What are the common causes of shoulder numbness and tingling. How can chiropractic care help alleviate shoulder discomfort. What are the symptoms of conditions like brachial plexus injury and cervical radiculopathy. When should you seek medical attention for shoulder numbness.

The Anatomy of the Shoulder: A Complex Joint Prone to Issues

The shoulder is an intricate joint comprising a ball and socket, muscles, ligaments, and tendons. Its complexity makes it susceptible to various issues stemming from aging and injury. Overexertion or improper use of the shoulder joint can lead to pain and stiffness caused by strained, sprained, or torn soft tissues.

When numbness and tingling occur in the shoulder, it often indicates nerve irritation or compression. This can result from various factors, including misalignment of the spinal vertebrae (vertebral subluxation), which may cause nerves extending from the spine to the shoulders to become compressed.

Brachial Plexus Injury: A Common Culprit of Shoulder Discomfort

The brachial plexus is a complex network of nerves that transmits signals from the spinal cord to the upper back, shoulders, and arms. Injury to this nerve network can occur when the shoulders are moved forcefully in contradictory directions.

Symptoms of Brachial Plexus Injury

• Numbness and tingling in the affected area
• Reduced muscle strength
• Lack of muscle control
• Arm weakness
• Burning sensation or electric shock-like feeling radiating down the arm

Why does brachial plexus injury cause these symptoms? The damage to the nerves disrupts the normal transmission of signals between the brain and the affected areas, leading to sensory and motor disturbances.

Pinched Nerves: A Source of Shoulder Discomfort

Shoulder tingling and numbness can also be attributed to pinched nerves, which may result from various conditions, including rotator cuff tendonitis. This condition occurs when the tendons connecting the shoulder muscles to the upper arm bone become inflamed or irritated.

Signs of a Pinched Nerve in the Shoulder

• Pain when reaching behind your back
• Weakness in the shoulder
• Muscle twitching
• Difficulty raising arms without pain

How can you differentiate between a pinched nerve and other shoulder conditions? A key indicator is the presence of radiating pain or tingling that extends beyond the immediate shoulder area, often down the arm or into the hand.

Dislocated Shoulder: A Painful and Potentially Serious Condition

A dislocated shoulder occurs when the upper arm bone (humerus) is displaced from the shoulder blade socket. This typically results from sudden, forceful movements or impacts to the shoulder area.

Symptoms of a Dislocated Shoulder

1. Numbness or tingling due to nerve inflammation and compression
2. Extreme swelling
3. Intense pain
4. Joint stiffness
5. Possible muscle spasms in severe cases

Can a dislocated shoulder heal on its own? While minor dislocations may occasionally realign naturally, it’s crucial to seek medical attention for proper diagnosis and treatment to prevent long-term complications and ensure proper healing.

Cervical Radiculopathy: When Neck Issues Affect the Shoulders

Cervical radiculopathy refers to the inflammation and compression of nerve roots extending from the cervical (neck) vertebrae. This condition can cause symptoms that extend beyond the neck, affecting the shoulders, upper back, and arms.

Common Causes of Cervical Radiculopathy

• Degenerative bone disorders
• Arthritis
• Herniated discs

How does a problem in the neck affect the shoulders? The nerves that control and provide sensation to the shoulders originate in the cervical spine. When these nerves are compressed or irritated at their source, it can lead to symptoms in the areas they serve, including the shoulders.

Shoulder Bursitis: Inflammation of the Bursa Sacs

Shoulder bursitis occurs when the fluid-filled bursa sacs, which facilitate smooth joint movement, become inflamed. This condition can cause significant discomfort and limit shoulder mobility.

Symptoms of Shoulder Bursitis

• Intense pain when raising arms above shoulder level
• Numbness and tingling
• Stiffness
• Increasing tenderness in the affected shoulder

What factors contribute to the development of shoulder bursitis? Common causes include injury, repetitive motions, rheumatoid arthritis, and rotator cuff tears. The treatment approach depends on the underlying cause of the condition.

Chiropractic Care: A Non-Invasive Approach to Shoulder Discomfort

Chiropractic care offers a range of techniques to address shoulder nerve compression and soft tissue inflammation. These methods aim to restore optimal spinal alignment and promote natural healing processes.

Chiropractic Techniques for Shoulder Issues

1. Spinal adjustments to relieve nerve compression
2. Massage therapy to reduce inflammation and promote healing
3. Techniques to stimulate the release of white blood cells and other healing chemicals

How does chiropractic care differ from conventional medical treatments for shoulder issues? Chiropractic approaches focus on addressing the root causes of shoulder discomfort without relying on drugs or surgery, promoting the body’s natural healing abilities.

When to Seek Medical Attention for Shoulder Numbness and Tingling

While some cases of shoulder numbness and tingling may resolve with rest and home care, certain situations warrant professional medical attention.

Signs You Should Consult a Healthcare Provider

• Persistent symptoms that don’t improve with rest and over-the-counter treatments
• Numbness or tingling accompanied by severe pain
• Sudden onset of symptoms following an injury
• Weakness or loss of function in the affected arm
• Symptoms that interfere with daily activities or sleep

Is it possible for shoulder numbness and tingling to indicate a more serious condition? In some cases, these symptoms can be early signs of conditions such as heart attack or stroke. If you experience sudden, severe symptoms or have concerns about your health, seek immediate medical attention.

Preventive Measures and Lifestyle Changes for Shoulder Health

While some causes of shoulder numbness and tingling are unavoidable, there are steps you can take to maintain shoulder health and reduce the risk of developing issues.

Tips for Maintaining Shoulder Health

1. Practice proper posture, especially when sitting for long periods
2. Use ergonomic equipment and tools at work and home
3. Incorporate shoulder-strengthening exercises into your fitness routine
4. Avoid repetitive motions that strain the shoulders
5. Take regular breaks during activities that involve prolonged shoulder use
6. Maintain a healthy weight to reduce stress on joints
7. Stay hydrated to support joint health

How can you incorporate these preventive measures into your daily routine? Start by assessing your work and home environments for potential sources of shoulder strain. Gradually introduce new habits and exercises, and consult with a healthcare professional or physical therapist for personalized advice.

Understanding Thoracic Outlet Syndrome (TOS)

Thoracic Outlet Syndrome (TOS) is another condition that can cause numbness and tingling in the shoulder and arm. It occurs when blood vessels or nerves in the space between your collarbone and first rib (thoracic outlet) become compressed.

Types of Thoracic Outlet Syndrome

• Neurogenic TOS (affects nerves)
• Vascular TOS (affects blood vessels)
• Nonspecific-type TOS (cause is unclear)

What factors contribute to the development of TOS? Common causes include physical trauma, repetitive injuries, anatomical defects, and poor posture. Certain occupations and activities that involve repetitive overhead arm movements may increase the risk of developing TOS.

Symptoms of Thoracic Outlet Syndrome

1. Numbness or tingling in the arm, hand, or fingers
2. Weakness in the arm or hand
3. Arm pain and swelling
4. Discoloration of the hand (bluish color)
5. Weak or no pulse in the affected arm
6. Cold hands or fingers
7. Difficulty with fine motor tasks

How is Thoracic Outlet Syndrome diagnosed? Diagnosis typically involves a combination of physical examination, imaging tests (such as X-rays, CT scans, or MRI), and nerve conduction studies. In some cases, angiography or venography may be used to assess blood flow.

The Role of Physical Therapy in Treating Shoulder Conditions

Physical therapy plays a crucial role in the treatment and rehabilitation of various shoulder conditions that cause numbness and tingling. A targeted physical therapy program can help improve shoulder function, reduce pain, and prevent future issues.

Benefits of Physical Therapy for Shoulder Conditions

• Improved range of motion
• Increased strength and stability
• Enhanced flexibility
• Reduced pain and inflammation
• Correction of postural issues
• Education on proper body mechanics

What types of exercises are commonly used in physical therapy for shoulder issues? Therapists may incorporate a combination of stretching, strengthening, and stabilization exercises tailored to the specific condition and needs of the patient. Examples include pendulum exercises, wall crawls, and resistance band workouts.

Innovative Treatments for Persistent Shoulder Numbness and Tingling

For cases of shoulder numbness and tingling that don’t respond to conservative treatments, several innovative approaches are being explored and implemented.

Emerging Treatments for Shoulder Conditions

1. Platelet-Rich Plasma (PRP) therapy
2. Stem cell treatments
3. Advanced nerve stimulation techniques
4. Ultrasound-guided injections
5. Minimally invasive surgical procedures

How do these innovative treatments work? Many of these approaches aim to stimulate the body’s natural healing processes or directly target the source of nerve compression or irritation. For example, PRP therapy uses a concentration of a patient’s own platelets to accelerate healing in a specific area.

The Importance of a Holistic Approach to Shoulder Health

Addressing shoulder numbness and tingling often requires a comprehensive approach that considers various factors contributing to the condition. A holistic treatment plan may incorporate multiple modalities and lifestyle changes to achieve optimal results.

Components of a Holistic Approach to Shoulder Health

• Proper nutrition to support joint and tissue health
• Stress management techniques
• Ergonomic adjustments at work and home
• Regular exercise and stretching routines
• Adequate sleep and rest
• Complementary therapies (e.g., acupuncture, massage)

Why is a holistic approach beneficial for treating shoulder issues? By addressing multiple aspects of health and lifestyle, a holistic approach can help identify and mitigate various factors contributing to shoulder discomfort, leading to more comprehensive and lasting relief.

