Pain in the neck and arms due to the lungs. Why does my neck hurt? Neck pain and physiology

Causes and methods of treating headaches in the back of the head

Various diseases can cause headaches in the back of the head. Typically this is:

The pain may be accompanied by tachycardia, nausea, the person feels weak and dizzy. Usually such symptoms occur in the morning.

With neuralgia, paroxysmal shooting pain occurs. It can radiate either to the ears and upper jaw or to the back. Any sudden movement causes pain.

When the structure of the intervertebral discs changes, a disease such as osteochondrosis appears. The disease may be accompanied by continuous pain in the back of the head, radiating to the neck. Also, a person’s coordination is impaired, tinnitus, nausea, and darkness appear in the eyes. Sudden movements of the head can lead to loss of the ability to move, although the person is conscious.

May occur as a consequence cervical osteochondrosis. It manifests itself as attacks of occipital pain, which radiates to the temples or superciliary ridges. During an attack, the patient may experience nausea, vomiting, dark vision and noise in the ears. Other symptoms include memory loss, photophobia, fear of noise, and in severe cases, loss of consciousness. Attacks can last up to seventy-two hours.

May occur against the background of osteochondrosis. In addition to pain in the back of the head, vestibular disorders are observed, movements become poorly coordinated, dizziness, tinnitus, and blurred vision occur. The patient has pale skin, vomiting, and nausea.

The cause of the disease is bone growths that appear on the spine and negatively affect the mobility of the neck. The disease is accompanied by constant pain in the back of the head. Movements can intensify it. The disease can provoke insomnia.

When intracranial pressure increases. the patient appears It's a dull pain in the back of the head, nausea and heaviness in the head. Bright light can cause pain in the eyes.

As a result of this reason, the patient experiences a dull aching pain in the back of the head. It usually gets worse in the evening. Such attacks can last for several days in a row.

A sign of cervical myositis is pain in the back of the head, radiating to the area of ​​the shoulder blades, which is more pronounced on one side. The causes of this disease may be hypothermia.

It occurs in the back of the head after a person has been in one position for a long time. This is an occupational disease that affects office workers, drivers, and seamstresses who spend a long time in one position. Pain can occur with both physical and mental stress.

Pain occurs due to previous injuries, bruises or concussions. Neoplasms in the brain can also provoke headaches that radiate to the back of the head.

The cause of headaches in the back of the head can be stress. Women are more prone to this type of headache, but sometimes men also suffer. The likelihood of pain in the back of the head due to stress increases by the age of thirty.

Pain in the back of the head occurs due to spasm of the arteries. A person experiences pain if he begins to move; when lying down, it usually subsides. The pain intensifies during physical activity and in addition to it, a sensation of pins and needles appears under the skin.

3 Medications and methods of prevention

If your head starts to hurt in the back of your head:

• You need to ventilate the room or go out into the fresh air.
• Massage your neck.
• Calm down and relax.
• Do some physical exercises for the cervical spine.

If this does not help, taking painkillers such as:

It will also be effective to take combination drugs that relieve pain, relieve spasms and tone blood vessels:

Be sure to measure arterial pressure. If it is elevated, taking medications should be agreed with your doctor.

If pain in the back of the head occurs frequently and it is impossible to get rid of it without painkillers, you should definitely consult a doctor.

Do you still find it difficult to overcome headaches?

Stop putting up with this, you can’t wait any longer, delaying treatment. Read what Elena Malysheva advises and find out how to get rid of these problems.

Psychosomatics Neck (neck pain, muscle tension in the neck)

Psychosomatics Neck (neck pain, attacks of osteochondrosis)

I have encountered the psychosomatics of neck pain several times, and I will tell you about them.

As I already wrote in articles about joints, the basis of the problems of arthritis and arthrosis is a strong lack of confidence in oneself, one’s actions, thoughts, and an internal judgment that the task is difficult to accomplish. Recovery phase ( severe pain in the neck) begins after the conflict is resolved, that is, worries that something will not work out are over.

Each part of the body has a connection with certain emotions. And if, for example, the worry that everything is poorly organized can become overwhelming, then the worry that a person cannot cope intellectually, cannot think of something, comes to the neck.

If a mother has been worried for a long time about how to find the necessary treatment/tutor/nanny for her child, after the end of her worries, an attack of osteochondrosis will occur. Moreover, the longer the experience, the longer the recovery phase. However, true awareness of the connection between stress and pain always speeds up the healing process.

There was an interesting story of long-term pain in the neck, which ended happily. The woman's neck pain lasted for many years. Visits to massage therapists, a chiropractor, and an osteopath helped temporarily. After one or two weeks the pain returned. At the very beginning of the work, I asked to describe the pain in a few words. The results were: crookedness, luck (wonderful! the ability to name a state that has no definition in language), crawling, entwining, crushing, torment. Next, the word was chosen that most closely corresponds to the unpleasant sensations - crushing. I asked him to stop on this word and feel the crushing sensation. And then the woman remembered. She remembered at what moment her pain began, and what she experienced then.

She worked in a company and was completely lost there. A good salary, but there was no application for her talents (then, fortunately, the woman found herself and organized her own business), which the managers felt and a year later asked the woman to leave her position. Her neck started to hurt while she was still working at that company, but the main blow came when she was fired. This self-doubt stuck in the body, which began with that job, was the cause of the neck pain. Even while discussing that situation, the woman felt her neck muscles begin to relax.

Psychosomatics of stiffness, clamping of neck muscles

If we are talking about the neck, then it jams during the recovery phase after the inability to turn the head in the direction in which one wanted to turn.

That is, if there is a restriction on looking somewhere - this may concern the development of relationships, business development, new prospects - in the recovery phase the neck becomes jammed.

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Psychosomatics Neck (neck pain, attacks of osteochondrosis) I have encountered the psychosomatics of neck pain several times, and I’ll tell you about them. As I already wrote in articles about joints, the basis of the problems of arthritis and arthrosis is a strong lack of confidence in oneself, one’s actions, thoughts, and an internal judgment that the task is difficult to accomplish. The recovery phase (severe neck pain) begins after the conflict is resolved, that is, the worries that something will not work out are over. Every part of the body has a connection with those Continue reading

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Healthy spine

Most common reason neck pain is the so-called tense neck syndrome. Its symptoms are weakness, immobility, numbness, sometimes dizziness and pain in the neck muscles. Tension headaches often occur at the same time. Symptoms usually worsen during work when the muscles remain contracted, especially if the work involves stress and deadlines.

The risk of neck pain may be higher if your job requires you to keep your neck in one position for long periods of time, such as when working at a computer or driving. Another risk and trigger factor is changes in estrogen levels during menopause, stress or chronic overload at work or at home, too much or too little sleep, and alcohol or drug abuse.

Many muscles in the body relax completely when they are not in use. Some muscles must be contracted to a certain degree at all times to maintain the desired body position. The neck muscles should always be tense, otherwise your head would fall forward when sitting or standing. When we're nervous or stressed, we tighten our muscles even more, which can cause neck pain or tension headaches.

Cervical pain and neck stiffness can be caused by poor posture when sitting or standing. If your desk or computer monitor is positioned too low, your head is always tilted down and your muscles are constantly stretched, which causes pain. The table should be at a height at which you do not have to further stretch your neck. At home, pillows and bed should not be too soft.

Neck tension problems can be diagnosed during an examination by a doctor and usually do not require additional special tests. The examination shows that the cervical spine is mobile, but the neck muscles are inflamed. X-ray, CT scan or MRI usually shows only straightening of the cervical spine due to increased muscle tension. MRI scanners are usually only used if a doctor suspects a pinched nerve.

Self-effort is enough to relieve neck pain within a few days. It is possible to use commercially available painkillers. Pain-relieving gels can be rubbed directly into the sensitive area. Some ointments and oils have a warming and relaxing effect.

A gentle home massage of the neck muscles helps a lot. Stress can make neck pain worse. Learning relaxation techniques for the neck muscles is usually helpful. Relaxation and exercise are necessary at the right time. They complement each other.

First aid consists of anti-inflammatory medications, and problems are usually relieved by heat treatment, massage, and relaxing physical therapy. Mild symptoms can be treated at home by doing neck and shoulder exercises and using cold or warm compresses. Usually in such cases the neck pain goes away.

If symptoms are severe, physical exercise may increase pain. Neck pain exercises should not increase muscle tension in the acute phase. Muscle strengthening and good general state are the most important long-term remedies and can be started immediately after the acute phase of pain has passed.

If conventional treatment does not help, a more thorough analysis is necessary. In this case, it may be necessary to check the body position during work and other ergonomic factors, stress levels, muscle conditions, hobbies and pillows used for sleeping.

Wearing glasses can cause repetitive head nodding, which can cause inflammation in the neck muscles. In this case, you need to consult an ophthalmologist.
Very often, those who suffer from neck tension are perfectionists by nature. Changing your personality is difficult, but it is always helpful to have a long-term plan for self-care.

If neck tension is combined with general nervousness, it is worth considering muscle relaxation techniques such as biofeedback and hypnosis. These methods help you observe how muscles tense and how this tension releases. This helps, for example, to adjust the height and position of desks and chairs in the office.

People who suffer from neck tension may have hobbies that place stress on the neck muscles. Knitting can be possible problem, and during it you need to take short breaks, rest your elbows on the surface and reduce the number of hours devoted to knitting.

Breaststroke swimming, which requires you to keep your head above the water, is not the best activity for those suffering from neck tension. It is recommended to swim with your face in the water and keep your neck straight and relaxed. Changing swimming styles and using crawl and breaststroke can be beneficial. After swimming, it is advisable to stretch your neck muscles.

Neck pain and a good night's sleep don't always go together. Check what kind of pillows you are using if your neck hurts at night or in the morning. When sleeping on your stomach, your spine tends to be pinched in a position that can cause pain. Whatever position you sleep in, your neck should be straight and supported. There are many orthopedic pillows that can help achieve this effect, but they do not always correct the problem. During sleep, we change positions many times and therefore do not remain in the ideal position.

Over-the-counter anti-inflammatory medications can be used to self-treat for a few days. Ointments can be used for muscle pain. If the pain is new and severe, a cold compress will help. After a few days, heat treatment may relieve symptoms.

Gentle exercises such as stretching the neck and shoulders, moving the neck back and forth, and tensing and relaxing the neck muscles usually help.

Heavier exercises should be avoided until the pain subsides. Weight lifting and other exercises aimed at increasing muscle strength and endurance also help.

Correct body posture must be used when working in the office and should be avoided at home. chronic tension neck. Take several short breaks throughout the day, and do small exercises for your neck and shoulders during these breaks.

Those who work on a computer should make sure that there is enough space in front of the keyboard to rest their hands and that the monitor is not placed too high. You need to sit facing the computer, leaning on your lower back.

Avoid doing work for long periods of time without taking a break, as well as driving for long periods of time without stopping. While driving, hold on to the bottom of the steering wheel and relax your shoulders.

Check periodically while working to see if your muscles are tense and try to relax them. If you tend to tilt your head forward, check and correct your position several times a day.

