Neck (cervical)

There are many causes of neck pain, however, most of this pain is caused by years of everyday wear and tear of the spinal joints. Intervertebral disks often undergo degeneration overtime and cause pain. The facet joints in the neck also undergo degeneration over time and cause pain. Degeneration in these joints are referred to as degenerative joint disease, arthritis or osteoarthritis. These conditions respond very well to chiropractic care. Treatments include manipualtion and soft tissue therapies that restore ranges of motion and help circulate synovial fluid throughout the joint spaces. The pain associated with neck arthritis is similar to the low back - a dull and achy feeling that is worst in the morning and gets better throughout the day.

Other Types of Neck Pain

There are two distinct types of cervical neck pain. The first type often involves a dull pain in the neck that radiates down the shoulders and arms. Patients may also notice weakness in specific muscles in the arms.

A herniated (bulging) disc in the spine pinching a nerve root in the neck often causes this type of neck pain. Discs are found between each vertebra, or bone, in the spinal column. They serve as "shock absorbers" within the spine and have a gel-like center that makes them flexible, allowing the spine to bend and move. However, because the discs are soft they can also bulge and become misshapen. When this occurs, they can place pressure on the spinal cord or irritate one of the nerves leading from the spinal cord out to the arms and upper torso. If the bulge becomes severe, the disc may herniate and push into the spinal canal. The result can be weakness, tingling, clumsiness and numbness in the arm and hands. Bulging discs can be caused by injuries like whiplash, stress on the spine by overuse, or by arthritis/degeneration in the spine.

The second type of neck pain often isn't experienced as 'pain' by patients at all. It usually involves numbness or weakness in the arms or legs, difficulty walking, loss of pain or temperature sensation in the hands and arms, poor balance and stiffness in the neck. In this case, there is pressure directly on the spinal cord. Because this type of "pain" is not felt in the neck itself, it is easily misdiagnosed. This is called canal stenosis.

Our Treatments

Whether your pain is musculoskeletal or neurological, Dr. Zumpano will diagnose your condition and prescribe an office and home treatment plan that will restore your motion and remove pain. Just like his conservative treatment plans for low-back pain, his neck treatment plans are evidenced based.

Recent Conservative Care Articles:

Martinez-Segura R, Fernandez-de-las-Penas C, Ruiz-Saez M, Lopez-Jimenez C, Rodriguez-Blanco C. Immediate effects on neck pain and active range of motion after a single cervical high-velocity low-amplitude manipulation in subjects presenting with mechanical neck pain: a randomized controlled trial.

Haneline MT. Symptomatic outcomes and perceived satisfaction levels of chiropractic patients with a primary diagnosis involving acute neck pain. J Manipulative Physiol Ther. 2006 May;29(4):288-96.

Murphy DR, Hurwitz EL, Gregory AA. Manipulation in the presence of cervical spinal cord compression: a case series.

Tseng YL, Wang WT, Chen WY, Hou TJ, Chen TC, Lieu FK. Predictors for the immediate responders to cervical manipulation in patients with neck pain. Man Ther. 2006 Nov;11(4):306-15. Epub 2005 Dec 27.

Nelson CF, Metz RD, LaBrot T. Effects of a managed chiropractic benefit on the use of specific diagnostic and therapeutic procedures in the treatment of low back and neck pain. J Manipulative Physiol Ther. 2005 Oct;28(8):564-9.

Haneline MT.Chiropractic manipulation and acute neck pain: a review of the evidence. J Manipulative Physiol Ther. 2005 Sep;28(7):520-5. Review. PMID: 16182027

Fernandez-de-Las-Penas C, Alonso-Blanco C, Cuadrado ML, Pareja JA. Spinal manipulative therapy in the management of cervicogenic headache. Headache. 2005 Oct;45(9):1260-3.