The neck, or cervical spine, is a complex structure consisting of seven vertebrae (C1-C7) that provide support for the head and allow a wide range of motion. Between these vertebrae are intervertebral discs that act as shock absorbers, while ligaments and muscles contribute to stability. The cervical spine encases the spinal cord, and nerves branching from it control various functions and sensations in the face, shoulder and arms.
Neck pain can manifest in diverse ways, ranging from a persistent dull ache to sharp, stabbing sensations. Common symptoms include stiffness, limited range of motion, and muscle spasms. Additionally, neck pain may radiate to the shoulders, arms, or even result in headaches. Associated symptoms might include numbness, tingling, or weakness in the upper extremities. Contributing factors such as sustained or awkward unaccustomed head or neck postures, muscle strain, direct or indirect trauma, discogenic injuries or local joint changes in the spine can all give rise to neck pain.
Diagnosing neck pain involves a comprehensive assessment by an experienced, thorough OHL Physiotherapist or Myotherapist. This process includes a detailed patient history to understand the onset and nature of symptoms, before a thorough physical examination evaluating common postures, neck range of motion, local muscle strength, comprehensive testing for any nerve irritations, reviewing any movement dysfunctions, noting biomechanical restrictions and talking through any potential psychosocial factors involved. Physiotherapy and Myotherapy assessment techniques go beyond traditional imaging, recognizing that X-rays, CT scans, and MRI may reveal structural abnormalities that don't necessarily correlate with the severity of symptoms.
To rule out potential underlying issues, a differential diagnosis is crucial in a complex, busy area like the neck. Physiotherapists and Myotherapist at OHL will consider conditions such as cervical spondylosis, herniated discs, muscle strains, whiplash and inflammatory disorders like rheumatoid arthritis. Non-musculoskeletal causes like infections, tumors or vascular issues are also carefully evaluated, ensuring a comprehensive understanding of the patient's condition. Although these are all less likely, it is the role of an OHL Physio or Myotherapist to be thorough and provide best testing to ultimately give the best working diagnosis for each patient.
Physiotherapy and Myotherapy, both play a central role in managing neck pain, with a focus on interventions tailored to the individual’s identified aspects (ascertained from the assessment – there is no one-size fits all). Manual therapy, stretching and movement techniques, including mobilisations, may be used to address any joint restrictions present. Targeted exercises concentrate on functional strengthening to alleviate muscle and movement imbalances is often a missing link to many people’s previous care, and thus we are keen to get started on strength training as soon as clients have their pain at a good level to do so. Therapeutic modalities, such as heat or cold therapy, may help manage symptoms – yet, at OHL, we will also provide education on ergonomics and lifestyle modifications, including an individualised global exercise program (for strength and fitness), ensuring self-management, and long-term relief.
In summary, neck pain is a complex condition, and both myotherapy or physiotherapy can offer a comprehensive approach to address both symptoms and underlying causes. Don’t delay reducing your neck pain today, by calling us on 9431 5955 or you can book via our Client Portal on our website.