If you have neck pain, choose your pillows carefully. The main goal is to support your neck while you sleep. This is not easy if you sleep in different positions, sometimes on your back, sometimes on your side, and sometimes on your stomach. Pillows should be tall if you sleep on your side to support straight position neck. If you sleep on your back or stomach, avoid pillows that are too high.

Exercise when your muscles are too tense or relaxed, and take care of your overall health. Adequate rest is the most important thing.

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Neck pain and stress: what is the connection?

Our neck and shoulders serve as a kind of indicator of the level of tension in the body. And this is not surprising! It is in the cervical region that the plexus of important nerves is located, including accessory nerve active during times of stress. With hard work, overexertion, fear and anxiety, we unconsciously draw our heads in and raise our shoulders, grouping ourselves and protecting ourselves from danger. With chronic problems and experiences, there is constant overstrain of the muscles, which over time lose their elasticity and remain stiff even at rest. They compress nerves and blood vessels, preventing normal blood circulation and tissue nutrition. So there is discomfort, and then pain.

If unpleasant symptoms appear, it is important to consult a doctor as soon as possible; he will conduct a diagnosis, rule out pathologies such as spinal hernia or vertebral protrusion, and select treatment.
Unfortunately, many of us practice self-medication and begin to actively use ointments, tablets, and even traditional medicine. As a result, they end up going to the doctor with serious problems (headaches, migraines, visual impairment, pinched spinal nerves, etc.) That is why it is very important not to experiment with your health and promptly seek help from a competent specialist.

The first thing the doctor prescribes in such a situation is, of course, painkillers and anti-inflammatory drugs. Most often, he opts for NSAIDs, that is, nonsteroidal anti-inflammatory drugs. Yes, such drugs are quite effective, but they also have a number of contraindications and side effects, especially with a long course of treatment.

That is why, for pain in the neck and shoulders, you can go the other way and pay attention to no less effective, but at the same time safe combination drugs, for example, Capsicam ointment. The drug contains 5 active components that improve nutrition and blood supply to muscles, have an analgesic and anti-inflammatory effect. The ointment is applied to the skin with the applicator included in the kit and has an analgesic effect for 8 hours. It is recommended to remove the drug with a cotton swab moistened with vegetable oil. Do not wash off with water, this will only increase the warming effect and burning sensation.

In addition to the use of medications, gymnastics is of great importance in the treatment and prevention of cervical discomfort. Just a couple of minutes of simple exercises 2-3 times a day and you can forget about muscle tension. It is recommended to start from the shoulders: while inhaling slowly, stretch your shoulders up, freeze at the maximum point and exhale. Then forcefully lower your shoulders down and freeze in this position for 5 seconds. Repeat several times. After this, repeat the shoulder lifts, but only diagonally: the right shoulder stretches up, and the left shoulder down and vice versa. To relax your neck, while sitting on a chair, clasp your hands behind your head and begin pressing the back of your head into your palms as you inhale and your chin toward your chest as you exhale.

In addition to gymnastics, massage courses are very important, which relieve tension, relax muscles and improve their elasticity. An important point is the fight against stress: group or individual sessions with a psychologist, sedatives, relaxing baths with lavender or sage aromatic oils, walks in the fresh air or meeting with friends.

Thus, neck pain is an invisible companion modern man suffering from stress and the fast pace of life. However, using simple ways prevention and effective drugs For treatment, you can get rid of unpleasant sensations and straighten your shoulders freely.

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Psychosomatics Neck (neck pain, muscle tension in the neck)

Psychosomatics Neck (neck pain, attacks of “osteochondrosis”)

Each part of the body has a connection with certain emotions. And if, for example, the worry that everything is poorly organized can be “loaded” into one’s hands, then the worry that a person cannot cope intellectually, cannot think of something, comes to the neck.

For example, a student who is worried about passing exams may start to have neck pain right after passing the exam.

If a mother has been worried for a long time about how to find the necessary treatment/tutor/nanny for her child, after the end of her worries she will have an attack of “osteochondrosis.” Moreover, the longer the experience, the longer the recovery phase. However, true awareness of the connection between stress and pain always speeds up the healing process.

There was an interesting story of long-term pain in the neck, which ended happily. The woman's neck pain lasted for many years. Visits to massage therapists, a chiropractor, and an osteopath helped temporarily. After one or two weeks the pain returned. At the very beginning of the work, I asked to describe the pain in a few words. The results were: “curvature”, “ududachesvto” (wonderful! the ability to name a state that has no definition in language), “creeps”, “wounds around”, “crushing”, “torment”. Next, the word was chosen that most closely corresponds to the unpleasant sensations - “crushing.” I asked to stop on this word and feel the “crushing”. And then the woman remembered. She remembered at what moment her pain began, and what she experienced then.



She worked in a company and was completely lost there. A good salary, but there was no application for her talents (then, fortunately, the woman found herself and organized her own business), which the managers felt and a year later asked the woman to leave her position. Her neck started to hurt while she was still working at that company, but the main blow came when she was fired. This self-doubt “stuck” in the body, which began with that job, was the cause of neck pain. Even while discussing that situation, the woman felt her neck muscles begin to relax.

However, this was not the end of the collaboration. Lack of self-confidence, in her judgments and actions, was constantly present in the woman’s life (otherwise the pain would not have lasted more than 10 years). And that incident with work was the point when the body could no longer withstand the stress and turned stress into illness. That’s why we worked to ensure that the woman moved into a new state of integrity, confidence, peace and tranquility.

Psychosomatics of stiffness, “clamping” of neck muscles

When we are dealing with muscles, we need to remember that the conflict there is different. This is not uncertainty or self-depreciation of joints and bones. This is some kind of suffering associated with the impossibility of movement.

If we are talking about the neck, then it “jams” during the recovery phase after the inability to turn the head in the direction where one wanted to turn.

For example, a new employee comes to the department. The head of the department likes her, but he is an exemplary family man and, of course, consciously tries not to turn his head in the direction of the new employee. However, the girl is transferred to another department, the obsession subsides, and during the recovery phase the man cannot turn his head for some time.

That is, if there is a restriction on looking somewhere - this may concern the development of relationships, business development, new prospects - the neck “jams” in the recovery phase.

How to treat psychosomatic diseases

In order to cope with a psychosomatic illness and quickly localize it, you need to find your action or your feeling, i.e. what happens before the onset of illness.

For example, if your throat hurts because you ate 2 kg of ice cream and you just got a cold or you got a cold on the subway, then you don’t really have a choice, you’ll have to get sick - honey with tea and pills will help, but if your throat starts to hurt from stress, etc. e. This is a psychosomatic illness, then you have a choice: if you want to get sick, get sick, if you don’t want to, then you don’t have to get sick, i.e. at your request.

This article is about how to treat the psychosomatics of diseases if you have no time to get sick or don’t want to, in general, for those whose choice is “not to get sick.”

1) For example, a sign of a psychosomatic illness for me is that my throat always starts to hurt on the right side of the right tonsil, sorry for the details, but they are important for understanding how it works, so that you can identify your signs in yourself. I have this psychosomatics throat gets sick.

2) The fact that a “fake” cold begins, i.e. colds are not caused by viruses or ice cream, but rather by nerves; they help me understand my sensations in the body.

We ask ourselves the question: what happened before your throat started hurting? Was there 2 kg of ice cream? No. Maybe it was windy in the subway? Also no. Maybe because of nerves and severe stress? Maybe.

How do you understand that there was a lot of stress and that you were nervous?

Remember the last few times you got sick. Last time I had such and such sensations, and then I got sick. The time before last I had such and such sensations and then I got sick. And then I had such and such sensations and then illness.

Damn, every time the same sensations and then illness. These sensations are signs that make it clear that “oh damn, I’m stressed now, and then, as usual, I’ll be sick for two weeks.”

I can understand that I am under severe stress right now if I notice the following signs in my behavior and feelings: anxiety, sudden jerky movements, my speech speeds up, my breathing quickens, I feel tension in my eyes, I have insomnia - these are my signs stress, you have other signs.

Pay attention to an important point: when a person is under severe stress, he does not understand or realize it, he is inside this process and does not see himself from the outside. The task is to teach yourself to quickly recognize that you are currently stressed or have just experienced it.

Now describe your signs of stress in as much detail as possible on a piece of paper. Describe your sensations in the body: where exactly you feel it, and how it is specifically expressed in bodily sensations. Wrong - I feel depressed, the value of such information for you is zero. A correct description might be, just as an example, my shoulders roll forward, I begin to breathe shallowly, I feel a lump in my throat, etc. Write your feelings on a piece of paper.

Look at these signs of stress and think about which of them you can understand: if I have this sign now, it means that I am now under severe stress.

This is necessary so that during times of stress you can consciously determine the presence of stress in yourself based on this sign and quickly localize it before the onset of psychosomatics.

A sign that I have a lot of stress right now is anxiety, sudden jerky movements, my speech speeds up, my breathing quickens, I feel tension in my eyes.

For me, the most noticeable thing is tension in the eyes and sudden, jerky movements; I am clearly aware of this and notice it even in moments of severe stress.

And a sign that I have just experienced severe stress is the feeling that my throat, namely the right tonsil, is starting to hurt. For me, this sign indicates the beginning of psychosomatics.

A command comes to the brain from the subconscious to get sick, the brain sends a command to the throat muscles to contract in a certain way, to simulate a throat disease, this triggers other processes in the body, a runny nose, cough, loss of strength begins, this is how it works for me. This is how the psyche protects the body; colds give you the opportunity to rest at home and protect yourself from other stress for a couple of weeks.

Having noticed these signs of stress and that my throat hurts, I can change the further course of events consciously, i.e. do not allow the body to “turn on” the disease for rest, but localize stress and cure your psychosomatic disease, in this example it is a cold.

Localization of psychosomatics in the “blossom” complex is two simple exercises that are described below in this article.

Localization of psychosomatic diseases

As soon as I notice signs of stress and a sign of the subconscious strategy “if you get sick, you’ll rest,” a sore throat, in the evening before going to bed I sit down comfortably cross-legged and breathe variably for 10-20 minutes, after which my throat immediately goes away, because my throat starts to hurt not from because my throat has a cold or a cold, but because the muscles simulate the disease, contracting in the same way as during illness and this triggers everything else, and with variable breathing I loosen the throat muscles and remove stress.

After I have varied my breathing, I do the humpty baltai exercise, which is 5-10 minutes of swaying to classical music at a pace that is comfortable for me.

And with this, all the psychosomatics of the disease disappears, so now I need 20 minutes to recover and not 2 weeks, as it was before.

I am sure that it will be very difficult to change the “get sick and rest” scenario built into the subconscious by life circumstances or some other scenario, but I found a way to catch it before it even started and replace it with another scenario that I need, to do it consciously.

In my experience, cure psychosomatics i.e. The disease can be localized on the same day, when there was stress and signs of psychosomatics appeared. If you do nothing on the same day and sleep with it, then the next day the chances of localizing the disease are greatly reduced.

This good way without pills.