The Connection Between Shoulder Health and Overall Well-being

The health of our shoulders can have a significant impact on our overall quality of life and well-being. Chronic shoulder issues can affect various aspects of daily living and emotional health.

Ways Shoulder Health Impacts Overall Well-being

1. Ability to perform daily tasks and self-care activities
2. Participation in work and hobbies
3. Sleep quality
4. Mood and mental health
5. Social interactions and relationships
6. Overall physical fitness and activity levels

How can addressing shoulder health contribute to improved overall well-being? By resolving shoulder issues, individuals often experience increased independence, improved sleep, reduced stress, and greater ability to engage in enjoyable activities, all of which contribute to enhanced quality of life.

The Future of Shoulder Care: Advances in Diagnosis and Treatment

As medical technology and understanding of shoulder conditions continue to advance, new diagnostic tools and treatment options are emerging. These innovations promise to improve the accuracy of diagnoses and the effectiveness of treatments for shoulder numbness and tingling.

Emerging Technologies in Shoulder Care

• Advanced imaging techniques for more precise diagnoses
• Artificial intelligence-assisted diagnostic tools
• Robotic-assisted surgical procedures
• Virtual reality-based rehabilitation programs
• Wearable devices for monitoring shoulder health and movement

How might these advancements change the landscape of shoulder care in the coming years? These technologies have the potential to enable earlier detection of shoulder issues, more personalized treatment plans, and improved outcomes for patients suffering from shoulder numbness and tingling.

5 Causes of Shoulder Numbness and Tingling

The shoulder is an intricately formed joint composed of a ball and socket, muscles, ligaments and tendons that is particularly prone to suffering diseases caused by aging and injury. If you overexert or overuse a shoulder joint by lifting improperly, carrying heavy objects or engaging in repetitive activities involving shoulder movement, you could experience the pain and stiffness produced by strained, sprained and/or torn soft tissues.

Numbness and tingling of the shoulder may indicate another type of injury involving irritated or compressed nerves. For example, misalignment of the spinal vertebrae (vertebral subluxation) can cause bony vertebrae to move out of their normal positions and compress nerves that extend out of the spine and into the shoulders. When shoulder numbness and tingling (which is often accompanied by radiating pain) does not respond to over-the-counter pain relievers, cold/hot compresses and rest, consider making an appointment at Geaux Chiropractic for a complete evaluation of your symptoms.

5 Common Causes of Shoulder Numbness and Tingling

1. Brachial Plexus Injury

A complicated nerve network that transmits electrochemical signals from your spinal cord to your upper back, shoulders and arms, the brachial plexus is prone to injury when you move your shoulders forcefully in a contradictory manner. When brachial plexus nerves are damaged, you may experience numbness, tingling, reduced muscle strength, lack of muscle control and arm weakness. Some people with a brachial plexus injury report feelings similar to a burning sensation or electric shock radiating down the arm connected to the affected shoulder.

2. Pinched Nerve

In addition to nerve compression caused by vertebral subluxations, shoulder tingling and numbness could be attributed to rotator cuff tendonitis. Other signs of rotator cuff tendonitis include pain when reaching behind your back and weakness in the shoulder. Muscle twitching and difficulty raising your arms without pain is another symptom of a pinched shoulder nerve.

3. Dislocated Shoulder

Your shoulder could become dislocated if the humerus (upper arm bone) is displaced from your shoulder blade socket. Shoulder dislocations, as well as most other joint dislocations, are caused by abrupt, powerfully destabilizing movements, such as pulling or yanking on heavy objects or being struck forcefully in or around the shoulder joint.  Symptoms of a possible dislocated shoulder include numbness or tingling (due to nerve inflammation and compression), extreme swelling, pain and joint stiffness. If nerve disruption is severe, shoulder muscles may develop spasms that worsen numbness, tingling and burning sensations.

4. Cervical Radiculopathy

Cervical radiculopathy is the clinical term for inflammation and compression of nerve roots extending into your cervical (neck) vertebrae. In addition to causing numbness and tingling, weakness and pain in your shoulders, upper back and arms, cervical radiculopathy could interfere with completing tasks that require strength and coordination. Degenerative bone disorders, arthritis or herniated discs often produce symptoms of cervical radiculopathy.

5.Shoulder Bursitis

When fluid-filled bursa “sacs” meant to streamline shoulder joint movement become inflamed, you may feel intense pain upon raising your arms above your shoulders, numbness and tingling, stiffness and worsening tenderness of the affected shoulder. Shoulder bursitis is usually caused by injury, repetitive motions, rheumatoid arthritis or rotator cuff tears. The type of treatment provided by Geaux Chiro depends on the underlying cause of your shoulder bursitis. If you suffer from symptoms of shoulder bursitis, call to schedule an immediate appointment.

Treatment for Shoulder Numbness and Tingling

Chiropractic Care

Geaux Chiro offers an effective variety of chiropractic techniques to relieve shoulder nerve compression and soft tissue inflammation. Spinal adjustments restore optimal alignment to your spine so that nerves are no longer compressed by out-of position vertebrae. Adjustments complemented with massage therapy further expedites relief from pain, numbness and tingling. Our chiropractor helps shoulder joints heal naturally by promoting release of extra white blood cells and other restorative chemicals produced by your body that will improve flexibility, removing pressure of nerves and expediting recovery.

Don’t let shoulder numbness and tingling, pain and stiffness reduce your quality of life. We treat shoulder disorders and injuries without drugs or surgery using the latest chiropractic techniques and modalities. Call to schedule an appointment at Geaux Chiro today.

Thoracic Outlet Syndrome (TOS)

Overview

Thoracic outlet syndrome (TOS) is a syndrome that can cause any combination of pain, weakness, numbness, tingling, sensation of coldness or, sometimes, a more general feeling of discomfort in portions of the upper body. It commonly affects in one or both of the upper limbs (arms) and/or the hands, armpits, upper back, neck and pectoral area of the chest.

The term “thoracic outlet” comes from its location in the body. The area above and behind the clavicle (collarbone) from the neck to the shoulder forms an “outlet” through which blood vessels and nerves pass before they enter the arms to supply them with circulation (blood and oxygen) and sensation (pain and feeling) .

What causes thoracic outlet syndrome?

TOS is caused by compression of arteries and/or veins (called “vascular thoracic outlet syndrome”), the nerves between the shoulder and neck, known as the brachial plexus (called “neurogenic thoracic outlet sydrome”) or a combination of the two.

The underlying cause of the compression itself can vary. It may be the result of an extra rib (known as a cervical rib), hypertrophic (enlarged) muscle or scar tissue, or abnormality of muscles in the neck. It can also occur from a narrowing of the thoracic outlet space between the clavicle and chest wall or in the region where the nerves and blood vessels pass under muscles as they cross the shoulder.

Hypermobility (looseness) of the either of the scapula (shoulder blade) or the glenohumeral joint of the shoulder can also create tension or traction on the nerves or blood vessels in the thoracic outlet region. Body position (such as poor posture or certain overhead activities) can also play a role in causing or contributing to symptoms.

What are the signs and symptoms of thoracic outlet syndrome? 

Thoracic outlet syndrome can lead to a wide range of symptoms. The classic, most common symptoms are pain, numbness, and tingling that radiates below the shoulder down towards the hand and usually into the pinky and ring finger. If compression involves the vascular structures, you may even see skin discoloration (paleness, bluishness, or even redness) in addition to a cold sensation.

If compression involves the nerves (brachial plexus), you may experience symptoms of a brachial plexopathy. This can include numbness, weakness (usually in the hand muscles), muscle wasting and muscle atrophy. You may also experience a loss of dexterity and fine motor skills.

Diagnosis and treatments

As with most clinical disorders, a diagnosis of TOS should be based largely on the clinical symptoms a patient experiences and the physical exam by a doctor. Imaging tests – such as X-rays, MRIs, MRAs (magnetic resonance angiograms), MRVs (magnetic resonance venograms) – and electrodiagnostic tests may help your doctor make the diagnosis, but they should be used only as adjuncts to the clinical assessment. In other words, your doctor should order such tests only to help confirm the suspected diagnosis or, in some cases, to objectively assess the functioning of your veins, arteries or nerves.

Making a diagnosis can sometimes be fairly straightforward, but more often it is difficult and elusive. This is because symptoms and their severity can vary widely. There is also some controversy within the field of medicine regarding the diagnosis and treatment of this condition, particularly around vascular TOS.

• Neurogenic thoracic outlet syndrome (TOS involving the neurological structures) leads to weakness and muscle atrophy, in addition to pain. In this condition, there are usually neurological deficits that can be objectively identified by your doctor with the use of specialized electrodiagnostic tests called electromyography (EMG). A diagnosis for this condition is usually confirmed when an EMG test objectively demonstrates a patient’s neurological deficits.
• Vascular thoracic outlet syndrome is more controversial. Some doctors even dispute that it exists. It is more difficult to objectively demonstrate.
• A third TOS category exists where patients may experience vascular or neurological symptoms, or even simply pain, but where neurological and vascular testing return generally normal results. This can be a very difficult diagnosis to make.

