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Back & Neck Pain
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What Is Back Pain:
As you probably already know, back
pain is a very common
complaint. About three in four adults will experience back
pain
during their lifetime—and that number may very well rise, given
our aging population and recent trend of obesity.
Low back pain (pain
in your lumbar spine) is the most common. Most back
pain comes
from sprains and strains caused by stressful movements: lifting
something without using proper techniques or a sudden twisting
motion are just two examples of how you can hurt your back. |
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If your back pain is caused by a muscle sprain or strain, that
usually heals on its own—just give it time. Your recovery can
also be helped along by modest medical attention, such as
over-the-counter or prescription medications. You could also use
heat or ice packs, or even get a massage,
Sometimes, though, back pain is caused by a more severe spinal
condition, such as a herniated
disc or spondylosis.
Depending on the severity of your
pain and its cause, you may
require more involved medical help, such as physical therapy or
even surgery. But please keep this in mind: just because you
have back pain doesn't mean you'll need serious medical
attention or surgery. It does mean that you're in good company
and that you have an array of treatment options to get you
feeling better. |
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Symptoms of Back Pain:
Back pain is its own symptom. However, there are various ways to
feel back pain, and your symptoms depend on what is causing your
pain and where it is affecting your spine. Your back
pain may be
acute or chronic. Acute pain lasts four to six weeks, but
chronic pain is persistent, long-term
pain—sometimes lasting
throughout life. At times, people with chronic
pain can have
episodes of acute pain. Back
pain may be sudden and sharp—or it
may be dull. Pain may occur with movement, and it may even occur
with coughing and sneezing. |
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You may also have numbness in your arms or legs.
(Leg symptoms are often referred to as sciatica caused
by a pinched nerve.) It's important to treat
your back pain properly. Seek medical attention
if your back pain persists—and seek immediate
attention if you have back
pain with any of the
following emergency signs: |
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Pain is getting
significantly worse |
Pain affects every day
activities | Severe symptoms | Groin or leg
weakness or numbness | Arm or hand weakness,
tingling, or numbness | Loss of bowel or bladder
control || Acid from the stomach moving
upward | Cancer of the throat | Cleft palate or other problems
with the palate | Conditions that damage the nerves that
supply the muscles of the vocal cords | Laryngeal webs or clefts
(a birth defect in whcih a thin layer of tissue is between the
vocal cords) | Noncancerous growths (polyps, nodules,
cysts, granulomas, papillomas, or ulcers) on the vocal cords |
Overuse of the vocal cords from screaming, constantly clearing
the throat, or singing | |
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Causes:
Because there are
a variety of causes of back
pain, it's vital to
know the exact cause of your
pain, and your
doctor will help figure that out. You may not
remember injuring your back—but your back
certainly does, and the
pain is trying to tell
you something. Or you may not know that
something is wrong with your spine until a
stressful movement aggravates the condition.
Some common causes of back
pain include: |
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Aging:
Ligaments thicken and
discs dry out with age—that's just part of what
happens to us as we grow older. These
age-related changes in the spine may lead to
disorders that create pressure on your spinal
nerves—meaning that you'll have symptoms such as
pain, numbness, or weakness. Degenerative disc
disease is an example of an age-related spinal
disorder. Over time, your discs can lose their
normal structure and function. That is just wear
and tear, but it can result in a bulging disc or
a herniated disc and
pain. Sometimes,
the bulging or herniated disc can push on a
nerve, causing
pain that travels to another part
of your body. For example, a herniated disc
could push on a nerve in your low back and send
a shooting pain down your leg (also known as
sciatica). Pain that travels from the origin to
another part of your
body is called radiculopathy. You can experience cervical
radiculopathy, which affects your arms mainly,
or lumbar radiculopathy, which affects your
legs. |
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Daily
Life:
Just getting through every day
takes its toll on your
body. Stress and
emotional tension can cause muscles to tighten
and contract, resulting in
pain and stiffness.
Since we carry most of our weight in our backs,
that's where we can feel the end result of tense
daily living: tight muscles and
painful
movements. Also,
the way you're
getting through your day could be the cause of
your back pain. Poor posture—standing for long
periods of time or sitting incorrectly—can cause
back pain (so watch out while you're at the
office). Low back
pain is often associated with
heavy physical work, lifting or forceful
movement, bending or twisting, or awkward
positions. If you don't use proper lifting
techniques while hefting a box of books, for
example, you can really hurt your back.
