How to prevent and treat neck-shoulder pain

Neck-shoulder pain is a common disease, many diseases are caused by many causes, often in adults, especially from over 40 years of age, which greatly affects labor productivity. In the polyclinics, the proportion of neck-shoulder pain patients coming to visit accounts for about 28-35%.

Why is the neck-shoulder area often painful?

Neck-shoulder area is painful due to physiological and pathological changes in all structural components, functions manifested in the form of: degeneration, inflammation, tumor, cervical spine injury .

Mechanical causes of cervical pathology syndrome such as: lack of scientific style, excessive weight in the neck, and use of tables and chairs that are not properly tied to the neck in constant position , too hunched, too puffy; Because professions are forced to hold their necks in unfavorable regular postures with physiological functions of the spine such as electronic computer technician, paint welder, motor vehicle driver, sports athlete, tech circus, pianist, violinist .

Some common diseases

Large occipital neuralgia (wire TK. Arnold)

False posture (photos 1 and 2) affect the spine and cervical spine.(Photo: TTO)

It may be due to a large occipital neuralgia or one of the roots, especially the neural nerve 2, the pain point is just below the scalp, especially when pressing on the concave point of the occipital bone is the exit of occipital nerve. The pain may spread to one side of the head area, with subjective, moist or bouncing properties when pressed. Especially sharp pain when the physician presses on the exit point of occipital nerve. Usually due to injury or irritation on one side, sometimes on both sides. Sometimes, the pain points in C1-C2 burning and the root pain points along the cervical spine correspond to C2 on the side.

Osteoarthritis injury causes head and neck pain:

If there is a localized lesion in the C1-C2 neck segment, it will cause neuralgia of Arnold type or neck syndrome - head, folding movements, arching and rotating neck are limited and pain during exercise, accompanied by muscle cramps neck area.

If the lesion is localized in the middle of the cervical spine C4-C5 will cause pain and limit neck movement, pain points in the vertebrae or spine bifida and corresponding vertebral nerve root pain points.

If the lesion is located in the lower part of the spinal cord, it will cause neck - shoulder or neck - shoulder - arm syndrome. Note that in the elderly and the elderly, the cause of cervical spine pain is degeneration of the cervical spine, cervical spine .

- The deformity of occipital hinges - neck is quite a lot like diagnosis of post-artery arteries, raised marks in the skull base due to the rise of the spine of vertebrae.

- The cervical spine injuries cause fractures of the teeth of burning axes, dislocating the team-axis dislocation.

- Osteoarthritis lesions, arthritis such as ankylosing spondylitis, rheumatoid arthritis, Paget's disease . of the cervical spine also cause headaches.

Neck dislocation after trauma is often a consequence of accidents in life and traffic accidents.

Neck pain - head caused by neck pain: This is an important factor causing headaches.

- Headaches due to the occupational posture often encountered by workers whose work is forced to bow continuously such as embroiderers, tailors, typists or jobs that are forced to over-neck as miners, masons , lime sweeper . The pain mechanism here is mainly due to muscle tone disorders and tendon stretching.

- Headache due to muscle stiffness contraction in hunchback, over-arching, deflection of the cervical spine.

Hernia of the cervical spine : There is pain point in the intervertebral route when pressing, limiting cervical spine mobilization, corresponding point of root edge pain, spasticity of the spinal muscles when motivating nerves or muscles near the neck - head. Diagnosis of the decision by means of a disk imaging, magnetic resonance imaging of the spine.

The following sympathetic sympathetic syndrome : This syndrome includes rear headaches, dizziness, tinnitus, market obsession, vasomotor dysfunction, sweating, paresthesia in the throat, larynx, dyskinesia veins in the face, often accompanied by anxiety nuances (Barré - Liéou syndrome).

Syndrome of arterial artery circulatory dysfunction : includes symptoms such as tinnitus, temporary hearing loss, dizziness, loss of balance, phobia, fatigue, severe cases may appear collapse drop attacks, accompanied by loss of consciousness or loss of consciousness and headache.

Prevention and treatment

Prevention: do not bend your neck too long. Elderly people should not move their necks too hard, suddenly. Student desks and chairs must be suitable for each age group. People who work in careers have to keep their necks in one position, need to have an exercise regime in the middle of the hour (according to the exercise of the cervical spine exercise). Avoid injuries to the head and cervical spine area. Attention when choosing a career requires a standard examination of the cervical spine, including sports athletes .

Treatment : Depending on the etiology, mechanism of injury, acute or chronic stage, the direction of treatment can be preserved, surgical or functional.

- Preserving by methods such as candle bundles, pulse electricity, infrared irradiation has a very good effect on the acute phase. Soft neck belt to fix the spine and reduce the load on the cervical spine. Stretching the cervical spine must be very careful, eliminating the tuberculous spinal injury, due to u. Often use anti-inflammatory analgesics, muscle relaxants, blockade in place. In addition, exercise, correction, massage have a good effect on cervical pain, but there must be strict indications.

Surgery : Usually hardening of the spine in front of the Cloward method, surgery of the spinal disc herniation, surgery to remove the incision of the intercostal hole in the front - side. After surgery must continue rehabilitation treatment.

- Rehabilitation has a very important effect and physical therapy combined with traditional medicine measures have very good effects on cervical spine syndrome.

Cervical spine disease is very diverse, so in clinical practice requires a thorough examination by physicians, combining complementary diagnostic techniques. Difficult and complicated cases that need to use modern diagnostic imaging facilities to correctly diagnose cervical pathological syndromes, thus having proper and effective treatment and prevention for the disease multiply.

Assoc. VU QUANG BICH