Conservative (nonsurgical) treatments

The treatment of TOS is usually nonsurgical and directed at treating the underlying causes and contributing factors:

• Making changes to your posture, such as by postural exercises and ergonomic modifications may help significantly. The exercises usually focus on:
  • Stretching the pectorals or “pecs” (the muscles of the frontal chest wall)
  • Strengthening the shoulder retractors (rhomboids and trapezius muscles)
  • Improving head and neck alignment.
• Chin retractions and corner/doorway stretches are also recommended. These are performed by placing the forearm (wrist to elbow) upward on both sides of a doorway (or, when facing a corner, on both sides of the wall). You then lean forward until a stretch is felt in the front of the shoulder joint. This position can be held anywhere from 20 to 30 seconds. Any exercise that causes pain or triggers off neurological or vascular symptoms should be discontinued.
• Weight loss in overweight patients is helpful to alleviate compression.
• Oral medication such as anti-inflammatories (aspirin, ibuprofen, naproxen) may provide some relief, but addressing mechanical symptoms with the right stretching, strengthening and modifications of activities listed above is usually a better first-line approach.

Surgical options

Surgery should be considered only after conservative measures have been tried but without relieving symptoms or when there is a risk for loss of neurological or vascular function. Surgical decisions should be made not only when conservative care has been ineffective but also after considering how reliable surgery is in correcting or restoring proper anatomy in the least invasive way.

Possible surgeries thoracic outlet syndrome include:

• Removal of taut bands or scar tissue
• Splitting of or removal of abnormal muscles
• Removal of a cervical rib or a first thoracic rib
• Surgical stabilization of an unstable shoulder

Some of these procedures have greater risks than others, you and your doctor should carefully assess and weigh the risks against the potential benefits..

Back in the Game patient stories

Hand Pain? You might have Cervical Radiculopathy

I’m having numbness and tingling in my hand. Sometimes there is pain that runs down my arm and shoulder. I thought I had carpal tunnel syndrome. Someone told me it could be coming from my neck. What does this mean?

Not all hand pain or numbness is coming from your carpal tunnel. You can also experience hand numbness caused by conditions in your neck.

Not all hand numbness is carpal tunnel syndrome. The symptoms you describe are typically caused from a nerve injury or irritation. The nerves that go to your arm start at your neck. If the nerve is being irritated or compressed at your neck, this is called cervical radiculopathy.

What causes cervical radiculopathy? I haven’t done anything to my neck.

The nerves that go to your arms exit the spinal cord through the spaces between bones in your neck. The bones have cushions between them called discs. A nerve can be compressed if the disc material is pressing on the nerve or if the bones develop spurs from arthritis, making the opening for the nerve small. Sometimes the joints in the spine can become inflamed and cause nerve irritation.

How can I tell if my symptoms are coming from my neck?

Let’s perform an experiment to see if we can figure it out.

• Notice what you feel in your arm right now. Is it numb? Tingling? Shooting pains? How intense is it?
• Now, look down at your left foot, then look down at your right foot. Any changes in how you feel? Better, worse or no different?
• Look up as if a bird flew over your left shoulder. Now, do the same for the right shoulder. Any change in how you feel? Better, worse or no different?

IF THE POSITION OF YOUR HEAD/NECK CHANGES HOW YOU FEEL IN YOUR HAND, THE PROBLEM COULD BE COMING FROM YOUR NECK. LET’S TRY ONE MORE THING.

Reach with one arm as if you are the driver of a car reaching behind the passenger seat. Is that better, worse or no different? What if you reach with the other arm in the same way? Any change in how you feel in your hand with that motion?

The nerves in your arm can be stretched by reaching motions and may indicate nerve irritation somewhere along their path – possibly at the neck or down your arm.

If you experience hand numbness, tingling, pain or weakness with motion of your neck or reaching behind you with your arm, an evaluation by a hand surgeon may help to identify if the source is from your neck. A certified hand therapist can teach you ways to reduce nerve compression and tension.

Contact BoulderCentre (303) 449-2730 for your hand therapy appointment with one of our specialists Sally Brown, Bridget Myers or Charla Stilling.

See all of BoulderCentre’s Physical Therapists.

To meet with one of our specialists contact BoulderCentre (303) 449-2730 and ask for Dr. Daniel Master.

Article courtesy of The Hand Care Society.

Signs Your Neck Pain Is Actually Cervical Radiculopathy: SamWell Institute for Pain Management: Interventional Pain Management Specialists

Your neck is a complicated part of your anatomy. It’s the hub of several nerve roots that branch out from your spinal cord and allow your shoulders, arms, and hands to feel and move. If those nerves become damaged or inflamed, you have a condition called cervical radiculopathy — the umbrella term used to describe changes in nerve function in your cervical, or neck, region.

Dr. Jay M. Shah at the Samwell Institute for Pain Management understands the complexities of cervical radiculopathy and can help you get to the bottom of your nerve pain. Using the latest technology in his state-of-the-art facilities, Dr. Shah accurately diagnoses the source of your nerve damage and designs a treatment plan to help you overcome chronic, debilitating pain. 

Understanding your neck nerves

Your spine is made up of 33 small bones called vertebrae, and they stack one on top of the next in a long line commonly known as the spinal column. The bottom section is called the lumbar region, the middle is the thoracic section, and the top part — your neck — is the cervical region. Each vertebra is numbered, and the cervical section contains C1-C8.

In order to give your extremities feeling and movement, the nerves rooted in your spine branch out from in between your vertebrae and travel throughout your body. You have eight pairs of cervical nerve roots. If you have an injury or develop a condition — such as degenerative disc disease, spinal stenosis, or a herniated disc — that puts pressure on those cervical nerves, you may feel the effects not only in your neck, but in the places where those nerves travel. 

Here are some of the signs and symptoms of cervical radiculopathy:

Head and neck pain

The C1-C3 cervical nerves control your head and neck. If you feel pain when you bend your neck forward or backward, or flex to bend it side-to-side, you may have a damaged nerve in the upper three sections.

Shoulder pain

The next cervical nerve, C4, is responsible for part of your neck, your upward shoulder movements such as shrugging and lifting, and your upper arms. It also partners with its neighbors, C3 and C5, to regulate your diaphragm. Pain in your shoulders may be attributable to a nerve in this area.

Bicep, wrist, thumb, and index finger pain

Reaching down the length of your arm, the C6 nerve affects the bicep muscle in your upper arm, your wrist, and the thumb side of your hand, which may include your index finger. Tingling or numbness in these areas may indicate cervical radiculopathy.

Triceps and middle finger pain

If your tricep (that large muscle on the back part of your upper arm) hurts, it could be a sign of cervical radiculopathy, as the C7 nerve controls that muscle. In fact, it runs all the way down to your middle finger, so if your symptoms show up there, it’s also a good indicator that C7 is involved.

Finger pain and weak grip

The last of the cervical nerves, C8, allows you to grasp things and flex your fist. If you feel a pins-and-needles sensation, a notable weakness, or a numbing in your fourth finger or pinky finger, or if you’ve been unable to grip things, C8 may be the culprit.

Treating cervical radiculopathy

Once Dr. Shah narrows down the source of your nerve pain, he can determine the best treatment plan. The first order of business is to relieve your pain, which may be accomplished through medications that reduce inflammation.

Then, Dr. Shah addresses the root cause of the nerve pain, whether it’s a herniated disc, spinal stenosis, or some other condition. Often times, physical therapy is enough to strengthen your musculoskeletal system and stop your chronic pain; other times, surgery is the best way to treat the problem once and for all. Other treatments include trigger point injections, epidural spinal injections, spinal cord stimulation,  traction, and manual manipulation.

If you’re experiencing pain in your neck, shoulders, arms, or hands, it might be cervical radiculopathy and we can help. Give us a call or use our online booking tool to schedule a consultation right away. You don’t have to live with the pain anymore. 

What Is Causing My Arm Numbness?

If you have pain or numbness in your arm or shoulder, this could be a sign that you have a condition called cervical radiculopathy. This is a condition that results from degeneration of the cervical spine, the section that is made up of the first seven vertebrae in your spine. The cervical spine is located in your neck, so the pain may initially come from your neck and radiate down your arm. Even without neck pain, you may experience pain in your shoulders and arms due to cervical radiculopathy.

With cervical radiculopathy, the pain or numbness that you experience is the result of a pinched nerve. The nerve branches off of the spinal cord and down your arm, so a problem at its root can result in a sensation of pain further down. Because the nerve is what causes you to feel sensation in your arm and shoulder and because it is also the means by which your muscles get the message to move, these faculties can also be blocked by radiculopathy. That is why, in addition to feeling pain, you may also experience numbness or muscle weakness.

How Did I Get Radiculopathy?

First Possibility: Herniated Disc

Cervical spine showing degeneration and spinal stenosis

A pinched nerve may be the result of a herniated disc in your neck. Normal movement of your neck is facilitated by vertebral discs, soft-tissue components that act as cushions or shock absorbers between your vertebrae. When you bend your neck, the discs compress slightly on that side and bulge slightly on the opposite side.

If you sustain a neck injury, the pressure may cause a vertebral disc to compress too much on one side. This may be the result of a fall, a car accident, or any other event that may cause your neck to move sharply and suddenly, putting sudden stress on a cervical disc.