When you have experienced some kind of severe stress or suddenly a nighttime panic attack, your nerves and muscles are clenched into a fist, you need to release them.

I specifically use the word loosen and not relax, because relaxing the fingers that are clenched into a fist will be a fist with relaxed fingers, and you need to unclench your fingers, open your fist.

You need to loosen both your psyche and your body (muscles).

• 1. Dissolve the psyche
• 2. Release the muscles

How to dissolve the psyche

To unwind the psyche, variable breathing is suitable. The exercise is very simple, it is slow breathing for 10 minutes.

Place a pillow or rug on the floor, sit cross-legged in a way that is comfortable for you (you can just sit on a chair, the main thing is that you feel comfortable).

During the first 10 seconds you inhale slowly, during the second 10 seconds you exhale slowly. There are no breath holds in this exercise at all. We breathe like this for 10 minutes. Inhale slowly, exhale slowly, inhale slowly, exhale slowly, and so on for 10 minutes. You must inhale through your nose; you can exhale through your nose or mouth, no matter which is more convenient.

You get 3 inhalations and 3 exhalations per minute. If 10 seconds is still too much for you, start with 5 seconds, then gradually increase, it is better to put a stopwatch or a smartphone with some kind of timer application in front of you.

Remember that variable breathing is effective if you inhale and exhale for at least 10 seconds, and if you breathe this way for at least 10 minutes a day (10 minutes a day is enough to prevent stress).

It may be difficult for you to breathe like this at first, but just imagine that you are inhaling through a straw, and exhaling as if air is coming out with a hiss from a balloon with a small hole in it.

To master this kind of breathing, just make sure that you gradually take in a small stream of air while inhaling and slowly push out the air evenly while exhaling, and you will succeed.

Breathe with your stomach - starting to inhale, begin to gradually inflate your stomach, when your stomach is already inflated, raise your breath higher, then higher rib cage and higher is the throat, i.e. you gradually inflate as you inhale, and as you exhale, in the reverse order, you exhale first through the throat, then through the chest, and then through the stomach.

Now how does this exercise work and why is it called variable breathing.

Variability is translated from Latin as variability.

When a person is in a calm state, nothing bothers him, he is peaceful and healthy, then his heart beats variable.

It makes 60 beats per minute, and these blows are not 1 beat every second, but then one blow, then two, then again 1, then 1 and then 1 and then 2 and then 1 again, and so 60 beats per minute are accumulated , that is, the heart beats, as God puts it on the soul, so it beats.

This is such a small cardiac arrhythmia, which is specially designed by nature itself and every person has it and this is normal, it is what is called variable.

When a person is under stress, his heart also makes the same 60 beats per minute, but at the same time it beats 1 beat per second, like a Swiss watch without changes and without arrhythmia, that is, there are no changes, no variability.

So, in order to relieve stress, we need to return the heartbeat to a variable state, as soon as we do this and the heart begins to beat variablely, stress hormones will be destroyed, stress will be eliminated, the psyche will calm down (about a variable heartbeat and how it helps strengthen the psyche and develop your Willpower can be found in more detail in the book "Willpower. How to develop and strengthen.").

Returning to a variable heartbeat and eliminating stress due to this can be achieved with a simple exercise - you need to breathe slowly for 10 minutes, as seen above.

This same exercise is the answer to the question when bad dream what to do, just 10 minutes of variable breathing before bed.

How to release muscles.

In order to loosen the muscles, you need to move, lose muscle tension, relieve muscle torpor. It can be done different ways, here are two simple and effective examples:

1. Just rage for one minute (set a timer that will beep at the end of the minute).

During this minute, get mad, dance actively, make a lot of movements, swing your arms and legs widely in different directions, jump, have fun in general, move like at a dance in the Umba-Yumba tribe (I myself have no idea how they move there, but in my performance it looks very fun and funny, I like it, and this is exactly the effect that you need, so that it gives you pleasure and your muscles become loose and relaxed). During this wild dance, you can hum the song “The song helps us build and live…” (if the description of the exercise amused you, I’m glad).

I advise you to do this same exercise every morning as exercise, and if you do it early in the morning, I recommend doing it in the kitchen, otherwise your joyful stomping will wake up your neighbors from the bottom floor and they will come to swear.

2. Do 5 exercises of the Key method, or at least one of the five, it will take you 5 minutes of time.

I also recommend doing these 5 exercises every morning immediately after waking up as exercise, and doing them as a sedative every evening before bed. Why the same exercises and exercises and sedatives are used and how to do them - in detail in this video, but in short, these exercises harmonize and synchronize both your psyche and your body with this rhythm.

They say that the British came up with a saying that compares tedious, hard, exhausting work with pain in the neck muscles. You can't deny them the precision of the wording! Each of us has at least once experienced pain and discomfort from tension in the muscles of the neck and collar area - an extremely unpleasant sensation.

Why do muscles tense?

The first and main reason for neck muscle tension is prolonged sitting at a desk in an almost motionless position: hands on the keyboard, eyes intensely fixed on the monitor screen. Remember how your traditional morning begins. With exercise and an invigorating shower? No, most likely, from a cup of coffee drunk while sitting in front of the monitor where you are viewing the morning news. How often do you stretch yourself during the working day? Do you allow yourself a walk in the fresh air in the park during your lunch break? Do you let your muscles relax in the evening in the pool or dance class?

I believe the answer to all questions will be negative. Because you sat at work all day without raising your head, distracted only by phone calls and calls to your superiors. And in the evening, at best, they allowed themselves to sit with a friend in a cafe. And upon returning home, we felt like the area of ​​the neck and collar area seemed to be swollen from fatigue, it was annoying with a slight burning and tingling sensation, and sometimes it hurt so much that the head itself was pressed into the shoulders. Of course, your neck supported your head in the same tense position all day long.

However, psychologists have an interesting opinion regarding the head pulled into the shoulders: in a stressful situation, a person instinctively tenses the muscles of the neck and collar area, as if trying to “hide” from the negative. Even when the stress is left behind, the muscles do not immediately relax. And the more often the stress, the more firmly the neck muscles remember their tense state and the slower they come out of it, creating painful sensations in the collar area.

Another reason for tension in the neck muscles and pain in the collar area is your internal psychological state. The fact is that when you experience depression, fatigue, overwork, a state of lack of will and decadence, your head involuntarily falls down and pulls the neck muscles with it. The muscles resist the tension, tightening to support the head, and this tension spreads throughout the upper body, creating pain. Neurologists also say that the accumulation of tension in the neck muscles is facilitated by blocked, suppressed emotions - restrained anger, the inability for some reason to express what has accumulated in the soul or even cry to your heart's content.

The neck is the bridge between body and mind

Such a philosophical definition of the neck can be found among specialists in Eastern relaxation practices, and here’s why they think so. Of the six sense organs, four are located in the head, and therefore it determines the direction of body movement. In this case, it is the neck that makes it possible to realize movement by turning the head.

In the cervical-collar area there is a very important, from the point of view Chinese medicine, an energy and reflexogenic zone responsible for brain activity and hand movement.

The human head weighs on average 4-8 kg and is supported only by seven small cervical vertebrae, which are cushioned by intervertebral cartilage. But to help the vertebrae, nature gave a person a complex of 32 cervical muscles that hold the head in an upright position, actively promote its movement and perform protective functions. And there is something to protect! The neck area contains 4 main arteries and 8 largest nerves, not to mention the spinal canal. They supply blood to the head, organs of the thoracic part of the body and upper limbs, conduct different kinds irritations, controlling nervous activity.

If the muscles of the neck and collar area are overstrained, this will also affect the functioning of blood vessels or nerve endings, and on the blood supply to muscle tissue, impairs metabolism and oxygen supply to the brain. As a result, you feel pain in the muscles of the neck and collar area, as well as severe headaches and stiffness in the shoulder girdle. Prolonged tension of the neck muscles can provoke the early formation of wrinkles on the forehead, jowls, swelling on the face, nasolabial folds, the development of migraines, blurred vision, swelling, salt deposits, pinching of the spinal nerves, as a result of which radiculitis develops and disruption of the organs under their control and other troubles.

How to help with neck pain?

There are several simple techniques that will relieve muscle tension in the neck and collar area, relieving you of pain and discomfort.

Relax . Sit comfortably or lie down in a calm, quiet room where you will not be disturbed. Close your eyes and try to mentally relax each muscle in turn, moving from your head to your feet. Then slowly and deeply inhale and exhale all the air, drawing in your stomach. Repeat several times.

Take a rest . Nothing relaxes your neck muscles more than being able to lie down comfortably and take a nap.

Apply cold water to the neck and collar area compress (from crushed ice, wrapped in a scarf), and after 15 minutes, warm your neck with a towel soaked in hot water. This will activate the blood supply to the muscles and relieve pain.

If the pain is very severe, do not be afraid to take painkiller . The body is unlikely to suffer much from one tablet, but you will relieve nervous tension from pain.

Make yourself easy massage to relieve tension in the muscles: press your palms firmly to the back of your neck and stroke it, then rub it in a circular motion, lightly pat it with your fingertips. Then grab the neck muscles with your fingers and knead them with pinch movements. Do the same with the muscles of the collar zone. Finish the massage with the same stroking as you started.

Don't forget about preventive measures, which will help the neck muscles not to strain and thereby significantly reduce pain in the collar area, and maybe even get rid of them:

• Watch your posture, get rid of excess weight, train your abdominal muscles - this will reduce the load on the spine and strengthen the muscles that hold your head upright, preventing it from tilting forward.
• While working, do not lean low over the table, create a comfortable workplace for yourself, take a break every hour to move around and change your body position.
• To prevent neck muscles from straining, give them rest often; during long periods of work at a desk, sit comfortably so that your neck does not swell from a static position; take breaks to move around.
• Even in a work environment, you can allow yourself a simple exercise to strengthen your neck muscles: sitting at your desk, “turn” your shoulders, imagine that your spine is a perfectly straight column, straighten your neck, stretch the top of your head up, cover it tightly with your hand and, lowering your eyes down, slightly press your hand to your head. Feel how your scalp and neck muscles stretch. Relax completely and then repeat the exercise 10 times. It will relieve some compression and strengthen the neck muscles.
• Get rid of the habit of pressing the telephone receiver with your ear to your shoulder or combing your hair with your head thrown back strongly - there is no need to stretch your neck muscles unless absolutely necessary;
• Neck pain can be caused by an uneven mattress, a pillow that is too large, or an uncomfortable sleeping position (such as sleeping on your stomach). Only when sleeping on a hard mattress and a low pillow do the muscles fully relax.
• Learn to relieve the stress accumulated during the day with an evening walk in the fresh air, a warm shower, a cup of tea with mint and honey and, finally, a good, healthy sleep.

When stress first manifests itself through neck pain one day, a clear physical consequence can quickly be felt. The muscles are tense, and, as a result, pain appears in the back of the head or headache. Stress and neck tension are often related. We will explain to you the reason and show you exercises that really help.

