neck pain
Introduction
Introduction The problem of neck pain, whether it is in young people or in the elderly, is a common problem. Its symptoms are local and conductive. The so-called locality refers to pain in the neck alone, which may be a ligament sprain, a muscle strain, or a joint wear degradation. The so-called conductivity refers to the situation of the hand numbness and hand soreness in addition to the neck discomfort. This is mostly because the cervical nerve root is compressed, or the fascia from the neck to the arm and even the wrist, inflammation, adhesion, The situation of austerity.
Cause
Cause
Neck pain is a problem that many white-collar workers encounter today, especially in cities with fast paces such as Shanghai. When staying in the office for a long time, neck pain has evolved into an occupational disease. Sitting or lying in an uncomfortable posture or doing some unaccustomed exercise or activity causes muscle spasms to be the most common cause of neck pain or stiffness.
First, neck and shoulder muscle fascia
Myofascial pain can occur at any age, but it is mostly in middle age, with more workers and more women. The lower back or neck and shoulder are good sites. Most patients can point out the pain, the pain can be radiated to distant places, such as the shoulder or upper back and head, but also with sympathetic symptoms such as headache, dizziness, tinnitus and even cold arms, blood pressure changes.
Second, the pillow
In the morning, the neck and shoulders are sore, sore and discomfort, mostly on one side, and both sides are missing. The head of the heavy one is often inclined to the affected side, the neck is not free to rotate, and the pain is exacerbated when the neck is active.
Third, cervical syndrome
It is caused by the degeneration of the cervical vertebrae to stimulate or compress the surrounding blood vessels. Nerve, etc., cause a variety of symptoms such as shoulder arm or dizziness, paralysis, but shoulder and arm pain accounted for the majority, so called neck and shoulder syndrome.
Fourth, ligament calcification
When the patient's ligament calcification, the general complaint is the common symptoms of cervical spondylosis, there are no special symptoms, and even some patients have no obvious symptoms.
5. Trajectory syndrome refers to pain originating from the trapezius muscle. The tenderness can be limited and radiated to the shoulder.
Sixth, neck soft tissue damage.
Examine
an examination
Related inspection
Lhermitte levy neck test neck mobility test neck MRI
There is a clear history of trauma, neck pain after injury, weight bearing, tenderness at the wound, pain can be followed by the neck to the occiput, or to the shoulders and shoulders on one or both sides. When the injury is heavier, the neck pain is also worse, or it is stiff, the function of various activities is limited, and even sympathetic symptoms such as head weight, headache, fog, and tinnitus appear. Symptoms of nerve root compression such as numbness, weakness, and heavyness on one or both sides of the upper limb may also occur.
Diagnosis
Differential diagnosis
Neck pain should be differentiated from cervical spondylosis. Neck pain is a clinical manifestation of cervical spondylosis. Cervical spondylosis, also known as cervical vertebra syndrome, is a general term for cervical osteoarthritis, proliferative cervical spondylitis, cervical nerve root syndrome, and cervical disc herniation. It is a disease based on degenerative pathological changes. Mainly due to long-term cervical vertebrae strain, bone hyperplasia, or disc herniation, ligament thickening, resulting in cervical spinal cord, nerve root or vertebral artery compression, a series of clinical syndromes of dysfunction. The manifestation of cervical disc degeneration itself and its secondary series of pathological changes, such as vertebral instability, loosening, nucleus protruding or prolapse, ligament formation of ligament hypertrophy and secondary spinal stenosis, stimulate or oppress the adjacent The nerve root, spinal cord, vertebral artery and cervical sympathetic nerves and other tissues, and cause a variety of symptoms and signs of the syndrome.
