the activities of these bodies. The result is achieved faster when using auxiliary zones simultaneously with the main and additional zones.
Accessory zones: zones of the skin of the lower and upper extremities, which are secondary (peripheral) in relation to the (central) structures of the spinal cord and brain. On the inner and outer surfaces of the arms and legs there are zones of “Yin” (female) and “Yang” (male) groups of channels - meridians of organs that have different groups of points that differ in purpose.
Using for applications and influencing various groups of points of certain meridian channels, we have the opportunity to further regulate (change, enhance or decrease) the activity of certain organs and systems (general action). Thus, we intensify the work when applying Lyapko applicators to the main and auxiliary zones and additionally provide a therapeutic effect.
Additional (zones of the skin of the lower and upper extremities) and auxiliary zones (the anterior surface of the torso, head and neck) should also be used in cases where, for a number of reasons, it is impossible to influence the main zone (plaster applied, wound surface). To enhance the therapeutic effect, it is advisable to include in the formulation an effect on symmetrical areas of the healthy side.
Thus, the result is achieved faster when using the main zones simultaneously with additional and auxiliary zones, or if this is not possible, then alternately.
Areas of application for neck pain (Fig. 1): main 2, 3; auxiliary 1, 4, 12, 13; additional 20, 22, 28, 31.
Fig.1
The following applicators are recommended. Flat applicators: “Romashka M”, “Chance”, “Needle massage pillow”, “Kvadro”, “Narodny”, “Sputnik plus”, “Insoles plus”, “Speckled”.
Application belts: “Baby”, “Universal M”, “Magic ribbon “Health”. Considering the flexibility and elasticity, small pitch of needles 4.3 of the Magic Tape “Health”, it is very comfortable to use on the neck area.
Application rollers: “Face roller M”, “Universal roller M”, “Big roller M”, “Needle ball”.
In the morning and afternoon, roll the cervical-collar area of the back, head, front surface of the body, and also influence the auxiliary areas on the arms and legs; the sensations should be pleasant. They can also be used to warm up the body before a massage.
In addition to the cervical-collar zone, to enhance the effect, it is recommended to simultaneously or alternately use applicators on additional zones on the anterior surface of the body and auxiliary zones on the limbs.
It is better to complete the session by treating the feet using the Insole Plus applicator, which can also be used on all parts of the body.
The exposure time for flat applicators, belts, tapes is 20-30 minutes; Roll with rollers or a “needle ball” for 10-15 minutes.
The course of treatment is 10–14 days, which can be repeated after a break after 1–2 weeks. Such procedures can be used in courses for a long time.
For neck pain, you can use either a manual back massage or a massage using the Pharaoh massager, which can be used through thin fabric or over the body lubricated with oil or cream. The duration of the massage and its intensity determines the desired effect. Long lasting, up to 15 minutes. and more, massage promotes complete relaxation of muscles and creates a sedative (calming) effect. A short massage, 3–5–7 minutes, has a tonic (stimulating) effect. During the session, you should perform circular movements clockwise or longitudinal movements up and down.
After the massage, we recommend laying on a flat applicator for rest and relaxation.
The “Speck” applicator can be fixed on the pain area. Considering the small area of influence, wearing is long - 1 - 3 hours.
How to relieve neck pain with osteochondrosis
For acute pain, you need to take a non-steroidal anti-inflammatory drug or use a gel or cream with an anti-inflammatory effect. You need to rub the product wherever you feel pain and numbness. If the pain intensifies when you turn your head, you should limit your movements. Do not make sudden head movements. If you have shoulder pain, do not put any weight on your arm. It is possible to use painkillers with a warming effect.
All these recommendations will help relieve pain for 1-2 days. But to prevent repeated attacks, a complete cure for osteochondrosis is necessary. Our clinic specializes in the treatment of diseases of the spine; we employ real masters of their craft. We offer both the most modern and long-proven treatment methods: Hiwamat and UVT therapy, kinesitherapy, therapeutic massage, acupuncture, osteopathy, manual therapy, taping.
Dental problems
Dental diseases
With deep caries and its complications - pulpitis, periodontitis - the pain radiates to the jaw in the area of the affected tooth.
Infectious and inflammatory processes of the soft tissues surrounding the tooth - periodontitis, abscess - cause swelling, which, by squeezing the nerve endings, provokes the appearance of painful sensations in the jaw.
With increased tooth sensitivity, eating hot, cold, spicy, sour or sweet foods and drinks, and brushing your teeth cause acute pain that spreads to the jaw.
When third premolars - wisdom teeth - emerge, complications often arise: pericoronitis, inflammation of the periosteum, one of the symptoms of which is severe pain in the jaw.
Dental treatment procedures associated with violation of tissue integrity - implantation, prosthetics, tooth extraction, installation of fillings, professional teeth cleaning and whitening - contribute to the appearance of pain in the jaw.
Bruxism
With bruxism, involuntary grinding of teeth at night significantly increases the load on the masticatory muscles, which leads to their prolonged spasm. In this case, the correct occlusion of the dentition is disrupted with the development of pain in the jaw when chewing.
Temporomandibular joint problems
If pain occurs in the jaw when opening the mouth, this is a symptom of temporomandibular joint pathology.
Pain in the projection of the jaw is often accompanied by pain in the ear, head, and face. The causes of joint dysfunction are injuries, malocclusions, incorrectly installed dentures, arthritis, arthrosis, and hypertonicity of the masticatory muscles.
