Neck Pain and Problems

What is neck pain?

The neck is located between the head and the shoulders. Because of its location and range-of-motion, it is often left unprotected and subject to injury.

What causes neck pain?

Neck pain can result from many different causes--from injury, to age-related disorders, or inflammatory disease. Causes of neck pain and problems may include the following:

• Injury (damage to the muscles, tendons, and/or ligaments)

• Herniated cervical disk

• Arthritis (i.e., osteoarthritis, rheumatoid arthritis)

• Cervical disk degeneration

• Congenital (present at birth) abnormalities of the vertebrae and bones

• Tumors

How is neck pain diagnosed?

In addition to a complete medical history and physical examination, diagnostic procedures for neck pain may include the following:

• Blood tests. These tests can help determine the diagnosis of inflammatory disease.

• X-ray. A diagnostic test which uses invisible electromagnetic energy beams to produce images of bones onto film.

• Magnetic resonance imaging (MRI). A diagnostic procedure that uses a combination of large magnets and a computer to produce detailed images of organs and structures within the body; can often determine damage or disease of internal structures within our joints, or in a surrounding ligament or muscle.

• Computed tomography scan (also called a CT or CAT scan). A diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general X-rays.

• Electromyogram (EMG). A test to evaluate nerve function.

Treatment for neck pain

Specific treatment for neck pain will be determined by your doctor based on:

• Your age, overall health, and medical history

• Your diagnosis

• Extent of the condition

• Your tolerance for specific medications, procedures, or therapies

• Expectations for the course of the condition

• Your opinion or preference

Treatment may include:

• Medication (to reduce inflammation)

• Medication (to control pain)

• Rest

• Physical therapy

• Neck brace or immobilization

• Exercise

• Surgery