A typical accompanying phenomenon of long-term stress is muscle tension. This is especially true for the shoulder and neck area. If you add to this a draft or poor posture, the experience of pain in the shoulders and back of the head will come even faster.

Strained neck due to stress: find out the reasons

If you often suffer from neck muscle tension, you urgently need to be examined by a doctor. In addition to stress, the cause of your pain can be a herniated disc.
If such physiological causes are excluded and it is determined that the neck pain is a consequence of your experiences, the doctor will prescribe you medications against these acute pains. As a rule, this drug is Diclofenac. Psychotherapy, such as massage or therapeutic exercises, is then usually prescribed.
In addition to professional treatment prescribed by a specialist, there are many things you can do yourself to relieve neck tension.

Tight neck muscles due to stress: long-term relief with PMR

The most effective is the continuous elimination of the triggering stimulus of tension. If stress is the cause of your neck pain, you should especially pay attention to progressive muscle relaxation. This technique actively relaxes your muscles and reduces your overall stress levels.

Tight neck muscles due to stress: current help

If your muscles are tense, the first step is to warm them up. Try this with

• hot bath
• warm water bottles
• grain pillow, which should be heated in the microwave or oven
• a wet scarf, which should also be heated in the microwave and placed on top of a dry scarf on the back of the head
• warming ointment (please talk to your pharmacist). Heat promotes blood flow to the muscles. This increases energy supply and regeneration capacity.

Please note that in addition to stress, you do not aggravate the situation with your neck by poor posture.

• If your job involves a sedentary lifestyle, you should get up and take a few steps more often. When you hold your body position correctly, the neck muscles also straighten.
• Always watch your back when you are sitting. Loads on the spine also lead to tension in the neck muscles.
• Sit back when you have the opportunity. This not only stretches the muscles, but also prevents stress.
• Work on relaxing your muscles by doing stretching exercises.
• Sit up straight, stretch your neck and in this position lower your chin to your chest.
• Drop your shoulders down and tilt your head (do not twist it) towards one or the other shoulder so that you feel your neck stretching.

You will find more exercises against tension in the back of the head and neck in the second part of the series “

For more information, please contact Grindeks Rus LLC

117556, Moscow, Varshavskoe shosse, 74, building 3, 5th floor

NECK PAIN AFTER STRESS

I am very worried about my condition. For the last two years I have been living in constant stress, which is only progressing. In recent months, without any other symptoms, the temperature began to rise to 37.5, it was even 38-38.5, and in the last month, every time I get nervous, after a few hours (and sometimes immediately), the temperature rises and my throat begins to hurt, or rather the neck in the front, so much that I want to cry, sometimes it feels like there’s a lump in my throat and I can’t swallow, but last night I felt like I was suffocating. Swallowing is very painful. The strangest thing is that when I calm down it gradually goes away, but with the next stress it starts again. Previously, it started the next day, and not so much, now literally right away, you get nervous, and it hurts very much. Also, in parallel with this, the heart and pulse in the head are pounding very much and there is a headache in the temples (What could this be and how to deal with it? I noticed that when I’m not nervous and I feel the love of loved ones, everything is fine. But unfortunately, in addition to the big problems in life that are serious because of which I constantly worry, it’s my loved ones who add to my worries, insults in my family against me have become the norm, and I hear them 10 times a day once a day, rudeness, shouting, raised tone, I live in this all the time, I don’t feel affection and kindness, for someone to hug me and feel my feelings somehow, at least superficially. I experience this very painfully. I keep everything to myself. I live in constant fear that there is no one to tell. In addition to what has been described, I healthy lifestyle life, I haven’t drunk at all for 5 years, I’ve never smoked, I eat well, I don’t eat fatty foods, I don’t eat fried foods either, there’s a lot of fiber in my diet. I try to do sports regularly, at least exercise, but lately, due to stress and well-being, I don’t want to do anything, I want to hide in a corner, curl up in a ball and cry, there’s such pain inside and now in my neck. Please tell me where to start and where to look for the reasons? I am 31 years old.

Essentially speaking, neurosis, or more precisely, neurotic (borderline in essence) disorder is a psychosomatic disease that arises as a result of the influence of any traumatic factors or situations.

This disorder certainly significantly impairs the quality of life. A person loses control over his thoughts and emotions, and in some cases, even over his movements and actions.

The patient, as a rule, is well aware of the painfulness of his condition. He directs all his internal strengths and resources exclusively to the fight against neurosis or its manifestations. In this case, a person has no strength left for self-development, happiness, joy or a career, and this state can last for years, because only a few can overcome neurosis and get rid of it on their own.

In people who suffer from this condition and do not know how to treat neurosis, anxiety and worry are caused not only by the symptoms of the disease itself, but also by a feeling of powerlessness over the disease, fear of losing control over their lives, and an understanding of the abnormality of their mental state.

Despite the fact that the disease can be accompanied by very unpleasant symptoms, including psychosomatic ones, neurosis can be defeated and cured.

Properly selected therapy not only helps eliminate existing painful manifestations, but also prevents the development of relapses in the future.

Getting out of neurosis and overcoming it is just part of the therapy. For a final cure, it is necessary to eliminate the cause of the disease. And at this stage, many patients have a question: if the disease arose as a result of psychotrauma, for example, was the result of a personal tragedy, then the cause itself ceases to be relevant over time?

The fact is that the traumatic situation only served as an impetus for the development of the disease. The main problem lies in the person himself and in his personal attitude to the situation.

Therefore, the answer to the question “how to treat neurosis and how to get rid of it forever” is to correct a person’s attitude towards traumatic situations. After all, none of us is immune from losses and failures in life, but for some they help them become stronger, while others then cannot recover and overcome neurosis for years.

The main goal of a psychotherapist is to help a person become stronger than circumstances, learn to control his emotions in any situation, be able to act constructively, think positively, understand both himself and the people around him. And only when this task is completed can we say that the neurosis has been cured. You can contact a specialized center or a private doctor, the main thing is that the specialist has sufficient experience and can select individual techniques that will help you - to successfully fight neurosis and quickly get out of this state.

So, you should not delay in seeking professional help from a psychotherapist.

The sooner you take measures to combat neurosis, the faster your condition will stabilize, and the faster you will begin to live a full, happy life.

Most likely, this is a manifestation of a neurotic disorder. To make a diagnosis, you need to consult a psychotherapist. For most neurotic disorders, psychotherapy and additional methods strengthening the psyche and health: physiotherapy, massage, physical therapy, acupuncture.

In some cases, drug therapy is added: antidepressants, tranquilizers, antipsychotics.

More details about the treatment of neuroses here: http://preobrazhenie.ru/psychiatry/lechenie-nevrozov

• If you have questions for the consultant, ask him via a personal message or use the \"Ask a Question\" form on the pages of our website.

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Your question will not remain unanswered!

You describe the manifestations of an anxiety disorder - a form of neurosis.

Such problems should be dealt with under the guidance and supervision of a psychotherapist. Treatment should be comprehensive and include psychotherapy as the main method in solving problems.

Psychotherapy should help you understand the causes of anxiety, understand

the fallacy of fears and change your attitude towards them.

Medicines play an auxiliary role in treatment and are prescribed - if necessary.

Treatment of a pinched nerve in the cervical spine

Pinched nerve in the cervical spine

Any pinched nerve in the spinal region is difficult to tolerate, in addition, it is dangerous. Pinched nerve of the cervical spine is a more common phenomenon. This is due to high cervical mobility.

In addition, it is in the neck area that the maximum number of nerve roots is located. There is an increase in pain with an elementary turn of the head, causing severe discomfort in the usual position.

Causes of the disease

Among the various reasons due to which pinching of the nerves of the neck is possible, the following should be distinguished:

1. Spinal diseases. Compression of the spinal nerve processes in the cervical region may increase due to degenerative processes. This causes the spine to bend.
2. Destruction of metabolic processes in vertebral cartilage. Over time, bone growths appear. This is due to poor nutrition, which forms salts on the intervertebral discs. These growths gradually expand and pinch the nerve endings leading from spinal cord to the neck.
3. Injuries. There may be a risk of dislocating intervertebral discs and/or vertebrae due to any fall or impact to the neck area. Movements should not be sharp and fast, because... The slightest damage to the cervical spine can cause pinching. Don't aggravate your situation further.
4. Violations at work muscle tissue. With muscle cramps in the cervical region, pinching of the nerve roots can also occur. This is observed, for example, after hypothermia or after incorrect head position during sleep.
5. Oncological diseases. Compression of the spinal nerve endings can occur when a rapidly spreading tumor occurs in the cervical region.

Symptoms and manifestations of the disease

To provoke acute and sharp pain, tingling of the body and numbness of the body can pinching any of the 8 cervical roots that are located in the neck

There are many signs of neck disease:

• 1 symptom is pain and cramps in the shoulder area. It worsens as a result of compression of the nerve ending by the C5 vertebra. In addition, the shoulders may become numb, and the pain can cause muscle weakness.
• Symptom 2 is pain in the hands and their numbness. When the cervical end of the C6 vertebra is pinched, the patient feels pain and cramps throughout the arm, right down to the thumbs. Numbness occurs in both wrists. As a result of pinching in the C7 vertebra, the pain descends to the phalanx of the middle finger, causing stiffness, numbness and tingling.
• Symptom 3 is the most dangerous and serious. Associated with pinching of the cervical nerve in the C8 vertebra, which is responsible for the activity of the small muscles of the arms. Under these circumstances, hand dysfunction develops.
• Symptom 4 is acute pain in the back of the head and shoulders. The feeling of pain increases when the patient turns his neck or, on the contrary, does not move it for a long time, for example, in a dream. The pain is reflected in the shoulder, forearm and under the shoulder blade.
• 5 symptom accompanies a violation of the blood circulation of the brain. This includes headaches, dizziness, pressure changes, and hearing impairment.

In many cases, when the cervical nerve is pinched, the symptoms will be less pronounced in a resting position and more pronounced with any rapid movement. Pain can be on one or the other side of the body.

Dizziness as a sign of neck pinching

One of the signals of irritation of the endings of the autonomic nervous system can serve as dizziness with pain in the cervical region. Subsequently, this can lead to the "prosperity" of vegetovascular dystonia. In addition, the disease indicates that the vertebral arteries are compressed due to inflammation and muscle cramps.

Often pinching in the neck is accompanied by failures in the cerebral blood supply. This causes dizziness in the back of the head, migraines, tinnitus, and decreased vision and hearing. Memory lapses may appear, performance is declining.

It is necessary to take patronage over the patient in time; you should not wait for a complex cerebrovascular accident. Vertebrologists believe that dizziness occurs more often after sleep. This is due to the fact that it hurts to sleep on a high pillow. Here we wrote about the pillow for sleeping on the back.

When turning the head, the dizziness accelerates, especially with some crunching in the area of ​​the cervical vertebrae. Rapid head movements can cause neck pain at any time of the day. Episodes may also include darkening of the eyes and disorientation in space.

If you look at the problem according to anatomy, it is easy to explain why you feel dizzy when the cervical vertebrae are pinched. The vertebral artery passes through the processes of the cervical vertebrae. This is a vessel that enters the skull through the back of the head. Thanks to this vessel, blood flows to one-fourth of the brain tissue.