When one side of the disc is injured, it can develop a crack. These fractures happen in the outer ring of the disc, which is a soft-tissue layer known as the annulus fibrosus. A fracture will often heal on its own, but the resulting scar tissue is much weaker than a healthy disc. Whether through the cracks itself or through the weakened scar tissue, if the outer band of the disc is breached, the center of the disc can also experience problems.

The center of the disc is called the nucleus pulposus. It is a gel-like component in the vertebral disc. If it is damaged, it can dryout. When the gel-like substance leaks out of fractures in the disc it can put pressure on the spinal cord or on the nerve roots. In addition to the pressure, the chemical content of the nucleus can irritate the nerves, resulting in inflammation. This may be the cause of your radiculopathy, and in turn, of the pain in your neck, shoulders, or arms.

Treatment for a Herniated Disc

Most of the time, surgery will not be required to fix your herniated disc and relieve your radiculopathy. Your doctor may either recommend over the counter pain medication or prescribe stronger medication for severe pain. These may be anti-inflammatories or muscle relaxants. A few days of hot/cold therapy may also relieve the pain caused by a herniated disc.

In addition to these non-surgical treatments, your doctor may also send you to a physical therapist. He or she will give you exercises to massage and stretch your neck muscles. This will relieve pain and increase the flexibility of your neck. Temporary neck bracing or traction may also be recommended to stabilize your neck.

Surgery may be necessary for serious injuries as well as herniated discs that do not respond well to non-operative treatments. The most common surgery to treat this problem is a cervical discectomy. This is usually done from an incision in the front, or anterior, of the neck. The herniated disc is partially or completely removed. This relieves the pressure on the spinal cord or the nerve.

The resulting empty space between the vertebrae may be filled with a bone graft, which will then naturally fuse the vertebrae together as the body heals during recovery.

How Did I Get Radiculopathy?

Second Possibility: Cervical Spondylosis

If you have not suffered a neck injury, your radiculopathy may not be the result of a herniated disc. The cause may be arthritis in your neck. This is officially known as cervical spondylosis. This is a disease related to osteoarthritis and occurs most commonly in elderly adults. In fact, over 90 percent of adults who are aged 65 and older show signs of cervical spondylosis and osteoarthritis.

Cervical spondylosis occurs when the wear and tear that you experience as you age affects the vertebral discs. Instead of a sudden injury, the effects of time make the annulus fibrosus crack or fracture. As the nucleus pulposus dries up and the disc shrinks, the vertebrae around the disc move closer together. This causes the facet joints of the vertebrae to rub together.

When the bones rub against each other without the soft cushion of the cervical disc between, bone spurs may develop. This is the body’s natural reaction to the degeneration occurring within your neck, as it tries to shore up the spine by creating more bone. The spurs may then pinch the nerve roots or the spinal cord, resulting in radiculopathy.

Treatment for Cervical Spondylosis

Cervical plate used in an ACDF procedure

As with a herniated disc, your doctor may first recommend non-surgical treatment plans. You may first have a period of bed rest, accompanied by medication to help ease your pain. A cervical collar or a brace may be worn to support your neck and keep you from further aggravating the pain. Then, gradually, your doctor will have to return to normal activity.

As you begin to move your neck and return to your daily routine, your doctor may also recommend physical therapy. A therapist can help you to gain better habits through posture exercises. He or she will also direct you into exercises that will stretch and strengthen your muscles. Hot/cold therapy may also help.

If the treatment plan including pain management, bracing, and exercise does not suffice, you may have to have a surgery in your cervical spine. Often, the most effective surgery is an ACDF, which stands for anterior cervical discectomy and fusion. This approach is done through an incision in the front (anterior) of the neck.

The disc that has been degenerated by arthritis will be removed. A bone graft will fill in the empty space and keep the vertebrae from compressing any further. Then, by using instrumentation such as screws, hooks, or a metal plate, the spine will be stabilized. Over time, the vertebrae will fuse together.

​Neck problems – Muscle, bone and joint injuries

Neck problems can cause a range of symptoms including pain (which may go down your arm), stiffness and pins and needles/numbness in your arm or hand.

In many cases, new or flare-up of long-standing neck problems should begin to settle within 6 weeks without the need to see a healthcare professional.

When to seek help

Speak to a healthcare professional as soon as possible if:

• feel numbness, pins and needles or weakness that is worsening in one or both arms
• have problems with your balance or walking since your neck pain started
• develop blurred vision, ringing in your ears or dizziness that doesn’t go away within 48 hours

What causes neck problems?

Neck problems are normally caused by an accident or normal age-related changes. They can also start for no obvious reason.

Neck problems are rarely due to any serious disease or damage.

Can this cause problems anywhere else?

Your neck problem can sometimes cause hot, burning, shooting, or stabbing in your shoulders or into one or both of your arms. This can be due to nerve pain.

Neck pain can also cause headaches.

Self-help

Keeping active is an essential part of your treatment and recovery and is the single best thing you can do for your health.

Being physically active can:

• maintain your current levels of fitness – even if you have to modify what you normally do, any activity is better than none
• keep your other muscles and joints strong and flexible
• prevent a recurrence of the problem
• help you aim for a healthy body weight

Avoid sports or heavy lifting until you have less discomfort and good movement. Remember to warm up before sports.

Exercises to help with neck problems

Resting or moving?

After a neck problem you should:

• keep moving, even if you move slowly at first
• move your neck for short periods every hour
• change positions regularly where ever you are – try to find a position that reduces any pains you may have in your neck and/or arm(s)
• try to stay active but remember not to carry out activities which aggravate any pains you may have in your neck and/or arm(s)
• check your pillow isn’t too firm or your mattress too soft – this can make your neck problem worse
• do whatever you normally would and stay at, or return to work – this is important and the best way to get better

Use of a collar isn’t recommended.

Pain treatments

The following can help to reduce the pain:

• Pain medication – this can help you move more comfortably, which can help your recovery
• Heat packs

Speak to your community pharmacist or other healthcare professional about taking medication. It’s important to take medication regularly.

More about taking painkillers

Work

It’s recommended you stay at or return to work as quickly as possible during your recovery. You don’t need to be pain or symptom-free to return to work.

Help and support

If, after following the above advice, your neck problem hasn’t improved within 2 weeks a referral from your local health professional to a physiotherapist may be of benefit.

Physical Therapy Guide to Cervical Radiculopathy

ChoosePT Guide

Cervical radiculopathy is often referred to as a pinched nerve in the neck. It is defined by pain that may radiate (extend) from the neck to the shoulder, shoulder blade, arm, or hand. Weakness and lack of coordination in the arm and hand also can occur. The condition affects about 85 out of 100,000 people, and most often occurs in people in their 50s. It often develops from repeated irritation rather than a single injury. Athletes, heavy laborers, and workers who use vibrating machinery are commonly affected. People who sit for long periods, or those with arthritis in the neck region, also may be affected.

Conservative care, including physical therapy, can help reduce symptoms. A physical therapist can help relieve the acute neck and arm symptoms that result from the condition. They also can help people improve general strength and function. Most cases resolve with physical therapy and do not require surgery.

Physical therapists are movement experts who improve quality of life through:

• Hands-on care.
• Patient education.
• Prescribed movement.

You can contact a physical therapist directly for an evaluation. To find a physical therapist in your area, visit Find a PT.

Find a PT Near You!

What Is Cervical Radiculopathy?

Cervical radiculopathy occurs when a nerve root near the spinal cord in the neck becomes compressed. This can be caused by:

• Arthritis and/or wear and tear of discs with age.
• Herniated or bulging discs from trauma or degeneration (decline over time).
• Narrowing of the spaces in which the nerves travel (spinal stenosis).
• Tumors (cancerous or benign) that impinge (touch or put pressure on) the nerve root.

The cervical spine consists of seven vertebrae (the bones that form the neck region). Each vertebra is separated by a gel-like disc that provides shock absorption for the spine. The spinal cord connects to the brain and travels down through a canal in the vertebrae. Cervical spinal nerve roots branch off the spinal cord and go to specific locations in the arm. Cervical spinal nerves send signals from the brain to the arms to move. They also enable feeling in the limb. The spinal cord is like a tree trunk, and the spinal nerves are like the tree branches. If there is abnormal pressure on a branch near the trunk, everything along that branch will be affected.

When the spinal nerves are impinged (or have pressure put on them), they cannot properly transmit messages from the brain to the muscles. Impinged nerves also will cause altered or absent sensation (feeling) in the arm along the route the nerve travels. This is why a pinched nerve in the neck can cause pain, weakness, and loss of feeling in the arm.

How Does It Feel?

Symptoms of cervical radiculopathy vary depending on the nerve root involved. Typically, symptoms occur on the same side of the body as the affected nerve and may include:

• Pain that is described as “sharp,” “pins and needles” or a “popping sensation” in the neck region.
• Pain in the neck, shoulder blade, shoulder, upper chest, or arm. Pain also can radiate (branch out) into the fingers following the path of the involved nerve root.
• A dull ache, numbness/tingling, or an electrical sensation anywhere along the pathway of the nerve.
• Weakness in the shoulder, arm, or hand.
• Pain that worsens with certain neck movements. Often looking toward the ceiling and over the shoulder causes or increases pain.
• Symptoms that improve when the arm is lifted over and behind the head. This movement relieves tension on the spinal nerve.

