Preparing to See A Doctor for Back and Neck Pain

If low back or neck pain persists longer than a few days or weeks, a doctor’s evaluation and treatment may be needed.

A general practitioner or chiropractor are often the first line of treatment for back or neck pain. These providers are able to treat or manage most cases of back or neck pain, and may provide referrals to a specialist if needed.

See Specialists Who Treat Back Pain

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When to See a Doctor

Many cases of low back or neck pain improve relatively quickly on their own. It is generally a good idea to see a doctor if:

See When to Seek Medical Care for Low Back Pain

In rare cases, back or neck pain can indicate a medical emergency. If pain includes dizziness or confusion, fever, issues with balance and coordination, or loss of bowel/bladder control, prompt medical attention should be sought.

See When Back Pain May Be a Medical Emergency and What Causes Neck Pain and Dizziness?

In This Article:

• Preparing to See A Doctor for Back and Neck Pain

• Diagnostic Processes for Neck and Back Pain

Preparing for the Appointment

It can be helpful to have identified general information about pain and other symptoms before the appointment, including aspects such as:

• How the pain feels, including whether the pain is sharp, stabbing, dull, achy, or hot.
• Where the pain is felt, such as whether the pain is only felt in the neck or back, or if pain spreads to other areas, such as the shoulder, arm, pelvis, or legs. Pain distribution might also include whether the pain is focused in one area or if the pain is diffuse.
• How often the pain occurs, including if the pain is constant or intermittent, better or worse with certain postures, and better or worse after activity or exercise.
• When the pain began, such as spontaneously, after waking up one morning, or after an injury.
• Other associated symptoms, such as tingling, numbness, or weakness.
• Attempted treatments and their effectiveness, such as if heat, ice, and/or over-the-counter pain medicine (such as pain relievers or NSAIDs) has helped alleviate pain.

See NSAIDs: Non-Steroidal Anti-Inflammatory Drugs

Preparation before a doctor’s appointment can help with receiving an accurate diagnosis and effective treatment. It is important to describe symptoms in complete but concise phrasing, and answer the doctor’s questions honestly.

See Getting an Accurate Back Pain Diagnosis

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After Seeing a Doctor

Following an initial doctor’s visit for back or neck pain, it is common to leave with:

A doctor may also provide a referral to a specialist, such as a physical therapist or spine specialist, who can provide more focused help with diagnosis, pain management, and treatments if necessary.

Dr. Kevin Ju is an orthopedic surgeon at the Texas Back Institute He has written multiple chapters in medical textbooks and has authored several scientific articles published in peer-reviewed journals, such as The Spine Journal and the Journal of Bone and Joint Surgery. Dr. Ju has given several presentations at meetings and conferences around the world.

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Signs You Should Seek a Doctor for Your Chronic Neck Pain

February 18, 2022

By Joshua Abrams, DO

Have you ever slept in an awkward position and woke up with a neck so stiff you could barely look down to tie your shoes, or spent a day hunched over a desk only to stand up and realize how badly it hurt your neck? If you have, chances are you simply stretched, took some painkillers and hoped for the pain to disappear by morning — or at least by the end of the week.

However, there are times when neck pain is a deeper issue than just poor posture. In these cases, the issue likely won’t go away, and it might even get worse unless you seek medical treatment. Read more to learn about whether your neck pain needs an ice pack and a day of rest or a doctor’s appointment.

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There are many causes of neck pain aside from poor posture and sleeping positions. Injuries, chronic diseases and even traumatic events can cause neck aches and pains. If you’re unsure what’s causing your neck pain or suspect it could be a serious injury or chronic disease, it’s important to seek medical treatment as soon as possible.

Stress or Tension Headaches

Headaches can lead to neck pain, too. These particular headaches usually stem from heightened emotional stress or extended periods of muscle tension. 

Muscle Sprain or Strain

A strained or sprained muscle in the neck is another common cause of neck pain. These strains may occur from sports injuries, awkward sleeping or sitting positions, carrying heavy objects or even sudden movements that place excessive strain on the neck muscles. 