When the neck is pinched, the arterial vessels are compressed, the blood flow sharply decreases, which causes hypoxia and dizziness. This phenomenon demonstrates the "syndrome of the vertebral artery".

What to do if a nerve is pinched in the cervical spine?

If pinching is suspected, first aid should be provided to the patient. If anti-inflammatory drugs do not stop the pain within 2-3 days, you need to contact a specialist who will understand the problem and build a clear treatment plan.

Not worth carrying out self-therapy- this is fraught with aggravation of the disease.

First aid for pinched nerve endings in the neck

First of all, in case of pinched nerve, accompanying acute pain need to call ambulance. To the best of your ability, before the doctors arrive, you need to alleviate the patient’s condition.

What measures should be taken during an attack:

1. First, you should calm the person down and place him on a flat, smooth, hard surface. The patient must himself take a position in which he is more comfortable;
2. If there are no contraindications, you should take any anti-inflammatory painkillers (for example, Nise, Ibuprofen, Diclofenac and others). In some stressful situations, take sedatives;
3. Do not move or move the patient in order to prevent compression and prevent swelling in the future;
4. Dry heat can be applied to the cervical region.

Treatment under the supervision of a specialist

If the pain does not go away within 2-3 days, you should consult a doctor - a neurologist or vertebrologist. After diagnosing and making an accurate diagnosis, the specialist prescribes therapy. To achieve a quick recovery and enhance the effect, comprehensive treatment should be used, including medication and physical therapy.

TO drug treatment include:

1. Taking vitamins B and E. Provide nutrition to the damaged area. Be sure to prescribe anti-inflammatory tablets and ointments, antispasmodics aimed at reducing pain;
2. Painkillers are prescribed in case of severe pain syndrome. They are necessary if other medications are not effective;
3. For nutrition cartilage tissue and for its quick recovery, the doctor can prescribe chondroprotectors. Nootropic medications are prescribed for the rehabilitation of cerebral circulation.

Physiotherapy includes:

1. laser treatment courses;
2. massage sessions (this is the most popular method);
3. acupuncture;
4. ultrasound treatment;
5. UHF – therapy;
6. therapeutic and preventive gymnastics.

The disease cannot be dealt with solely medicinal method, so physical therapy is an excellent alternative to relieve pain and spasms. It is effective if you complete the full course, at least ten, and sometimes fifteen sessions.

In case of nerve entrapment in the neck, physiotherapy is carried out exclusively by a professional doctor, otherwise the situation may worsen.

Among other things, the doctor prescribes home maintenance treatment. The doctor prescribes:

1. a bath with a therapeutic effect based on the herbs of chamomile, oak bark, sage and nettle;
2. cold compresses for 15 minutes a day;
3. ointments with a warming effect for topical use.

Exercises for self-relief of pain

Do the exercises in the following sequence: stroking, rubbing, kneading:

1. Place your hands on the neck area and begin stroking movements from top to bottom, grasping it. You can work with two hands or alternately.
2. Next, start making rubbing circular movements with your fingertips. The hands are already used to it and do not slide over the skin, but only move. Don't forget about the shoulder area - there are painful points here.
3. Go to kneading. It consists of squeezing the shoulders with both hands at the same time.
4. Pay attention to massaging the points of attachment of the neck muscles to the head. It is advisable to massage every centimeter for about a minute in the scalp area. Perform the action with your thumb and hands clasping your head.
5. The next exercise is shaking the head forward, left, right. You shouldn't go back. The head should spring back about - one, two, three. Finish with circular movements clockwise and back.

A feeling of relaxation, warmth, and pleasant tone appears in the neck.

Disease prevention

Treating a pinched cervical spine is long and difficult, but it is possible if you follow measures to prevent the disease.

Those who have already suffered this pain simply need to follow the following measures:

Main methods of prevention:

• use of orthopedic pillows and mattresses;
• At work, be sure to take a break and warm up your neck;
• visiting the swimming pool, yoga classes are useful;
• a course of therapeutic massage under the supervision of a specialist;
• at sedentary work take breaks and get up;
• do not lift heavy objects;
• avoid hypothermia (in winter, wear warm scarves and collars);
• do exercises to maintain muscle tone.

Home exercises for preventive care:

• tilting the head forward-backward and left-right for 1 minute. Perform the lesson smoothly without sharpness and slowly;
• pressing the head in turn to the right and left shoulders with a delay of 1 minute for each;
• kneading the shoulders up and down to the head twice;
• leaning forward, pressing the chin to the chest. You can press your hands on the back of your head.

Pinching in the neck is an unpleasant problem, but it is quite treatable. The disease can only be treated by a professional doctor; you should not succumb to popular advice, thereby aggravating the situation.

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Back of neck hurts

Human anatomy is complex and almost perfect. Each part of the body has its own purpose and works closely with all the others. Problems in individual organs sooner or later spread to others. Ultimately, they affect overall well-being and lead to a decrease in a person’s performance and quality of life.

The neck, connecting the head and torso, is a significant part of the body that performs vital functions for a person. Inside this very small area there is a mass of organs and structures separated by a layer of connective tissue.

Many arteries and veins, muscles and nerves pass through the neck, and the lower part of the pharynx is located here. The esophagus, trachea, larynx and glands are located here: the thyroid and parathyroid. Inside the neck are concentrated The lymph nodes, protecting the body from various infections. And at the back of it is the spinal cord.

The neck can be considered a rather vulnerable place on the human body, both from the outside and from the inside. Pathologies are possible not only in the neck itself, but also in the organs and structures located in its middle. Therefore, it is important not to ignore pain that occurs in the posterior region, on the right or left of this part of the body. If they do not go away for several days, you should consult a doctor and, if necessary, carry out the prescribed treatment. After all, it is known that a disease noticed at the very beginning of its onset is treated much faster than an advanced condition.

How can your neck hurt?

Surely everyone has experienced neck pain at least once in their life. It may start at the back of the neck and then spread to the right or left side. The discomfort is enormous, since turning the head causes sharp pain and even spasm.

Neck pain varies and is characterized in different ways. Therefore, there is a classification of this unpleasant phenomenon according to certain characteristics.

Firstly, this is localization, that is, where exactly the painful sensations appear. Depending on this, the pain is divided:

• visceral (reflected) – from the organs located inside;
• somatic superficial – occurring in the skin due to mechanical injuries;
• somatic deep, flaring up in deep tissues.

Secondly, the location of the nervous system failure:

• central pain – occurs when the central nervous system (CNS) is damaged;
• neuropathic – appears in case of dysfunction peripheral nerves or the central nervous system, but not as a result of stimulation of pain receptors.

Thirdly, there are temporary characteristics of pain:

• acute, appearing relatively recently. It is a consequence of pathologies in the body and a warning about the danger of organic damage or disease;
• chronic – torments for a long period, appearing and disappearing.

Depending on the location of the pain syndrome, its intensity and severity, it is possible to preliminarily determine what exactly was its cause.

Causes of neck pain in the back, left and right

The cause of unpleasant and painful sensations can be quite everyday and banal situations:

• staying in a draft;
• being in an uncomfortable position while sleeping or awake;
• hypothermia and, as a result, spasm and circulatory disorders;
• incorrectly selected pillow or mattress;
• uncomfortable body position while driving or using a computer;
• sudden movements and turns of the head may be accompanied by muscle strain and subsequent pain;
• excess weight, unnecessarily loading the spine;
• sedentary work or a static lifestyle lead to overstrain of the neck muscles, their stiffness, blood stagnation and salt deposition;
• emotional outbursts and tension often cause painful sensations in the back of the neck.

When the pain is constant, it is likely that it is a signal of degenerative changes, that is, anatomical damage to the organ. This happens as a result of an injury or illness.

The back of the neck, as well as its right and left sides, can hurt due to many ailments:

• Osteochondrosis of the cervical spine is the most common cause of pain. They are present mainly at the back of the neck. A degenerative process occurs in the intervertebral discs. Metabolism and blood circulation are disrupted in the spine. The discs located between the vertebrae lose their strength and elasticity, gradually dry out and crack. Cervicocranialgia syndrome often manifests itself - shooting, pressing and throbbing pain. Dizziness, numbness of the hands and the back of the head appear, and there is noise in the ears. You cannot move your head, since any movement of it causes sharp pain. Due to osteochondrosis, blood pressure often increases.

For the development of osteochondrosis, a person, most often, should “thank” himself. Indeed, it is extremely rare that the cause of the disease is a genetic predisposition. Most often, the disease is born due to a static lifestyle, the presence of extra pounds, and incorrect posture.

Osteochondrosis can provoke a hernia.

• A hernia in the cervical spine compresses the nerve roots, causing nagging pain in the neck on the right or left side and shoulder joint. You may also feel dizzy, and there may be a decrease in hand sensitivity and muscle tone. There are severe cases when there are several hernias.
• Spinal stenosis. During this disease, the spinal cord canal narrows in certain places of the spine. Most often, the disease is born in the upper part of the ridge. The narrowing is dangerous due to possible compression of the spinal cord and the nerve roots emerging from it. As a result: a person’s arms and legs become numb, his neck hurts greatly, especially in the back.

  Most often, stenosis is acquired and is last stage osteochondrosis.

• Muscle spasm - can appear suddenly due to unsuccessful head rotation and pinched nerves. Neck pain often occurs after prolonged work in a sitting position, night or even daytime sleep in an uncomfortable position.

  Muscle spasms happen anywhere, anytime. In this case, the neck hurts mainly on the right or left, since that is where the greatest load is present.

• Injuries. A minor blow to the head or back can cause disturbances in the cervical spine, which cause pain. And if the injury is more significant, caused by an accident or fall, then a doctor’s examination is required. In this case, displacement of the vertebrae often occurs. If you ignore the medical check, then after a few years you can be surprised to feel attacks of pain for seemingly no apparent reason.
• Neoplasms in the cervical spine. If the cause of the discomfort is precisely the presence of tumors, then the pain in the neck is long-lasting and bothers you around the clock. See a doctor immediately!
• Cervical radiculitis. It almost always occurs as a consequence of osteochondrosis. With this type of radiculitis, the roots of the spinal nerves in the neck area are affected. The pain is sharp and severe, manifesting itself on the right or left side of the neck. Even a slight movement of the body causes a whole wave of painful sensations.
• Inflammation of the tendons of the shoulder joint can also cause pain between the right or left neck and the shoulder.
• Pathologies internal organs. In these cases, pain in the neck is reflected and can come from the heart, gastrointestinal tract, or local purulent inflammation.
• Psychogenic factors. The presence of constant stressful conditions, permanent nervousness and fatigue, emotional outbursts, and mental trauma provokes muscle spasms and acute neurotic pain in the neck.

A common cause of discomfort is a lump that appears as a result of the development of osteochondrosis. Lack of physical activity and physical inactivity lead to weakening of the muscular corset and loss of its ability to sufficiently support the spine. Some of its components simply begin to “crawl out,” forming a lump and causing pain.