Symptoms may be specific to the nerve root involved. Examples of the nerve root location and related symptoms include:

• C5 nerve root (between cervical vertebrae C4-C5):
• Weakness in the deltoid muscle (front and side of the shoulder) and upper arm.
• Shoulder pain and numbness along the outside of the upper arm.

• C6 nerve root (between cervical vertebrae C5-C6):
• Weakness in the bicep muscle (front of the upper arm) and muscles that extend the wrist.
• Numbness on the thumb side of the forearm and hand.

• C7 nerve root (between cervical vertebrae C6-C7):
• Weakness in the triceps muscle (the back of the upper arm) and muscles that curl the wrist.
• Numbness and tingling in the back of the arm and the middle finger of the affected hand.

• C8 nerve root (between vertebrae C7-T1):
• Weakness with hand grip.
• Numbness in the little finger and inside of the forearm.

The most common nerve root levels for this condition are C6 and C7.

How Is It Diagnosed?

Your physical therapist will conduct a thorough evaluation. This will help them determine all the factors that may contribute to your condition. Cervical radiculopathy often develops from repeated irritation rather than a single injury. Your physical therapist will begin by asking questions to gather information about your:

• Health history.
• Condition.
• Activities.

They may be helped by forms you fill out before your first session. The interview will become more specific to the symptoms of cervical radiculopathy. Your physical therapist may ask you questions such as:

• How did your injury occur?
• How have you taken care of the condition, such as seeing other health care providers?
• Have you had imaging (X-ray, MRI) or other tests and received their results?
• What are your current symptoms, and how have they changed your typical day and activities?
• Do you have pain, and if so, what is the location and intensity of your pain?
• Does the pain vary during the day?
• Do you have trouble doing any activities?
• What activities are you unable to do?
• What movements cause you pain?
• Are there any ways you reduce the level of your symptoms?

This information helps your physical therapist better understand what you are experiencing. It also determines the course of your physical exam.

The physical exam will vary depending on your interview. Most often it will begin with observing the region of your symptoms and any movements or positions that cause pain. Your physical therapist also may examine other nearby areas. The physical exam may include:

• Gently testing the movement of your neck and arms.
• Checking your tendon reflexes and strength.
• Conducting special tests on your neck and upper extremity. These tests will help detect which spinal nerve root(s) may be involved and rule out other conditions.

To confirm the diagnosis, your physical therapist may team with an orthopedic doctor or other health care provider. Your doctor may order further tests, such as:

• X-rays.
• Magnetic resonance imaging. An MRI can show soft tissues, including the spinal cord and nerve roots. It also can identify what is causing the nerve compression (such as ruptured or bulging discs).
• An EMG measures the nerve and muscle function. This test can tell how well your spinal nerves communicate to your muscles.

If surgery is needed, a physical therapist can work with you to help you recover and improve function after surgery.

How Can a Physical Therapist Help?

Physical therapy is an effective treatment for cervical radiculopathy. In many cases, physical therapy completely resolves symptoms. Your physical therapist will develop a treatment plan specific to your condition. It will be based on the findings of your initial evaluation. Your treatment plan may include:

Posture education. Posture education is an important part of helping you get better. Your physical therapist may suggest adjustments to your workstation and work habits. The goal of any change is to promote good posture and protect your neck. In the early stages of recovery this may mean sitting only 15 to 20 minutes at a time. They also will instruct you on how to safely bend, reach, and lift throughout the day. Proper posture will ensure that you place the least amount of pressure on your spinal discs.

Pain management. The first goal is to reduce the pain and inflammation in the area. Ice applied to the neck and shoulder blade area during the first 24 to 48 hours after pain begins can help reduce inflammation. Moist heat can be used after 48 hours to help the surrounding muscles relax. Your physical therapist may advise you to wear a soft cervical collar for short periods throughout the day. This will allow your neck muscles to relax. They also may recommend you use a contoured pillow to support your neck for more comfortable sleeping.

Manual therapy. Your physical therapist may use hands-on therapy, such as manual cervical traction. This will relieve pressure in the neck area. Traction can help provide immediate relief from pain and arm numbness. Your physical therapist also may gently massage the muscles of your cervical spine and shoulder blade area. This helps your muscles relax and improves circulation to promote healing and pain relief.

Range-of-motion exercises. Your physical therapist will teach you gentle neck mobility exercises. These will help to relieve your symptoms and allow you to return to normal movement. As you begin recovery, it is important that none of these exercises increase your arm pain. If they cause pain, describe your symptoms accurately to your physical therapist. If you spend many hours sitting at a desk during your workday, your neck may become stiff. Your physical therapist also will teach you gentle neck stretches. These stretches will reduce pressure on your neck from too much sitting, to help improve movement.

Strengthening exercises. Your physical therapist will help you determine which muscle groups need to be strengthened. Exercises will be based on which spinal nerves are involved in your case. When pain no longer extends down your arm, you may begin more aggressive strengthening exercises. Neck stability (strengthening) exercises also will be performed. You also will receive a home-exercise program. This will help you continue to strengthen your neck, shoulder, arm, and upper back long after formal physical therapy has ended.

Functional training. As your symptoms improve, your physical therapist will work on functional exercises. These exercises will help you return to your job, sport, or other daily activities. If your job requires certain tasks, your physical therapist will teach you ways to do them to reduce undue stress on your neck. This may include instructions for:

• Overhead reaching.
• Pushing.
• Pulling.
• Managing long periods of sitting.

Can This Injury or Condition Be Prevented?

Your physical therapist will educate you on how best to prevent cervical radiculopathy from recurring. Your instructions may include guidance on:

• Maintaining proper posture. Sitting in a proper position while at your desk or in the car helps you keep ideal spinal alignment. It also reduces abnormal forces on the cervical spine. Your physical therapist may recommend changes to your chair to help with alignment.
• Workstation setup. It is important to set up your desk or workstation to minimize undue forces on the spine. Your physical therapist may advise you to make some changes to your work environment, such as:
• Using a hands-free phone.
• Adjusting your computer monitor to avoid excessive twisting or extending of your neck.
• Setting up your desk and chair properly for your height.

• Exercise. Your physical therapist may provide you a home-exercise program to help you maintain:
• Flexible spinal muscles.
• Range of motion.
• Strength in your neck, upper body, middle back, and core.

• Activity modification. Your physical therapist will provide information on sport, leisure, and/or repetitive activities. They may recommend changes or suggest activities that are least likely to make your neck condition worse.
• Maintaining a healthy weight. Keeping a healthy weight helps to reduce excess forces on the spine that can lead to neck strain.

What Kind of Physical Therapist Do I Need?

All physical therapists are prepared through education and experience to treat cervical radiculopathy. You may want to consider:

• A physical therapist with an orthopedic or musculoskeletal focus. This physical therapist usually has more experience treating people with cervical radiculopathy.
• A physical therapist who is a board-certified clinical specialist or completed a residency or fellowship in orthopedics, spinal, or manual physical therapy. This physical therapist has advanced knowledge, experience, and skills that may apply to your condition.

You can find physical therapists who have these and other credentials by using Find a PT, the online tool built by the American Physical Therapy Association. This tool can help you search for physical therapists with specific clinical expertise in your geographic area.

General tips when you are looking for a physical therapist (or any other health care provider):

• Get recommendations from family, friends, or other health care providers.
• When contacting a physical therapy clinic for an appointment, ask about the physical therapists’ experience in helping people who have an underlying spinal diagnosis, including cervical radiculopathy.
• During your first visit with the physical therapist, be prepared to describe your symptoms in as much detail as possible and say what makes your symptoms worse.

Further Reading

The American Physical Therapy Association believes that consumers should have access to information to help them make informed health care decisions and prepare them for their visit with a health care provider.

The following resources offer some of the best scientific evidence related to physical therapy treatment for cervical radiculopathy. They report recent research and give an overview of the standards of practice both in the United States and internationally. They link to a PubMed* abstract, which may also offer free access to the full text, or to other resources. You can read them or print out a copy to bring with you to your health care provider.

Romeo A, Vanti C, Boldrini V, et al. Cervical radiculopathy: effectiveness of adding traction to physical therapy-a systematic review and meta-analysis of randomized controlled trials. Phys Ther. 2018;98(4):231–242. Article Summary in PubMed.

Bier JD, Scholten-Peeters WG, Staal JB, et al. Clinical practice guideline for physical therapy assessment and treatment in patients with nonspecific neck pain. Phys Ther. 2018;1;98(3):162–171. Article Summary in PubMed.

Thoomes EJ, van Geest S, van der Windt DA, et al. Value of physical tests in diagnosing cervical radiculopathy: a systematic review. Spine J. 2018;18(1):179–189. Article Summary in PubMed.

Childress MA, Becker BA. Nonoperative management of cervical radiculopathy. Am Fam Physician. 2016;93(9):746–754. Article Summary in PubMed.

Medscape. Cervical radiculopathy. Medscape website. http://emedicine.medscape.com/article/94118-overview. Updated October 8, 2018. Accessed February 10, 2021.

Medscape. Cervical radiculopathy clinical presentation. Medscape website. https://emedicine.medscape.com/article/94118-clinical. Updated October 8, 2018. Accessed February 10, 2021.

*PubMed is a free online resource developed by the National Center for Biotechnology Information. PubMed contains millions of citations to biomedical literature, including citations in the National Library of Medicine’s MEDLINE database.

