SPINE SURGERY

NECK PAIN

Myofascial Pain/Muscle Spasm

Spondylosis

Whiplash

Disc Herniation

Degenerative Disc Disease

Spinal Stenosis

Myelopathy

Injury or chronic pain in the neck or arms can get in the way of an active lifestyle. Depending on your level of pain, you may even have trouble driving a car, typing on a keyboard, or completing other normal activities of daily living. These aches can be brought on by any number of factors, both external and internal. It’s important to listen to the cues your body provides about where the pain lies, how severe it is, how long it lasts, and how frequently it recurs. If the problem does not require immediate medical attention, monitor your symptoms so you can share with a spinal specialist how frequently it recurs. Keep track and monitor your symptoms to better describe them when seeking evaluation with a spinal specialist. It is important to note that neck pain can be either localized to the cervical spine or it may radiate down your arm, which is referred to as “radiculopathy”. Learn about all of the symptoms and conditions associated with cervical spine conditions.

Myofascial Pain/Muscle Spasm

Myofascial pain syndrome in the neck is thought to be a form of muscle pain that may result from a single trauma to a muscle or from repetitive minor trauma over time. These painful trigger points in your neck develop in susceptible muscle tissues that are overworked for long periods of time. Stress, poor sleep and physical deconditioning have a significant effect on worsening symptoms. With a spine-specialized physical therapy symptoms of myofascial pain syndrome typically resolve.

Spondylosis

Spondylosis in the neck is a general term for degenerative arthritic changes of the cervical spine, or more simply arthritis. while generally thought to occur as we age, these changes can happen at any age. Patients may be at increased risk to have early spondylosis if they participate in high impact sports, have heavy labor jobs, a history of previous neck injury as well as history of smoking. Genetics also does play a role in those with spondylosis. Symptoms often can include headaches, limited range of motion, crepitus (a grinding noise which may be heard with movement), or pain with certain activities or positions.

Whiplash

Whiplash is a common injury to the soft tissues of the neck that can happen when the neck suddenly moves backward and then forward. The soft tissues that can be involved in a whiplash injury include the ligaments and the muscles of the neck that support the head and hold it erect. The most common reasons for whiplash include motor vehicle accidents, sporting injuries, or falls from a height. People with whiplash may have neck pain, stiffness, and tightness radiating from the head out into the shoulders and upper back. Whiplash can range from mild to severe.

Disc Herniation

A herniated disc in the neck may occur when too much force is exerted on an otherwise healthy intervertebral disc. Heavy forces on the neck may simply be too much for even a healthy disc to absorb. A disc herniation, by definition, is displacement of disc material beyond the normal confines of the disc space. The terms disc protrusion, disc bulge, disc herniation, ruptured disc, and slipped disc all mean the same thing and imply that disc material has left the normal disc space. Treatment of a herniated disc depends on the severity of symptoms and apparent nerve damage. Most disc herniations improve in six weeks to three months from the initial injury.

Degenerative Disc Disease

Degenerative Disc Disease in the neck is a condition that involves weakening of one or more vertebral discs which normally act as a cushion between the vertebrae. This condition can develop as a natural part of the aging process but may also result from an injury. When the disc degenerates the disc begins to lose many of the properties which make it a good shock absorber. This process can cause considerable pain and spasms.

Spinal Stenosis

Spinal Stenosis refers to a narrowing of the spinal canal to a degree where the spinal cord or nerve roots may be compromised. Symptoms depend on whether narrowing affects the spinal nerve roots, the spinal cord, or both. If only spinal nerve roots are involved the patient will experience radiculopathy with symptoms radiating into their arms and hands. Cervical spinal stenosis does tend to progress with ongoing degenerative changes.

Myelopathy

Myelopathy describes any neurologic symptoms related to the spinal cord and is a serious condition as it can cause permanent spinal cord injury. This occurs from pressure on the spinal cord from spinal stenosis, a disc herniation, and bone spurs. Myelopathy is a very serious condition that if untreated can lead to significant and permanent nerve damage including paralysis and death.