How to treat neck pain

When discomfort in the neck area is not caused by serious pathologies, then physical activity will help to get rid of them or at least reduce them.

If you constantly sit, be it a workplace or a chair with a sofa, one day you may not get up without help. Therefore, you need to regularly warm up and perform several exercises specifically for the neck:

• tilts in all four directions alternately;
• turns the body with the arm thrown forward;
• circles with your head in one direction and the other;
• intense swings of arms up and down.

Such a warm-up will not only prevent your neck from hurting, but will also significantly improve your mood.

A well-chosen mattress and pillow will ensure a vigorous and healthy rise. It would be better if they were orthopedic.

A professional massage two to three times a year will help relieve chronic pain in the back, right and left neck.

What not to do when your neck already hurts:

• while reading or doing other work at the table, keep your back bent and your head down;
• do not remove the collar splint applied during periods of acute pain for a long time;
• lean towards the painful side;
• turn sharply.

You also need to keep your neck warm and watch your posture.

Traditional medicine comes to the rescue

You can use secrets traditional medicine. Here are some recipes.

• Prepare currant leaves, lavender, elderberry and wormwood in equal quantities. Chop as finely as possible with a knife and pour into a thermos. Pour in very hot water. The infusion will be ready the next day. You can drink it instead of tea two to three times a day.
• Place a teaspoon of chicory in a glass or cup and pour boiling water over it. Also drink instead of tea or coffee.
• A universal echinacea tincture will also help. Ten drops of the product should be taken four times a day.
• Squeeze the juice from the beets and keep it in the refrigerator for about two hours. Then add some fresh carrot juice. This cocktail is effective if taken 100 ml per day.
• Three tablespoons of honey should be mixed with one hundred grams of lard cut into small pieces. Add a glass of milk. Take the resulting mixture three times a day, a tablespoon.
• Infuse 80 grams of dry mint and make a compress.
• A fresh bruise can be rubbed with olive oil.

Of course, these methods will not help if neck pain is caused by serious illnesses. You can't do this without the help of a doctor.

Until the consultation is completed, you can take painkillers and use the appropriate ointment.

Methods for treating neck pain

Modern diagnostics help to identify the causes of pain using:

• magnetic resonance imaging (MRI);
• ultrasound examination (ultrasound);
• studying blood composition;
• electrocardiograms (ECG).

A simple x-ray will help diagnose osteochondrosis.

The treatment prescribed by the doctor is carried out after carefully studying the results obtained. Complex therapy includes:

• special injections;
• nerve stimulation;
• laser removal of hernias and tumors;
• acupuncture;
• taking antidepressants;
• physical therapy and cervical-collar massage;
• use of applicators.

Widely used for the treatment of osteochondrosis, radiculitis, intervertebral hernia:

• treatment with leeches - hirudotherapy. These not-so-cute worms release hundreds of active components into the human blood, among which hirudin is the most effective. It helps get rid of swelling and inflammation, strengthen blood vessels and their walls. It also stimulates the acceleration of lymph and blood flow;
• Isometric kinesiotherapy is a special therapeutic exercise. Reasonably and professionally selected exercises will not only relieve pain and improve the health of the cervical vertebrae, but will also normalize blood pressure, accelerate material metabolism, and make joints more mobile;
• electrotherapy is the use of pulsed current, which has a vasodilating neurostimulating effect. Helps shake up the body and eliminate muscle flaccidity;
• Low-level laser therapy (LLLT) is an effective physiotherapeutic method that uses light to reduce and completely relieve pain in different parts of the neck.

The nature of neck pain can be tied directly to the spine, and can also be a consequence of other diseases. After all, the neck contains vital organs, the inflammation of which affects the tissues and muscles of the neck.

In any case, finding out the causes of pain cannot be delayed. Having passed correct treatment, we must not forget about prevention in order to prevent recurrences of the disease.

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Neurology and neuropathology-Neck pain

J. Murtagh

Neck pain is a very common complaint. It occurs at any age in both men and women. Its main causes are osteochondrosis and osteoarthrosis of the cervical spine. Sources of pain in these diseases can be intervertebral joints and discs, as well as spinal ligaments and back muscles (Fig. 1).

Rice. 1. Structure of the cervical spine

The pain is usually localized in the back of the neck and may radiate to the head, shoulders and chest wall. In addition to pain, osteochondrosis and osteoarthritis of the spine are manifested by tension in the neck muscles and limitation of head movements. More details about the causes of neck pain are given in table. 1.

* intervertebral joints, including whiplash

* muscles and ligaments, including whiplash

* arthritis with inflammatory diseases intestines

* Reiter's syndrome and reactive arthritis

* bones: osteomyelitis, tuberculosis

* other localization: lymphadenitis, acute thyroiditis, poliomyelitis, tetanus, herpes zoster, meningitis, meningism, malaria

* for diseases of internal organs

* for intracranial space-occupying formations

Hemorrhage, such as subarachnoid

Basic information

• At any given time, one in ten adults has neck pain.
• Neck pain is usually caused by damage to the intervertebral joints, and somewhat less commonly, to the intervertebral discs.
• Most often, the intervertebral discs of the lower cervical spine are affected, and unilateral neck pain and sensory disturbances in the arm on the affected side usually occur.
• The prevalence of osteochondrosis and osteoarthritis increases with age. Thus, radiological signs of osteochondrosis of the cervical spine are found in 50% of people over 50 years of age and in 75% of people over 65 years of age.
• According to the results of a study conducted in the UK, radiological signs of osteochondrosis are found in 40% of men and 28% of women of age.
• Whiplash injury to the spine is characterized by damage to the ligaments of the intervertebral joints and fractures of the articular processes of the vertebrae. These lesions are often undiagnosed and may be the cause long-term pain in the neck.
• Osteophytes in osteochondrosis can compress the spinal roots (radiculopathy) and the spinal cord (myelopathy).
• The main causes of radiculopathy are herniated discs, space-occupying lesions and osteophytes.
• Neck pain is often worsened by shaking, such as while driving a car.
• The examination of the cervical spine begins with the identification of anatomical landmarks - the spinous processes of the vertebrae C2, C6 and C7.
• The main method of physical examination for neck pain is careful (but gentle) palpation.
• In most cases, neck pain lasts 2-10 days, and within a month it goes away in 70% of patients.
• At degenerative diseases spine, the main thing is to restore joint mobility.
• If there is no tumor, trauma or radiculopathy, then the most effective methods for neck pain - this is manual therapy and physical therapy.

Diagnostics

Differential diagnosis for neck pain is presented in table. 2.

Osteochondrosis and osteoarthrosis of the spine

Damage to muscles and ligaments

The most dangerous diseases

Vertebral fractures and dislocations

Herniated disc

Lymphadenitis of the cervical lymph nodes

Thoracic outlet syndromes, such as cervical rib syndrome

Foreign bodies in the esophagus

Diseases thyroid gland

Very likely. Neck pain can occur due to emotional stress and unfavorable working conditions

Most likely reason

The main causes of neck pain are osteochondrosis and osteoarthritis of the cervical spine, as well as damage to the neck muscles and spinal ligaments. The prevalence of spinal osteoarthritis increases with age. The main source of pain in osteoarthritis is the intervertebral joints. It is believed that damage to the intervertebral joints is the cause of myofascial pain and acute torticollis. Herniated discs usually occur in the lower cervical spine: the intervertebral discs C5-C6 and C6-C7 are usually affected.

The most dangerous diseases

Neck pain and limitation of head movement are observed with meningitis, subarachnoid hemorrhage, brain tumors and retropharyngeal abscess. If pain is localized along the anterior surface of the neck, coronary artery disease (IHD) - angina pectoris and myocardial infarction - are excluded.

Tumors of the cervical spine are usually metastatic. A tumor should be excluded if there is prolonged, constant pain that bothers the patient day and night. Metastases from malignant neoplasms in 5-10% of cases are localized in the spine, while damage to the cervical spine is observed in 15% of cases. Cancers of the breast, prostate and lung most often metastasize to the spine, and melanoma, kidney cancer and thyroid cancer are somewhat less common.

Sources of misdiagnosis

Difficulties most often arise in the diagnosis of rheumatoid arthritis and spondyloarthropathies, especially ankylosing spondylitis, psoriatic arthritis and arthritis in inflammatory bowel diseases. Pain in the lower part of the neck can be observed with polymyalgia rheumatica, although many people mistakenly believe that with this disease the pain is localized only in the shoulders.

Diffuse neck pain is observed in fibromyalgia. When examining a patient with fibromyalgia, pain points of a certain localization are identified. The disease is difficult to treat.

Causes of errors

• Ignorance of how common osteochondrosis of the cervical spine is.
• Ignorance of the fact that when a herniated disc occurs, only one spinal root is affected; if several roots are affected at once, then a malignant neoplasm should be suspected (metastases to the spine, lymphoma, etc.).
• Late diagnosis of myelopathy: it is characterized by a gradual onset, which leads to diagnostic errors; myelopathy is also observed with rheumatoid arthritis, osteochondrosis and osteoarthrosis of the spine.

Seven main pretenders

Among the pretend diseases, the main cause of neck pain is osteochondrosis of the cervical spine. Severe neck pain is also observed in acute thyroiditis. Acute thyroiditis is a rare disease; it can be purulent; it is also observed in syphilis. Less intense pain, enlargement of the thyroid gland and dysphagia are observed with subacute granulomatous thyroiditis. Depression can also be a cause of neck pain.

Mental disorders and malingering

After an injury, the neck very often becomes a zone of psychological fixation. Depression, anxiety and conversion disorders, and malingering can be both a cause and a consequence of neck pain. Constant neck pain, such as after whiplash or osteochondrosis, often provokes depression.

Survey

Anamnesis

During the collection of anamnesis, the nature of the pain, the circumstances of its occurrence, localization and irradiation are clarified in detail, associated symptoms. Information about the daily rhythm of pain plays an important role in diagnosis.

Main questions

• Show the place of greatest pain.
• Is there pain early in the morning? Do you wake up in pain?
• Does pain occur when you throw your head back?
• Is it easy for you to turn your head?
• Were there any head or neck injuries?
• Are there any restrictions in head movements, is there any crunching during movements?
• Do you have headaches or dizziness?
• Is the pain paroxysmal or constant?
• Is there any pain, tingling, numbness, or weakness in your hands?
• Does the pain get worse with movement?
• Do your shoulders hurt?

Physical examination

The study is carried out in the following sequence - inspection, palpation, assessment of active movements (including measurement of their volume), physical tests. Research objectives:

• reproduce symptoms
• determine the level of damage,
• determine the cause of the pain.

For radicular pain, disturbances in sensitivity and movement in the arms, as well as for pain in the arm below the level of the elbow, a neurological examination is indicated.

During the examination, the patient should sit on the couch with his hands on his hips. Rate:

• voluntary movements in the cervical spine,
• shoulder position,
• head position,
• contours of the neck when viewed from the side.