Revised and reviewed in 2020 by Lisa Noceti-DeWit, PT, DPT, ATC, board-certified clinical specialist in orthopaedic and sports physical therapy, and Stephen F. Reischl, PT, DPT, board-certified clinical specialist in orthopaedic physical therapy, on behalf of the Academy of Orthopaedic Physical Therapy. Authored in 2014 by Julie A. Mulcahy, PT.

90,000 Shoulder and neck pain – causes, treatment and prevention

Views: 112 263

Date of last update: 29.06.2021

Average Read Time: 2 minutes

Contents:

What triggers neck pain
Motrin® for pain and neck

One of the most common causes of neck and shoulder pain is muscle pain in these areas.Well-coordinated work of the back muscles is essential for the proper functioning of the spine. They allow a person to keep the neck and back in an upright position, fix the vertebrae together, which allows the body to unbend, bend and turn, and also help to maintain the natural curvature of the spine, the violation of which will negatively affect the functioning of internal organs.

What causes neck pain

Spasms of the muscles of the upper back and muscles of the neck can occur due to trauma, physical strain, such as improper posture.Sleeping on an uncomfortable pillow can also cause pain in the shoulders and neck. Usually this condition is manifested by painful sensations, limitation of neck mobility. The pain usually goes away within six weeks. To speed up the process, you can do special exercises, and it is also necessary to eliminate the cause of the painful sensations.

The provoking factors include:

• long-term stay in the same position of the body;
• the habit of slouching, holding your back incorrectly while working and walking;
• overweight;
• hypothermia;
• exacerbation of chronic diseases;

90,036 injuries;

• pathology of the spine;
• Wearing tight, uncomfortable shoes with high heels;
• uncomfortable position of the body during sleep.

Up to table of contents

Motrin® for pain and neck

Motrin ^® belongs to modern pain relievers with anti-inflammatory action. One of the advantages of the application is the long-term analgesic effect – up to 12 hours ¹ .

The drug has a proven clinical efficacy and a high safety profile.

Motrin® is available in the form of tablets that can be used by adults and children over 15 years of age.Read the instructions before use.

Up to table of contents

The information in this article is for reference only and does not replace the professional advice of a physician. Consult a qualified professional for diagnosis and treatment.

1 – Frick et al. Efficacy and safety of naproxen sodium and ibuprofen for pain relief after oral surgery.Ongoing Therapeutic Research. 1993; 54 (6): 619-27.

90,000 Why does the neck hurt? Find out how to get rid of pain

Pain in the neck suffers from 80% of the inhabitants of megalopolises.

Biomechanical features of the cervical spine are that the neck bears the entire load of the shoulder girdle and provides head mobility.

The muscles of the neck never rest during the day, therefore, they require good tone and elasticity from their owner. It is the constantly overworked muscles, rich in pain receptors, that are the causes of neck pain, headache, pain in the shoulder, scapula and hand.

Frequent vegetative symptoms of cervical pain : dizziness, nausea, increased blood pressure, tachycardia.

Also known neuropsychological symptoms of pain : decreased mood, sleep disturbance, irritability.

Prolonged cervical pain can become chronic and be complicated by a herniated disc. The latter often requires neurosurgical intervention.

Which doctor is the best to go to?

Neurologists, orthopedists, kinesiotherapists, manual therapists (doctors) are engaged in the treatment of neck pain.At the first visits, it is important to establish the underlying cause of the pain and make a diagnosis, according to which a treatment plan is prescribed.

Main causes, diseases and treatment tactics for neck pain

Overworked muscles, muscle spasm, myofascial pain syndrome . Maybe with prolonged sedentary work, an uncomfortable bed, an incorrectly selected training complex, with stress, prolonged emotional stress, etc. The problem is solved, as a rule, with the help of massage or manual therapy, situational wearing of a bandage, correction of a set of exercises.

Osteochondrosis, protrusion – degenerative changes in the joints, in particular in the intervertebral discs, which in turn lead to other disorders of the musculo-ligamentous apparatus and blood circulation and cause pain.

Hernia (intervertebral disc, Schmorl) – can cause pain and motor impairment when the nerve roots are compressed. Treatment is selected depending on the degree of the problem.

Features of the structure of the spine (scoliosis, lordosis).These features create an additional load on the musculo-ligamentous apparatus, so it is important to regularly and correctly compensate for this load. And in the case of periodic acute pain, drug blockades (injections), massage and physiotherapy are used.

Consequences of trauma (fracture, dislocation), distortion – can create additional stress on the musculo-ligamentous apparatus. Here it is important to restore the damaged functions as much as possible, compensate for the lost ones and develop an exercise regimen.And in case of periodic acute pain, drug blockades (injections), massage and physiotherapy are used

Chronic fatigue, stress – most often cause tightness in the shoulder girdle, which leads to muscle spasm, pinching of nerve roots, impaired blood circulation, and against the background of general fatigue and emotional exhaustion, the inflammatory process and pain syndrome are triggered.

Neoplasms, vascular lesions, infections, articular lesions , which lead to gradual dysfunction, pinching, spasms, etc.p.

Treatment tactics for neck pain

Medical logistics should be structured as follows. For any pain in the neck, it is necessary to consult a neurologist (neuropathologist) or orthopedist to establish a diagnosis and receive preventive recommendations. If the pain is tolerable and has been present for more than two to four weeks, one or two visits to a specialist is usually sufficient.

Unfortunately, patients with chronic neck pain mainly come to our Medical Center, which requires a comprehensive examination (X-ray, MRI, blood tests) and longer treatment, which is usually always successful.The essence of the therapy is drug treatment, manual therapy, massage, trigger point mesotherapy (if necessary). The main emphasis is placed on individual rehabilitation in order to form the correct ergonomic posture and prevent exacerbations.

Manual therapy for neck pain

It is especially important that the manipulations with the cervical spine are performed by a doctor, a specialist with a higher medical education. Such qualifications as manual therapy are possessed by neurologists (neuropathologists), vertebrologists and orthopedists.

PRICE OF CONSULTATION OF A PRIVATE NEUROLOGIST

When first contacting our Medical Center, a neurologist or orthopedist performs a full neurological examination, starts a patient’s medical record. Such a inspection lasts up to 45 minutes . If the need arises (and there are no contraindications), the doctor uses gentle manual correction techniques, which are included in the cost of the consultation.

Cost of initial consultation with a neurologist * 650 UAH

Cost of repeated consultation 610 UAH

The doctor may recommend a course of several manual therapy sessions.In this case, the cost of one manual therapy session will be 480 UAH.

Entrust your neck treatment to our specialists!

Brachial nerve neuritis

Brachial nerve neuritis

A condition of sudden pain in the shoulder and arm, accompanied by weakness or numbness. Caused by inflammation of the brachial plexus, which is formed by a combination of nerve roots extending from the cervical spine into the cervix. Intense pain usually subsides within a few days, but is followed by some numbness and weakness in the arm and / or shoulders, which is non-conductive for several months.

Causes of occurrence:
1. Autoimmune disorders, in which body tissues mistakenly attack the immune system. Sometimes these disorders can affect the nerves.
2. Brachial plexus neuritis passing through the holes in the cervical spine. These endings can get injured (falls, wounds, sports injuries)
3. Tumors in the neck or upper shoulder, compressing the cervical nerves. Lead to intense pain, muscle weakness and numbness in the brachial nerve.
4. Some babies are born with abnormalities of the humerus due to trauma during childbirth.
5. Hereditary neuralgic amyatrophy is a rare genetic disorder.

Risk factors:
1. Inappropriate or insufficient treatment of a past shoulder injury.
2. Poisoning and chronic intoxication of the body (alcohol, drug addiction, smoking, liver or kidney failure).
3. Foci of chronic infection in any part of the body.
4. Congenital or acquired impairment of immunity.
5. Autoimmune disorders in which the body’s defense system attacks healthy tissues.
6. Cardiovascular and metabolic diseases that negatively affect tissue blood supply (arterial hypertension, atherosclerosis and diabetes mellitus).
7. Poor family history.

Typical complaints with neuritis:
– tingling in the limbs;
– numbness in the arms and legs;
– weakness in the limbs with a feeling of heaviness;
– fluctuations in blood pressure;
– thinning of the skin;
– profuse sweating.

90,000 Exercise after neck surgery

This information will teach you how to do neck and shoulder exercises after neck surgery.

to come back to the beginning

On Exercise After Neck Surgery

After surgery, you may have a feeling of stiffness and weakness in the neck and shoulder on the side of the surgery. The exercises in this resource will help you strengthen your neck and shoulder muscles and make them more flexible. This will help you regain range of motion and performance in your neck and shoulder.

It’s important for your recovery to start doing these exercises when your doctor prescribes them.It also affects how well your shoulder and neck will perform in the future.

If you feel pain, nausea, dizziness, swelling, or discomfort while doing these exercises, stop the exercise and call your doctor.

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Tips for everyday life

During your recovery, it may be more difficult for you to go about your daily activities. The tips below should help you.