Whiplash Injury

Whiplash is just as the name indicates — an injury that occurs when the head whips violently back and forth or from side to side. This movement stretches the muscles, vertebra, nerves and ligaments in the neck, sometimes leading to neck pain and stiffness. Whiplash can result from any instance of the neck being violently “whipped” around, most commonly from auto accidents. It can also happen with contact sports, such as football. 

Infants and children run a much higher risk of severe injury from whiplash because their heads are large compared to the rest of their bodies and their necks are relatively weak. Due to this weakness, they may suffer whiplash from being shaken too hard. While adults usually heal from whiplash with time and mild treatment, infants and children can experience permanent nerve damage or brain trauma that delays their development. Untreated whiplash in adults may lead to loss of sensation or movement. 

If adults suffer a severe injury that could potentially lead to whiplash, they should seek medical treatment to make sure the whiplash isn’t too severe and evaluate any other injuries. Infants suffering from whiplash require immediate medical treatment because their bodies are so much more delicate. 

Osteoarthritis

Although you may not give it much thought, there’s more to your joints than a single hinge. A durable tissue called cartilage protects the bones in your joints. This cartilage covers the areas where two or more bones meet, preventing them from rubbing together and damaging each other. 

Osteoarthritis is a condition that develops over time and is most often found in the middle-aged to elderly. When the cartilage between the joints wears down over time, becoming thin and damaged, it creates friction between the bones when the joints move. Osteoarthritis can also inflame the synovial membranes. These membranes normally allow for smooth joint movement but become warm, swollen and tender when inflamed. 

Osteoarthritis causes inflammation, pain, stiffness and swelling at the joints. It can affect the elbows, knees and neck. This condition gets worse over time due to the constant friction of moving joints. Treatment is usually tailored to the individual’s medical history and needs, sometimes including anti-inflammatory medication and physical therapy. 

Fibromyalgia

Fibromyalgia is the leading cause of musculoskeletal pain in the U.S. While it’s not yet known what causes fibromyalgia, the symptoms may be triggered by an emotionally or physically traumatic event or come on slowly with no apparent trigger. 

This condition causes chronic, widespread muscle pain, sleep disorders, memory problems, fatigue and tenderness at select parts of the body, including the neck. Fibromyalgia symptoms vary between patients and some symptoms may lie dormant for extended periods of time. Untreated fibromyalgia can lead to severe emotional distress and should be treated as quickly as possible. While there’s currently no known cure, you can manage fibromyalgia with certain medications, such as pain relievers and antidepressants. 

Nerve Compression

Your nerves are responsible for your ability to feel physical sensations, such as temperature, touch and pressure. If a nerve is pinched between bones or other tissues, it can cause sudden, seemingly unexplained pain. Pinched nerves in the neck may come from spinal compression, the degradation of cartilage over time or a slipped spinal disc. 

Both brain and spine tumors can cause stiffness or pain in the neck. There are two types of pain-causing spinal tumors — primary and secondary. Primary spinal tumors originate in the spine and are often benign. Secondary tumors originate in other parts of the body and spread to the spine. These tumors are cancerous.

Tumors, especially malignant ones, must be treated by a professional. If you feel a lump in your neck, consult your doctor as soon as possible to determine if it’s a benign or malignant tumor.

Neck pain – which doctor to contact

Choosing a specialist

Despite the huge list of ailments that can cause neck pain, it is not at all difficult to independently choose a specialist who specializes directly in the treatment of such diseases and differentiate the symptoms of the disease.

Neurologist. So, if the pain in the neck is clearly localized, acute, turning into a migraine, and it is not stopped by painkillers, while visual impairment and fainting are noted, it is obvious that this is the area of ​​​​knowledge of a neurologist. Similar sensations occur with degenerative changes in the cartilage tissue, resulting in damage to the trigeminal nerve, as well as inflammation of the latter as a result of infection or stress.

A vertebrologist is a rather narrow specialist, the existence of which is known to few. The scope of his activities extends to such lesions of the musculoskeletal system as arthritis, intervertebral hernia, spondylitis.