In acute torticollis, the head is tilted to the side and slightly turned in the direction opposite to the pain. After a whiplash injury and with severe osteochondrosis, the head is fixed and motionless: when it is necessary to turn the head, the patient turns his entire body.

First of all, the main anatomical landmarks are determined. During palpation, the patient lies on his stomach, his shoulders are relaxed, his forehead is on his palms, his head is slightly tilted.

Palpation of the spinous processes:

• the spinous process of the C2 vertebra is palpated immediately under the back of the head,
• due to cervical lordosis, the spinous processes of the vertebrae C3, C4 and C5 are difficult to palpate, their location is estimated approximately (Fig. 2),
• the spinous process of the C6 vertebra is accessible to palpation only when the neck is flexed,
• The spinous process of the C7 vertebra is the largest and most prominent, located at the base of the neck.

Rice. 2. Cervical spine: side view

Palpation is carried out thumbs both hands. The fingers are placed opposite each other along the midline, palpation is carried out from top to bottom - from the C2 vertebra to the C7 vertebra. During palpation, your arms should be kept straight. Place your fingers on the spinous process and press on it 3-4 times; In this way, pain and trigger points are identified.

Palpation of the articular processes:

• projections of the articular processes are located on the same line 2-3 cm lateral to the posterior midline,
• Palpation is carried out from top to bottom with thumbs facing each other.
• Palpation of lymph nodes, thyroid gland, neck muscles.

Assessment of active movements

During the examination, the patient sits on the couch. The range of motion in the cervical spine is normal:

• bending,
• extension,
• bending to the sides (abduction and adduction) - 45 0 in each direction,
• rotation (twisting) - 75 0 in each direction.

If there is no restriction of movement and pain, then at the end of each active movement a short-term additional effort is applied in the same direction and asked if pain has appeared. Based on the results of the study, fill out the form (Fig. 3).

Rice. 3. Range of motion in the cervical spine: crossed out lines mean limitation and pain when tilting and turning the head to the right

A neurological examination is carried out for pain, paresthesia, movement disorders and sensitivity in the hand, i.e. in the area of ​​innervation of the C5-Th1 roots. Signs of spinal root compression include:

• pain and paresthesia in the area of ​​its innervation,
• sensory disturbances,
• decreased muscle strength,
• hyporeflexia.

Symptoms of compression of individual roots are presented in Table. 3. They need to be known in order to accurately determine the level of damage.

The cutaneous innervation from the cervical and upper thoracic segments of the spinal cord is shown in Fig. 4.

Rice. 4. Cutaneous innervation of the head, neck and arm

Laboratory and instrumental studies

Additional research methods are used to clarify the cause of neck pain and exclude organic diseases of the spine.

The prescription of CT must be justified. A CT scan should not be performed for neck pain on everyone. Thus, CT is absolutely indicated before neurosurgical surgery and in cases of suspected organic disease spine, which is not detected by x-ray.

For neck pain, the following research methods are used:

• general blood analysis,
• ESR study,
• blood test for rheumatoid factor,
• HLA B27 determination,
• radiography of the spine,
• CT scan of the spine,
• CT scan with myelography (before surgery for a herniated disc),
• bone scintigraphy,
• MRI of the spine.

Neck pain in children

In children and adolescents, neck pain and limited head movement are often symptoms cervical lymphadenitis(complication of sore throat).

A stiff neck occurs with meningitis and other severe infections, such as pneumonia (meningismus). Poliomyelitis, a currently rare disease, can also be accompanied by neck pain.

Some causes of neck pain in children are the same as in adults: intracranial hemorrhages, abscesses and tumors. In children, in addition, acute torticollis is often observed (see below). Neck pain can also be a symptom of juvenile rheumatoid arthritis.

Neck pain in the elderly

If you have neck pain in the elderly, you should first suspect the following diseases:

• osteochondrosis of the cervical spine, complicated by radiculopathy or myelopathy,
• polymyalgia rheumatica,
• subluxation of the atlantoaxial joint in rheumatoid arthritis,
• metastatic tumors of the spine,
• pancoast cancer,
• abscess or tumor of the pharynx or retropharyngeal space.

The main causes of neck pain in the elderly are osteochondrosis and osteoarthritis of the spine. Neck pain is also observed with damage to the brain and its membranes, rheumatoid arthritis and spondyloarthropathy, such as ankylosing spondylitis.

Acute torticollis often occurs in the elderly, and it is more often caused by damage to the intervertebral joints and less often by a herniated disc.

A herniated disc usually presents with radicular pain. Radicular pain also occurs with osteoarthritis of the spine due to compression of the spinal nerves in the intervertebral foramina.

Clinical picture of lesions of the cervical spine

When the cervical spine is affected, the following may be observed:

• pain in the neck,
• restriction of head movements,
• headache, including migraine-like,
• facial pain,
• pain in the arm (referred and radicular),
• myelopathy (manifested by motor and sensory disturbances in the arms and legs),
• impaired sensitivity of the scalp on the affected side,
• earache,
• pain in the scapula area,
• pain in the upper chest wall,
• torticollis,
• dizziness,
• visual impairment.

In Fig. Figure 5 shows the possible localization of referred pain in diseases of the cervical spine. It should be noted that pain in diseases of the cervical spine often occurs in the shoulder and arm.

Rice. 5. Referred pain in diseases of the cervical spine

Microdamages of intervertebral joints and osteoarthritis of the cervical spine

Damage to the intervertebral joints of the spine is the main cause of neck pain. Microdamages of these joints occur at any age; frequent microdamages lead to osteoarthritis in old age.

Damage to the intervertebral joints may be primary, or may occur as a result of damage to the intervertebral discs, as a result of a single injury, such as a blow to the head, or minor but frequent injuries, for example, when painting the ceiling or wrestling.

Intervertebral joints are richly innervated, so damage to them almost always causes pain, often this pain is myofascial in nature. Damage to intervertebral joints is characterized by the following:

• dull (less often acute) pain in the neck, often in the morning, after sleeping in an uncomfortable position (patients often say that they are “blown away”),
• irradiation of pain to the back of the head, ear, face and temple (if the upper cervical spine is affected) or to the shoulder, especially in the suprascapular region (if the lower cervical spine is affected),
• pain increases with movement and decreases with rest,
• limitation of head movements (most often limited turns) and tension in the neck muscles,
• unilateral pain on palpation in the projection of the affected joint,
• no changes on radiographs.

Irradiation of pain into the arms is not typical for microdamages of the intervertebral joints.

Treatment

The causes of his illness are explained to the patient, and it is emphasized that if you follow the doctor’s recommendations, a complete recovery will occur.

• sit up straight while reading, writing, working on the computer,
• watch your posture,
• sleep on a small elastic or special orthopedic pillow,
• sleep on the losing side,
• Rub your neck with a cream containing analgesics 3 times a day: heat and massage reduce pain.
• throw your head back for a long time,
• often turn your head in the direction of pain,
• tilt your head when lifting weights,
• read or write for a long time while bending over,
• wear a collar splint for a long time,
• sleep on a high pillow.

The patient is examined regularly.

The condition usually improves slowly, so it takes some time to evaluate the effectiveness of treatment.

Analgesics such as paracetamol are prescribed.

As soon as the pain subsides, physical therapy exercises begin. Its combination with manual therapy (the latter should be carried out by a specialist) is very effective.

For prolonged pain, additionally use:

• antidepressants,
• transcutaneous nerve stimulation, especially in case of drug intolerance,
• hydrotherapy,
• acupuncture,
• injections of corticosteroids into the intervertebral joints (after CT or MRI),
• denervation of intervertebral joints.

Osteochondrosis of the cervical spine

Osteochondrosis of the cervical spine is much more common than the lumbar spine. Intervertebral discs C5-C6 and C6-C7 are usually affected. Intervertebral disc degeneration causes secondary changes in the intervertebral joints, which in turn leads to narrowing of the intervertebral foramina and compression of the spinal roots (usually C6 and C7).

Osteochondrosis - chronic illness with periodic exacerbations, which, however, can remain asymptomatic for a long time. In some patients with osteochondrosis, all manifestations decrease with age, when movements in the spine are limited.

Clinical picture

• Dull, aching, often one-sided pain just below the back of the head (Fig. 6), which often wakes patients up in the morning.
• Limitation of head movements.
• Increased pain in the morning, with sharp flexion or extension of the neck, as well as with prolonged constant stress on the cervical spine, for example, when repairing a car or painting the ceiling.
• Reduce pain when warm, such as during a warm shower.
• Radiation of pain to the head, shoulder blade or arm.
• Paresthesia in the hands.
• Dizziness.
• On examination, there is restriction and pain in movements in the cervical spine, especially turns and bends to the side, pain in the intervertebral joints on palpation.
• X-rays show a decrease in the height of the intervertebral discs, osteophytes, degenerative changes in the intervertebral joints.

Rice. 6. Osteochondrosis of the cervical spine: localization of pain and results of studies of active movements

Complications

• Unilateral or bilateral radiculopathy.
• Myelopathy.

Treatment

• Psychological support, patient education.
• Physiotherapy, including hydrotherapy.
• Analgesics, such as paracetamol.
• NSAIDs for 3 weeks (then assess their effectiveness and the need for further use).
• A special set of physical exercises.
• Manual therapy.
• Recommendations for daily activities, sleep, etc. etc.

Acute torticollis

Torticollis is a deformity of the neck, manifested by deviation of the head from the midline. Torticollis often occurs as a result of spasm of the neck muscles in diseases of the spine, and it is usually short-lived and accompanied by neck pain. Most often, acute torticollis occurs in older people.

The causes of acute torticollis are not fully known. It is believed that it is caused by microdamage to the intervertebral discs and especially the intervertebral joints. The level of damage can be any, but most often it is C2-C3, C3-C4 and C4-C5.

Clinical picture

• * The head is tilted and slightly turned in the direction opposite to the pain.
• * Pain is usually localized in the neck and does not radiate
• * Pain most often occurs in the morning, after sleep.
• *Limited head extension.
• * There are usually no neurological symptoms.

Treatment

Manual therapy, including post-isometric relaxation, is very effective.

The post-isometric relaxation method is based on the fact that when a muscle contracts, its antagonists reflexively relax. To treat torticollis using the post-isometric relaxation method, the head should be tilted and turned in the direction opposite to the pain.

• * The essence of the method is explained to the patient and it is emphasized that it will not hurt.
• * First, carefully turn the patient’s head in the direction of the lesion. If pain occurs, stop immediately.
• * Place one hand on the patient’s head on the side opposite to the pain, and with the other hand fix the neck at the level of the spinal lesion (usually the C3-C4 level).
• * The patient is asked to turn his head in the direction opposite to the pain, overcoming the resistance of the doctor’s hand, while isometric tension of the neck muscles occurs (Fig. 7a). The main condition at this stage is not to turn the patient’s head, but only to resist his movement.
• * After 5-10 seconds the patient is asked to relax. Then carefully turn his head in the direction of pain (Fig. 7b) - an increase in the range of movements is noted.
• * The procedure is repeated 3-5 times until the range of motion is completely restored.
• * The next day the procedure is carried out again, although torticollis may no longer be present.