• Maintain good posture: the shoulders are laid back and relaxed, the head is slightly tilted back.
  This will help relax your pectoral muscles and take stress away from your neck and shoulder muscles.
• If you feel weak on the side of the surgery, rest your hand on a table or armrest when you are seated. When standing, rest your hand on the operated side of your hip or keep it in your pocket to relieve the pressure of that hand on your shoulder. This will take the strain off your muscles and other parts of your neck and shoulder.
• While sleeping, lie on your back as much as possible. If you need to lie on the non-surgical side, you can place your hand on the operated side on the pillow in front of you to avoid accidentally pulling on your shoulder. Do not lie on the operated side until your doctor or nurse tells you to.
• Do not lift or carry anything heavier than 3 pounds (1.4 kg) on ​​the operated side until you are no longer in pain. For comparison, an iron weighs approximately 3 pounds (1.4 kg) and a 1/2 gallon bottle of milk (approximately 2 liters) weighs 4 pounds (1.8 kg).Check with your doctor or nurse before lifting or carrying anything over 3 pounds (1.4 kg).
• Refrain from carrying a heavy briefcase on a shoulder strap or a bag on the affected side. Check with your doctor or nurse before wearing a backpack or knapsack.

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Exercise Tips

Exercise after neck surgery can help you recover faster.Follow these tips as you exercise.

• Breathe normally while exercising and do not hold your breath.
• Exercise slowly and smoothly. Avoid fast, jerky movements.
• You can exercise in front of a mirror to monitor your posture.
• Stop exercising immediately and call your doctor if it causes pain or discomfort, or if you experience nausea, dizziness, or swelling.

to come back to the beginning

Exercises

This section describes the exercises you should do after your neck surgery. Only begin these exercises when your doctor or nurse confirms that it is safe and that your incision has healed well enough.

Do these exercises at least twice a day for three months. If you can move your shoulder and your neck is fully mobile before three months, ask your doctor if you can stop exercising.If after three months you are still unable to move your neck or shoulder, tell your doctor.

Figure 1. Turns to stretch the neck

Twist to stretch the neck

1. Gently turn your head so that you are looking to the right.
2. Place your right hand on your left cheek and jaw. Press lightly on your head with your hand to stretch your neck muscles more (see Figure 1).
3. Lower your head down and turn to the left.
4. Place your left hand on your head and gently push (see Figure 1).
5. Repeat 10 times. Then repeat this movement in the other direction 10 times.

Figure 2. Chin retraction

Chin suction

1. Sit or stand with your back and head against the wall to maintain correct posture.
2. Tuck in your chin and try to press the back of your neck against the wall (see.Figure 2).
3. Return to starting position.
4. Repeat 10 times.

Figure 3. Lateral neck stretch

Lateral Neck Stretch

1. Sit or stand and extend your right arm downward.
2. Place your left hand on your head.
3. Gently pull your head down and to the left to stretch the muscles on the right side of your neck.Figure 3).
4. Hold this position for 30 seconds, then release.
5. Repeat 5 times.
6. Repeat these movements on the other side of the neck.

Figure 4. Shrug

Shoulder Shrug

1. Raise your shoulders up towards your ears (see figure 4).
2. Put them down.
3. Repeat 10 times.

Figure 5. Circular arm movements

Circular hand movements

1. Sit or stand with your arms at your sides, palms facing forward, thumbs pointing toward the ceiling.
2. Raise your arms up and turn them in a circle backward (see Figure 5).
3. Return to starting position.
4. Repeat 10 times.

Figure 6. Abduction of the arms and shoulders back

Abduction of the arms and shoulders back

1. Stand or sit with your arms extended in front of you, thumbs up.
2. Extend your arms to the sides while bringing the shoulder blades together (see Figure 6).
3. Return to starting position.
4. Repeat 10 times.

Figure 7. Stretching the pectoral muscles in the doorway

Stretching the pectoral muscles in the doorway

1. Stand in the doorway.
2. Place your forearms and hands on the sides of the doorway at shoulder level (see Figure 7).
3. Gently step forward until you feel a slight stretch in your chest and front of your shoulders.Keep your back straight, shoulders and neck relaxed.
4. Hold this position for 30 seconds.
5. Return to starting position.
6. Repeat 5 times.

Figure 8. Lowering the jaw

Lowering the jaw

1. Sit or stand in front of the mirror to see your face.
2. Place the tip of your tongue behind your upper teeth.
3. Slowly lower the lower jaw to open the mouth, keeping the tongue against the palate (see Figure 8).
   Look in the mirror and make sure to open your mouth straight, do not move your jaw from side to side.
4. Close your mouth.
5. Repeat 10 times.

Figure 9. Diaphragmatic breathing

Diaphragmatic breathing

1. Lie on your back or sit in a chair with a back.
2. Place one or both hands on your stomach (see Figure 9).
3. Inhale slowly and deeply through your nose. The abdomen should rise, but the upper chest should remain still and relaxed.
4. Exhale slowly through your mouth. As you exhale, slowly and gently pull your stomach up to your spine.
5. Repeat 10 times.

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Cervical hernia: symptoms, diagnosis, treatment of cervical hernia

The most common cause of pain in the neck, shoulder and upper extremities is a herniated disc of the cervical spine.Symptoms may include dull or sharp pain in the neck or between the shoulder blades, pain radiating to the arm, and numbness and tingling in the shoulders or arms. Certain positions or movements in the neck can make the pain worse. In some patients, a herniated cervical disc can compress the spinal cord. This is a more serious condition and may require a more aggressive treatment plan. Symptoms of spinal cord compression include gait disturbance (clumsy gait, stumbling), difficulty performing precise arm movements, numbness and tingling sensations in the body and legs, and pelvic dysfunction.

Anatomy of a normal cervical disc

Between each vertebra there is a disc, which is a strong, resilient, shock-absorbing cushion. Each disc consists of an annulus fibrosus that encloses a gelatinous substance called nucleus pulposus. Nerve roots exit the spinal canal through small passages between the vertebrae and the disc. Pain and other symptoms are caused when a damaged disc presses on a nerve root or spinal cord.A hernia of the cervical disc occurs when the annulus fibrosus ruptures, while the nucleus pulposus extends beyond its limits.

Causes of cervical disc herniation

Many factors increase the risk of disc herniation. These include:

• poor lifestyle (tobacco smoking, lack of constant exercise, inadequate and inadequate nutrition, strongly affecting poor disc health;
• age and changes in natural biomechanics lead to a decrease in disc nutrition, its gradual drying, reducing its strength and elastic properties;
• Incorrect posture with incorrect body mechanics can increase the stress on the cervical spine.

Combining these factors with the effects of daily wear and tear, damage and improper lifting, it will be easy to understand why a herniated disc develops. Herniation can occur suddenly, or gradually over weeks and months.

Stages of disc herniation

1. Disc degeneration: A chemical change with age leads to a weakening of the disc.
2. Prolapse: disc shape with slight bulging into the spinal canal.Also called protrusion.
3. Extrusion: The nucleus pulposus of the disc extends beyond the annulus fibrosus but remains associated with the disc.
4. Sequestration: the nucleus pulposus extends beyond the annulus fibrosus and is located in the spinal canal separately from the disc.

Localization of the cause of pain

Not every disc herniation can cause pain. Some people are diagnosed with herniated discs after magnetic resonance imaging for other conditions.

In most cases, symptoms cause the patient to seek medical attention. A visit to the doctor is usually accompanied by a routine and neurological examination, an x-ray, computed tomography and / or magnetic resonance imaging are performed to verify the extent and location of the disease.

Conservative (non-surgical) treatment of cervical disc herniation

Most patients do not require surgery. Drug therapy includes anti-inflammatory drugs to reduce inflammation and swelling, muscle relaxants to reduce muscle spasm, and strong analgesics to reduce intense pain.Mild to moderate pain is treated with non-steroidal anti-inflammatory drugs (NSAIDs). They eliminate inflammation and pain. Physiotherapy may be prescribed, which includes a combination of non-surgical treatments to relieve pain and increase range of motion (cold and heat therapy, gentle massage, neck traction, etc.).

Surgical treatment of cervical disc herniation

The operation can be performed when conservative treatment does not reduce the severity of symptoms and compression of the spinal cord is expected.Disc removal may be performed to relieve nerve compression and neck pain. This procedure is usually performed anteriorly and is called anterior discectomy. Sometimes compression can be removed from the posterior incision. These operations can be performed using minimally invasive techniques. Minimally invasive surgery does not require large incisions, but rather is performed through small incisions using fine specialized instruments and devices such as a microscope and endoscope.

Prevention

Age-related degenerative changes are inevitable, but lifestyle changes can help prevent or delay the onset of cervical disc disease. Risk factors include poor posture and body biomechanics, weak neck muscles, smoking, and being overweight. Lifestyle changes will help keep your spine healthy.