Osteopath — patients with dysfunctions of the spine and joints get an appointment with this specialist, since this specialist is responsible for restoring spinal mobility and normalizing posture. Sometimes an uncomfortable posture in the workplace and physical inactivity provoke stagnation in the upper skeleton and pain occurs, suggestive of serious ailments.

Surgeon. If conservative methods of treatment are ineffective, there is nothing left but surgical intervention. This is, first of all, relevant for all kinds of hernia and neoplasms.

Otolaryngologist – an ENT doctor, as a rule, the last one they decide to turn to with neck pain, believing that it is difficult to confuse a sore throat with something. At the same time, severe inflammation of the tonsils or middle ear can spread to the lymph nodes and the nature of the suffering will not allow the disease to be correctly identified. In such cases, a blood test shows an excessively high content of leukocytes and an ESR of more than 30.

Traumatologist. If pain in the neck appeared after a fall, careless movement, excessively intense training or other injury, you should immediately visit a traumatologist, since even a slight violation of the integrity of the bone and cartilage block or muscle strain is fraught with serious consequences up to death.

Rheumatologist – specializes in the diagnosis and treatment of lesions of bone, cartilage and muscles, often due to heredity. It is no coincidence that a visit to him is often accompanied by a referral to a geneticist.

Orthopedist. Thinning or immobilization of bones requires the help of an orthopedist, who will be able to correctly determine the causes of the disease and select adequate therapy.

Phlebologist. A huge number of the most important vessels are concentrated in the neck, the treatment of diseases of which is carried out by a phlebologist. Thickening of the walls of blood vessels, their clogging or other pathologies can also cause severe pain, reminiscent of muscle spasms. Such conditions are indicated by a change in the color of the skin, a cyanotic complexion and a pronounced capillary network.

Due to the fact that narrow specialists consider the same anatomical and physiological problem from different angles, complex diagnostics involving several doctors is required to maximize the effectiveness of treatment. It should be understood that if unbearable pain in the neck appears, then which doctor treats the disorder that caused it does not matter, since it is important to take urgent measures by contacting any of the available specialists.

How to get rid of neck pain

Once diagnosed, all that is required of the patient is to strictly follow the doctor’s orders. If a specialist insists on the use of bandages and other fixing devices, then this is really necessary. It is impossible to adopt recommendations given by a doctor to another person, since even very similar symptoms may indicate different diseases, and analogy in such matters is unacceptable.

As a rule, therapy consists of three areas:

1. medication, namely the use of non-steroidal anti-inflammatory drugs, special painkillers and vitamin and mineral supplements, the use of warming ointments;
2. physiotherapeutic procedures, including massage, phototherapy and paraffin therapy;
3. exercise therapy, which is prescribed only after the disappearance of acute pain.

Impulse devices, hirudotherapy, acupuncture and a visit to the manual therapy room give excellent results. However, you should not supplement the appointment list yourself, as it is easy to aggravate the situation. Any manipulations with the treatment of the spine and joints should be carried out only after consulting a doctor. In addition to therapeutic methods, there are many ways to cope with pain for a while, which allows you to sleep better, be treated without interrupting work and lead a more fulfilling lifestyle.

Thus, pain syndrome, with the exception of injuries and sprains, is effectively relieved by hot baths and alcohol compresses. It is necessary to purchase an orthopedic pillow for sleeping, which will fix the head in such a way as to relieve the load from the neck and shoulders. It makes sense to use a comfortable chair with a headrest for work, as well as take short walks from time to time, which will improve blood flow and distract from discomfort.

Thinking about which doctor to go to if your neck hurts, you should not hesitate, because any disease is easier to stop at an early stage. In addition, timely treatment is the only way to prevent the transition of the acute form of the disease into a chronic one. In order to prevent diseases of the cervical spine, it is important to follow simple preventive measures, namely, eat well and do gymnastics regularly.

Causes, symptoms, treatment of neck pain | Neurology TH Clinic

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Pain in the neck. Causes, symptoms, treatments

Neck pain is a common symptom that often leads patients to see a doctor. Even a slight discomfort in the neck area can significantly complicate the performance of habitual activities, and severe pain causes complete disability. Often, a person who is faced with this health problem has a difficulty – which doctor to contact? Among the many causes of neck pain, osteochondrosis most often appears, so it is better to immediately contact a neurologist.