The patient can be trained to perform post-isometric relaxation independently.

Rice. 7. Postisometric relaxation for left-sided acute torticollis:

a) isometric contraction phase,

b) relaxation phase

Whiplash

Whiplash typically occurs in car accidents. In a rear impact, there is a sudden hyperextension of the neck followed by a sharp flexion; in a frontal collision, there is a sudden flexion followed by extension. Whiplash damages muscles and ligaments, spinal roots, sympathetic trunk, intervertebral joints and discs. Intervertebral joints are especially affected; even microfractures are possible (not noticeable on x-rays).

Symptoms usually appear in the first 6 hours, less often - 1-4 days after injury; their severity may vary.

Whiplash is usually accompanied by pain and limited head movement. The pain is localized in the neck and shoulders, and can radiate to the back of the head, the interscapular area and the arms. First of all, flexion is limited, then extension of the head.

When a whiplash injury occurs, headaches are also common and can last for months. The pain is usually localized in the back of the head, but can radiate to the temple and eye socket. Dizziness and nausea are also observed. Damage to the nerve roots during an injury or their compression by a herniated intervertebral disc is accompanied by radicular pain. Another manifestation of whiplash injury is mood changes (anxiety, depression).

Complications of whiplash are listed in Table. 4.

In case of whiplash injury, an x-ray of the spine is required.

Herniated disc

Damage to the spinal roots

Treatment

The goal of treatment is to restore ability to work as early as possible, stop wearing a collar splint, and achieve complete restoration of range of motion in the cervical spine. In the treatment process, methods of both physical and psychological influence are used.

• Establish a trusting relationship with the patient and provide the necessary psychological support.
• Explain the mechanism of injury to the patient.
• It is emphasized that after an injury, mood changes may be observed for several (usually two) weeks - irritability, depression.
• It is recommended to rest and wear a collar splint for 2 days.
• Analgesics such as paracetamol are prescribed. Narcotic analgesics are not used.
• NSAIDs and small doses of tranquilizers are prescribed for up to 2 weeks.
• The patient is consulted by a physiotherapist (heat treatments and massage are effective for whiplash injuries).
• As soon as possible, begin therapeutic exercises (a special set of exercises for the neck muscles).
• The patient is consulted by a specialist manual therapy- mobilization is performed, manipulations are not used.

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Pain in the neck area is what bad posture, a “sofa” lifestyle, and excessive physical activity lead to. There are many factors that affect the cervical spine not in the best way. Let's figure out why your neck hurts and what to do to relieve the discomfort.

Pain in the neck area is divided into two types:

1. Cirvicalgia is a continuous spasm in one place. Appears gradually, its intensity varies. If your neck constantly hurts, and in the same place, you need to go to the hospital; a serious illness may be developing.
2. Cervicago is sudden pain that comes and goes quickly. The cause may be too sudden movements of the head or staying in the same position for a long time.

During the attack, coordination is impaired, and painful urges are felt in other parts of the body.

Cervical osteochondrosis

Osteochondrosis is a disorder of joint joints. The disease develops mainly in people who lead a sedentary life and eat improperly. Hereditary predisposition also plays an important role. People suffering from osteochondrosis experience dizziness, noise in the eardrums, and stiffness in the limbs. The back of the head hurts, there is a burning sensation between the shoulder blades. They often complain that the spine in the neck area hurts. It becomes difficult to turn your neck, movements are accompanied by a crunching sound. Possible numbness.

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Aching pain in the neck indicates the development of this disease. The neck hurts on the left or right side - most likely osteochondrosis.

Pain in the cervical spine is accompanied by this disease. If you consult a specialist in a timely manner, it can be easily cured.

Cervical osteoarthritis

The disease occurs even in young people. The left side of the neck, shoulder, arm, chest hurts; vision and hearing may deteriorate, and concentration may be impaired. For people with this disease, doctors recommend rest and rest and prescribe anti-inflammatory drugs.

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Herniated discs

Not only a full-fledged hernia, but also minimal bulging of the disc is strongly felt: the canal in the cervical spine is narrow, the nerve endings are at close range. The left side of the neck, lower back, and lower back hurts. The disease develops from unhealthy diet, lack of exercise, and lack of physical development. For treatment, acupressure techniques and vacuum therapy are used.

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Crick

The neck may hurt from overuse physical activity: after training, for example. The main symptom of a sprain is acute pain in the neck. The damaged area swells, it becomes impossible to turn the head, it may take an unnatural position, and the patient risks fainting. To make it easier, you can take a pain reliever, apply a cold or hot compress, or massage the sprained area. It is not recommended to lie on your stomach - in this case, the head will be turned to the right or left, and the tense ligaments may not be able to withstand it. It is better to avoid physical activity for several weeks. When the pain subsides, you can begin to stretch your neck by tilting it to the sides.

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Spondylosis

Cervical spondylosis is a serious disease that can lead to disability and requires immediate consultation with your doctor. Spondylosis can be an advanced form of osteochondrosis. The disease occurs mainly in older people, as well as in athletes as a result of injuries. Unpleasant sensations in the back of the head and collar area become permanent.

Another signal is throbbing pain in the left neck. There is a feeling of stiffness and discomfort when turning your head.

There are many opinions about how to treat cervical spondylosis. The main thing is to eliminate inflammation and pain. Drug therapy, physiotherapeutic procedures in combination with therapeutic exercises will help restore performance and improve the general condition of the body.

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Cervical myelopathy

Occurs after narrowing of the spinal cord canal. Pain in the cervical spine signals the development of myelopathy. Those suffering from myelopathy feel unwell and weak, they often have a feeling as if an electric current is flowing through their limbs, speech slows down, it becomes difficult to take steps, and coordination is impaired. The disease occurs after falls from great heights and accidents. The patient wears a soft cervical collar and undergoes physiotherapy and strengthening exercises.

Whiplash

Term whiplash used to describe pain resulting from injury soft fabric. Damage occurs due to sharp extension with further flexion and vice versa. Sharp pain in the neck (any area) after a fall, fight or accident may indicate a whiplash injury.

The ligaments are damaged - the head takes on a protruding position, and cervical lordosis is lost. After an injury, an x-ray examination is required. The attenuation of the disease occurs after 1-6 months.

Cervical injury

Pain in the cervical spine appears after injuries, unsuccessful diving, or accidents. An unnatural bend and aching pain in the back of the head indicate a cervical injury. Swelling and hematomas appear, the motor functions of the body are disrupted. For those who have pain in the cervical spine, doctors will first of all prescribe wearing a special collar for several months.

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Infections

Infectious skin diseases lead to inflammation, which can be accompanied by severe pain. With infections, such as sore throat or rubella, the lymph nodes dilate and lead to an unpleasant aching sensation in the neck muscles.



Pathology of internal organs

Severe neck pain often portends pathology. With radiating to the neck on the right side, the development of cholecystitis is suspected. If the cervical temples hurt in the morning, it looks like hypertension. The pain in such cases is referred and comes from the head, heart, and esophagus. Myocardial infarction and angina are often accompanied by pain in the chest, shoulders and arms.

Patients who survived similar illnesses complained that their neck hurt on the left. Pain in the neck on the right, cramps in the thigh on the same side indicate the development of cholecystitis. Pain in the front of the neck gives rise to suspicion of a disorder of the thyroid gland, esophagus, larynx or pharynx. Perhaps local neuritis develops - damage to the nerves. This usually occurs after poisoning with chemicals, for example, alcohol.

Restless pain in the cervical spine are harbingers developing pathology. In this case, the pressure increases greatly. Pain in the neck on the right with limited ability to move the head is tormenting during meningitis.

Painful sensations on the side are a consequence of the expansion of the tumor in the brain. You should seek help immediately. Pain in the neck on the front right or left may indicate the presence of pharyngitis, laryngitis, lymphangitis or any other disease associated with inflammation of the viscera.

Pain in the cervical spine - perhaps the process of developing meningitis, tuberculosis, etc. is underway. A harmless disease that can be easily treated, vegetative-vascular dystonia can also be accompanied by ailments. Pain in the cervical spine radiates to the limbs, back, pressure surges, shortness of breath, and lethargy are observed.



Juvenile rheumatoid polyarthritis is characterized by piercing pain in the neck. It gets worse at night.

Other reasons

Often pain in the neck area on the right is a consequence of banal lumbago. Lumbago or lumbago is a contraction of the neck muscles. It is harmless and goes away on its own after a couple of weeks. Most often it manifests itself due to a draft, the pain spreads to the head and chest. The neck on the left or right hurts severely - perhaps the person simply “rested” on this side. Bodily passivity harms physical condition and impairs the functioning of the vessels of the cervical spine. During this kind of ailment, it is enough to change the position of the body.

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Many obese people often experience neck pain. The spine and cervical vertebrae cannot cope with excess weight, they have a huge load on them, and they begin to actively resist.

Stress and psychological tension become the causes of painful sensations. Emotional outbursts and tension often cause pain in the back of the neck. It, like any other part of the body, has many nerve endings. If your shoulders also hurt, you feel tingling and numbness, a nerve is pinched. The pain will subside after injection or taking an anesthetic drug.

Pulling muscles - perhaps you should diversify your day with walks in the fresh air. Pain on the right side in a healthy neck - the person is simply hypothermic.

Treatment

Those who are constantly bothered by the cervical region should consult a specialist. This is very important, especially if the temperature rises with severe pain. When your neck hurts for three days, you need to sound the alarm. Treatment for a neck that hurts can only be prescribed by a specialist.

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Doctors usually prescribe medications. It is recommended to lubricate the bothersome parts of the neck with preparations with a warming effect. Permanent pain can make a person irritable: the doctor prescribes sedatives and antidepressants. Pain in the neck on the right, left, front, side and back can be relieved by applying a heating pad to the affected area or wrapping it in a warm scarf.

Massage is a mandatory health procedure. You can do it yourself. If the front of your neck hurts, for example, gently stroke and rub its surface, trying not to touch your Adam’s apple. Blood circulation will improve, and pain in the cervical spine will no longer bother you.

It is recommended to treat severe pain in the neck with warm compresses. In such cases, a person needs complete rest, and the pain in the neck on the right or left will subside in a matter of minutes. If the situation is serious, a professional who knows how to treat neck pain, such as a trained physical therapist, should take over.

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Bruises and sprains are relieved by cold compresses. In medical practice Acupuncture and health-improving physical education are often used, especially for persistent neck pain.

In especially severe cases, patients are operated on, but this is the exception rather than the rule. If treatment of the cervical spine is successful, you can get rid of unpleasant sensations in a few months.

How to treat neck pain yourself

What did people stricken with the disease come up with! For sprains or minor injuries, you can resort to informal methods of pain relief. There is a proven way to get rid of neck pain in an hour.

Fold the gauze into three layers. Boil the potatoes in their skins, then mash them and apply them to your neck through a cloth, then cover them with a scarf or towel. As the potatoes cool, remove the gauze layers. At the end of the procedure, rub your neck with any alcohol.