90,000 Neck pain – Articles

• Pain and crunch in the neck, inability to turn the head to the side or tilt to the shoulder
• Headache, especially in the back of the head
• Pain in the shoulder girdle, in the shoulder joints, in the arms
• Numbness of the hands, even one finger of the hand
• Decreased vision, especially rapidly progressive, unilateral, as well as the presence of a “veil” in front of the eyes, blurred vision
• Numbness of the face, feeling of “goose bumps” on the skin of the face and hands
• Sensation of a lump in the throat and choking, appearing with excitement and fatigue and not associated with endocrine pathology
• Dizziness, appearing or worsening with a sharp turn of the head, unsteadiness of gait
• Distracted attention, memory impairment, inability to concentrate on one task
• Hearing impairment, especially unilateral; tinnitus, worse when turning the head
• Signs of increased intracranial pressure detected during other examinations
• Blood pressure surges, poorly corrected by antihypertensive drugs

You will be surprised, but even a deterioration in the condition of the hair and an increase in the number of small wrinkles on the face and hands indicate the need to visit a neurologist! The address of our clinic: St. Petersburg, st.Bolshaya Raznochinnaya, 27 m.Chkalovskaya

The neck often suffers from drivers (the more time a person spends behind the wheel, the more pronounced the symptoms), office workers (affected by prolonged static load), students (sit incorrectly in class, carry heavy bags with textbooks on one shoulder), athletes (especially sports related to jumping and weight lifting). Lovers of high heels suffer – with every centimeter of heel height, the load on the neck increases several times.

The specialists of our department will quickly and painlessly determine the presence of problems in the cervical spine, using the latest methods of hardware diagnostics, as well as using classic manual diagnostic techniques and author’s techniques, including therapeutic massage, manual therapy. At the osteopath’s appointment, you can find an effective way to treat neck pain. We will offer you effective procedures that will allow you to get rid of neck pain in the shortest possible time.

Address of our clinic: St. Petersburg, st. Bolshaya Raznochinnaya, 27 m.Chkalovskaya

90,000 Cervical Spondylosis: Does Home Treatment Work?

Cervical spondylosis is a condition that occurs with age and affects the discs and joints of the cervical spine located in the neck. Another name for cervical spondylosis is “cervical osteoarthritis” or arthritis of the neck. The development of cervical spondylosis begins with wear and tear of cartilage and bones.This condition is closely related to age, but it can also be caused by other reasons. Cervical spondylosis is observed in more than 90% of people over 50 years of age. Symptoms differ from person to person, some may not experience symptoms, while some may experience severe pain and stiffness. Cervical spondylosis also has its respective home remedies, and these remedies are easy to use and apply to relieve pain.

Causes of cervical spondylosis

The causes of cervical spondylosis are:

Bone Spurs

Excessive bone growth causes the body to try to grow more bones to make the spinal cord stronger.Thus, the bone presses on the sensitive parts of the spinal cord, such as the nerves, and the spinal cord produces pain.

Spine Disc Dehydration

The thick discs, which are located between the backbones, absorb impacts such as lifting, twisting and other activities. The gel-like material inside these discs dries out over time. It is for this reason that the spine and bones rub against each other more and cause unbearable pain to a person. This process was observed in people who were over thirty.

herniated disc

Cervical spondylosis can be caused by herniated discs. Spinal discs tend to crack, which allows internal materials to flow. These materials, when extracted, can press on the spinal cord and nerves and cause problems such as numbness in the arm and pain that radiates downward toward the arm.

Injury

If a person is involved in an accident or falls, cervical spondylosis can occur and accelerate the aging process in a person.

Abuse

Certain activities or habits may involve repetition of movement and may put pressure on the spinal cord and lead to gradual early wear and tear.

Common symptoms of cervical spondylosis include muscle weakness, neck stiffness that gets worse, headaches that mainly occur in the back of the head, and numbness in the shoulders and arms.

Cervical Spondylosis Treatment

Treatment of cervical spondylosis in most cases is conservative, for example:

• Vacationer
• The use of anti-inflammatory and non-steroidal drugs.
• Wearing a neck collar limits movement and maintains neck support.
• Physiotherapy and application of cold and heat therapy, exercise and traction.
• Injection of drugs such as a corticosteroid and anesthesia into the joints of the spinal cord and facet joints Injections into the surrounding area of ​​the spine.
• Steroid injections given in the neck that can help relieve severe pain.
• If a person experiences sensory loss and muscle weakness, surgery is recommended for treatment.

Home Treatment of Cervical Spondylosis

Home treatments will only be helpful if you have mild conditions. Few things you can use at home to treat cervical spondylosis are:

• Taking over-the-counter pain relievers including acetaminophen, ibuprofen, and naproxen sodium.
• Cold compresses and heating pads can be used to relieve neck pain.
• To recover faster, it is recommended to exercise.
• Wearing neck collars or braces can help the patient get temporary relief. However, neck collars and braces should not be worn for a long period of time, as they tend to weaken muscles.

Regular Exercise

Here are some exercises that are useful for treating cervical spondylosis:

Neck Stretched

The person is asked to stand up straight and hold the chin forward so that he feels a stretch in the throat area.Then slowly tense your neck muscles, and this process should continue for at least 5 seconds. After this step, the head should be tilted back with the chin high for 5 seconds. These steps should be repeated five times.

Neck bend from side to side

Lean forward with your head down. Slowly tense your neck muscles and hold for 5 seconds. Return your head to the center, repeat the movement to the other shoulder and hold it for another 5 seconds.

Isometric Movement

During this exercise, pressure is applied to the muscles.The person is asked to sit with their spine straight and then push on opposite sides of the head to the side. Note that pressure should not be applied with the palm of your hand. This process should be done at least 10 times.

Head Rotates

Head turns are one of the simplest and simplest forms of exercises for the treatment of cervical spondylosis. This helps keep the neck in motion and avoids muscle stiffness. You have nothing to worry about, all the person has to do is sit with their spine straight and then move their neck to one side.The head should be straight and high, not drooping. Return to center again and repeat for the opposite side. The neck should be held in this position for 10-15 seconds. Repeat this 10 times for best results.

Heated mat or cold compress

Having two types of pain gives us advantages and disadvantages. One pain is severe pain that requires medical attention, while the other type of pain is not severe and can be treated at home with home remedies and the use of cold packs and a heating pad.We can use ice to treat acute injuries, swelling and pain.

Ice therapy has been used by people for many years. On the other hand, heating pads and heat therapy are good for treating muscle pain and stiffness, which are the mainstay of chronic pain. Both of these therapies have distinct advantages, as cold compresses can help with injuries and swelling, and heating pads can help treat chronic pain.

Soft Neck Brace

Going to the hospital always for all kinds of pain is not a cure, where we have home treatment for cervical spondylosis as an option.Since there are many non-surgical methods that can help reduce pain, we can reduce neck pain with soft neck braces. These braces support the neck and avoid any unwanted movement. The type of bandage prescribed is highly dependent on the goals of treatment and diagnosis. Soft neck braces are very flexible and offer a wide range of motion. The difference between soft braces and hard braces is that hard braces stabilize the cervix.

English Salt Bath

Epsom Salt is useful in treating minor pain and can also soothe tired muscles and reduce swelling. This is a good home treatment for cervical spondylosis. It is widely known that Epsom salt is used in baths, but there is no scientific evidence for its effectiveness. The Epsom salt bath is good for stiff joints, muscle aches and stress. To treat cervical spondylosis, add Epsom salts to water and soak your body, especially your neck, in water for at least 20 minutes.

herbal medicine

Home treatment for cervical spondylosis includes herbal treatments using natural products. There are various ways to treat cervical spondylosis to stop the pain. Using turmeric, ginger, triphala, and aloe vera can help you manage pain easily at home. Simply put, if you want to avoid cervical spondylosis, stop eating unhealthy and fried foods, as well as foods that are bitter and sour.

neck massage

Massage is called the best home remedy for cervical spondylosis. Massage is usually done to relax and calm the muscles and mind. In the case of spondylosis, the muscles surrounding the spine tend to become tense and pain worse. The correct massage should help relieve inflammation and pain. That is why neck massage is done to treat cervical spondylosis.

Yoga

Pilates and Yoga are exercises that work to connect mind and body.This helps to focus on breathing while moving. Yoga helps to relax the body and strengthen the core as well as the muscles of the spine. However, before practicing yoga to treat cervical spondylosis, it is best to first consult with the appropriate doctors.

Cervical Arthritis

Arthritis in the neck is very common, but symptoms may differ from person to person. In some cases, arthritis of the neck does not cause any symptoms. The symptoms of arthritis are neck stiffness and pain, and this can get worse if you keep your head too low or too high.Neck pain is usually relieved by resting and lying down. Some other symptoms of neck arthritis can be headaches, loss of balance, trouble walking, and weakness in people’s legs and arms.

Treatment of cervical spondylosis at home

We have good home treatment options for cervical spondylosis. You do not need medications for treatment. All you need to do is go to your kitchen and find all the home remedies in your kitchen. A heated rug or cold compress can be very helpful, and if pain bothers you a lot, you can take medications such as acetaminophen or NSAIDs.Another best home treatment can be done with ghee, as it is one of the most important ingredients in cervical spondylosis treatment. According to Ayurveda, ghee, which is obtained from cow’s milk, has lubricating properties for the joints.

Treatment of cervical spondylosis

Treatment of cervical spondylosis largely depends on the condition and severity of the disease. Symptoms and signs also play a vital role in the management of cervical spondylosis.The end result and goal is to relieve a person’s pain, and this can be through therapy, surgery, and even home remedies that a person can do at home in cases of minor pain.

Some information has been provided here about cervical spondylosis, its treatment and other methods by which we can relieve and soothe pain. Several home remedies for cervical spondylosis have been mentioned above that are great for soothing pain and relieving a person’s condition.As stated above, we read about home remedies and treatments for cervical spondylosis and how we can treat them both with home procedures and later, if the pain gets worse, a visit to the doctor is the best idea.