Osteochondrosis and vascular disorders as the main causes of neck pain

With osteochondrosis, pain occurs from several “fronts” at once: as a result of deformation and destruction of the intervertebral discs, compression of blood vessels and nerve endings occurs, and prolonged muscle strain provokes their spasm. With osteochondrosis of the cervical spine, severe pains appear both in the neck and in the shoulders, shoulder blades, and upper chest. By the nature of the neck pains can be tearing, pressing, burning, often accompanied by a violation of the sensitivity of the skin in the neck.

Due to compression of the vessels of the neck with osteochondrosis, there may be dizziness and tinnitus, flashing “flies” before the eyes. Separate types of vascular neck pains have their own names, for example, “cervical migraine” is the name for severe pain in the neck and occipital region, which occurs due to compression of a large vessel – the vertebral artery.

Pain in the neck is also often associated with tension headaches, which are themselves associated with muscle spasm, in which case the headaches and neck pains aggravate each other. At the same time, a person experiences the most pronounced discomfort: the pains seem to overflow from one area to another, pass from the back of the head to the neck.

Neck and headaches develop in people who constantly work in a static position sitting or standing – programmers, accountants and other office workers, librarians and archive workers, as well as surgeons, dentists.

Taking into account the fact that most modern professions today are unthinkable without the use of computers, and many spend their leisure time in front of a screen or with a tablet in their hands, during the day and late in the evening, not only visual tension increases (an independent cause of neck pain), but also muscle spasm. Thus, almost every person is under the gun of headaches and neck pains.

Neuralgia as a cause of neck pain

Another common cause of neck pain is neuralgia. Acute, “dagger” pain in the neck – the result of irritation or damage to the upper laryngeal, occipital, trigeminal nerves. The trigger factors for neuralgia and associated pain are varied: viral agents (herpes viruses), external influences (hypothermia), mechanical factors (intense chewing load), etc. With similar symptoms, you should also consult a neurologist.

In addition to these causes of neck pain, there can be persistent changes in posture, leading to deformities in the cervical and thoracic spine, trauma, severe stress, inflammation, as well as dental problems and diseases of the middle ear. In each of these cases, neck pain is almost always combined with other symptoms – pain when swallowing, shooting pains in the ears, fever, etc.

Treatment of neck pain in TN-Clinic

Since the treatment regimens for neck pain can be radically different, you need to consult a doctor already at the stage when pain disrupts the usual rhythm of life, taking commonly available drugs does not bring relief, the pain intensifies and changes, supplemented by other symptoms. Self-treatment in the form of the use of analgesics and some physical methods of influence (heating in a hot bath, rubbing in the neck) may, at best, not bring relief, at worst, aggravate the pathological process and the course of the disease.

With a timely visit to a neurologist, a diagnosis and the appointment of an adequate treatment, it is possible to eliminate the pain syndrome and influence the cause of pain in the neck. In the TN-Clinic, if necessary, an additional consultation of other specialists is carried out, which helps to avoid errors in making an accurate diagnosis and in prescribing treatment.

Neck pain therapy regimens can include both drugs (for oral and external use) and physiotherapy methods, as well as the use of medical devices – plasters, orthoses. Moreover, drugs can be recommended only at the stage of exacerbation, and further treatment is carried out using other methods.

Recommendations for physical activity and therapeutic exercises are different depending on the diagnosis: for example, with osteochondrosis, it is not recommended to strictly and permanently limit physical activity, but with tension headaches, migraines, neuralgia, on the contrary, no physical exercises until the pain syndrome in the neck is completely relieved are not allowed.

Techniques such as reflexology, some types of therapeutic massage, electrophoresis, electroanalgesia, magnetic and laser therapy have proven themselves excellently in the treatment of neck pain.

In combination with the use of drugs, such therapy quickly improves the patient’s condition, returning him to his usual life, allowing him to forget about pain for a long time.

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