Tumors of the lower jaw
Pain in the jaw area is characteristic of benign and malignant neoplasms. Benign tumors are characterized by slow growth and lack of invasion into adjacent tissues and organs.
Malignant neoplasia rapidly progresses, pain intensifies with irradiation into the eye, temporal region, ear, jaw.
Diagnostics
A neurologist is primarily involved in the treatment of neck pain. At the reception, the specialist listens to the patient’s complaints and conducts an examination. It determines the cause of the problem. Most often it becomes a deviation from the norm in the condition of the spine. These changes are the cause of the development of concomitant diseases of internal organs.
Each segment of the spinal cord is responsible for the functioning of a specific organ. When the vertebrae change position or the height of the intervertebral discs decreases, the transmission of nerve impulses from the spinal cord to the internal organs is disrupted.
If the problem is in the cervical region, the ENT organs, vocal cords, thyroid and parathyroid glands, neck muscles or forearms are affected. Those. Problems with the spine and diseases of internal organs are more often diagnosed. Therefore, for aching neck pain, examination by a chiropractor is recommended. If other diseases are detected, additional examination by specialized specialists: cardiologist, endocrinologist, otolaryngologist.
In our Innovative Medical Center, a patient complaining of discomfort in the cervical spine undergoes a comprehensive diagnosis. The list of procedures includes:
- blood test: general and biochemical;
- blood test for thyroid hormone levels;
- computed tomography of the cervical spine;
- magnetic resonance imaging of the neck area;
- Ultrasound examination of the vessels of the neck, salivary glands, thyroid gland with Doppler ultrasound.
Using MRI, a specialist examines in detail the condition of the intervertebral discs. The method allows you to diagnose diseases in the early stages. The doctor will assess the condition of the blood flow. If there is compression of the spinal cord and its roots, he will see them in the image.
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Preventive measures
No one is immune from the problem described. But there are ways to minimize the risk of its occurrence. Among them:
- receiving qualified medical care for any ailments;
- annual laboratory tests;
- timely treatment of emerging dental diseases;
- sanitation of the oral cavity every six months;
- following medical prescriptions.
Take care of your health, and the risk of enlarged lymph nodes will be minimized.
Treatment of cervical pathology
After diagnosis, the doctor develops an individual treatment strategy for each patient. It takes into account the severity of changes in the affected area, concomitant diseases, age and level of physical development. A set of measures is being carried out aimed at eliminating the symptoms and causes of the pathology.
Physiotherapy
The Innovative Medical Center conducts sessions using modern Hivamat 200 Evident devices and equipment for shock wave therapy. With the help of these procedures, swelling and inflammation are relieved, and blood flow in the damaged area is improved. After a course of UVT therapy, the elasticity of ligaments and tendons is restored, and metabolism is accelerated.
Taping
This method of manual therapy relieves pain and restores damaged muscles. Special thermally coated bandages are used. They are carefully fixed on the damaged part of the body.
Manual therapy
For pathologies of the cervical spine, it is performed using several techniques. The session begins with a relaxing massage with increasing tempo of kneading. The effect is felt after 1 procedure. After the course, the vertebrae return to their anatomically correct position, and muscle spasms are eliminated. Blood circulation improves, soft tissues are restored.
Acupuncture
The procedure is indicated for various diseases of the musculoskeletal system. The effect on biologically active points of the body allows you to eliminate neck pain and weakness, and increase blood supply in this area.
Massotherapy
An auxiliary method of therapy is effective for osteochondrosis and other diseases of the spine. After the procedures, discomfort, swelling, cramps, and fatigue are eliminated. Improves blood flow, the patient’s well-being and emotional state. Either local or general massage is prescribed. Techniques are selected individually for each specific case.
Kinesitherapy
Exercise therapy and classes on special decompression simulators are prescribed to strengthen the muscle corset. During the procedures, the load is removed from the spine and the risk of cartilage abrasion is minimized. A large hall with additional equipment is equipped for classes - rollers, balls. Doctors and experienced instructors supervise the exercises.
Therapy
Any treatment for neck pain should begin with pain relief. It is recommended to use painkillers and anti-inflammatory drugs. Self-medication in this case will not give positive results. To accurately establish a diagnosis, you need to visit a specialist. The doctor will conduct a professional diagnosis and prescribe the necessary therapy. Without visiting a specialist, it is quite difficult to get rid of pain. In addition, it is impossible to recover if you have not identified the source of the pain syndrome.
Exercise therapy and massage
Experts refer some patients for massage. The doctor issues a referral only after a complete diagnosis, made after a thorough examination. The specialist may recommend massage of the collar area to the patient. If it is carried out according to all the rules, it helps to completely get rid of muscle tension. As a result, blood circulation improves and pain disappears completely.
When visiting a massage therapist, it is also recommended to engage in physical therapy, which helps strengthen the muscles of the neck and back. If you do the exercises every day, you can forget about pain.
Physiotherapeutic treatment
Today, many different modern techniques are actively used, including procedures that use current, magnetic fields, vibrations, lasers, etc. These are methods that are used in combination with medications and other procedures prescribed by a doctor. If all the rules of the procedure are followed, a positive effect is observed, which is caused by a strong local effect. In the first stages of osteochondrosis, the disease can be cured after several therapy sessions. In this case, the patient is not even prescribed medications. In some cases, physical therapy acts as a preventive measure.