Also, a condition called sacroiliac
joint dysfunction can
cause back pain and make it difficult for you to
do daily activities, such as sitting, standing
and walking. Even healthy, normal activities can
cause muscle sprains and strains, which can lead
to back pain. Gardening, tennis, horseback
riding, biking, and even golf can all
potentially hurt your back. |
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Injuries
and Accidents:
You can fracture a
spinal bone in a fall or a car accident. If you
have osteoporosis, a condition that weakens your
bones, you're much more prone to fracturing a
bone. You
can have a sports-related injury, such as
pain
caused by being tackled too many times in
football. These are the sudden, unexpected
causes of back
pain that most likely require
immediate medical attention. |
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Obesity:
Being overweight puts pressure and stress on the
back, especially the low back. Plus, carrying
excess weight aggravates other health conditions
such as osteoporosis (weak bones),
osteoarthritis (joint
pain), rheumatoid
arthritis (an
autoimmune disease), degenerative disc disease
(described above in the aging section), spinal
stenosis, and spondylolisthesis. |
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What is Neck Pain:
During our lives, many of us will have neck
pain,
and most of us won't know exactly what caused
it. In fact, neck
pain can start from a whole
range of causes. Maybe you slept funny and woke
up with a crick that won't go away. You might've
been rear-ended in your car and now you have whiplash.
Perhaps you twisted it wrong one day in one of
those high-intensity aerobic classes. Even
though most of us will experience neck
pain, we
won't all feel it in the same way. Sometimes,
it's just on one side of your neck; sometimes,
pain shoots down your arms. A problem in your
neck may even cause terrible headaches or
dizziness. Symptoms may be gone in a few days,
or you may have long-term
pain that limits what
you can do every day. No matter what's causing
your neck pain, it hurts,
and you're probably very eager to get rid of it.
However, as you may guess since there are so
many causes and symptoms of neck
pain, there are
many ways to treat it. You can use
over-the-counter
pain medication. Acupuncture is
an option, as is massage. Most people with neck
pain don't need surgery, but it may be best for
you and your pain. So as you can tell, neck
pain
isn't quite as simple as "just" a
pain in the
neck, but by learning more about it, you'll be
better able to deal with it. |
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Symptoms Of Neck
Pain:
To get the best treatment for your neck, it's
important to recognize and understand the
symptoms. With neck
pain,
you may have symptoms such as: |
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| Neck soreness
on one or both sides | Burning
pain | Tingling
sensations | Stiffness |
Pain around your
shoulder blades |
Pain, numbness, or weakness in
your arm | Trouble swallowing, talking, writing,
or walking | Headache | Dizziness | Nausea |
Blurred vision | Fever | Night sweats |
Tiredness | Unintentional weight loss |
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You must treat your neck
pain
properly. Seek medical attention if your
pain or
related symptoms persists for more than a few
days—and seek immediate attention if you have
neck pain with any of the following emergency
signs: |
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| High fever |
Sensitivity to light | Irritability | Severe
tenderness with neck movement | Numbness,
weakness, and/or tingling | You have recently
sustained a head or neck injury | |
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Causes Of Neck
Pain:
You need to know what's causing your neck
pain because
that impacts your treatment options. As you
probably know, there are a lot of ways to
experience neck
pain. It may be mild or severe,
numbing or burning, in your neck or in your
hand. There's a variety of symptoms because
there's a variety of causes of neck
pain. A few
common causes are: |
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Daily
Life: Just
getting through every day takes its toll on your
body — you most likely know that from first-hand
experience. Stress and emotional tension can
cause muscles to tighten and contract, resulting
in
pain and stiffness. You can sleep wrong and
wake up with a crick in your neck. You can sit
too long at your desk, staring at your computer,
and give yourself a stiff neck. Also, the way you're
living could be causing your neck
pain.
Poor
posture, obesity, and weak abdominal muscles
often disrupt the spine's balance, causing your
neck to bend uncomfortably to compensate. Even
healthy, normal activities can cause neck
sprains and strains, which can lead to
pain.
Gardening, tennis, a friendly game of touch
football, and even golf can all potentially hurt
your neck. |
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Growing Older: Age-related
disorders such as osteoarthritis, spinal
stenosis, and degenerative disc disease directly
affect the cervical spine. Degenerative disc
disease (DDD) can
cause the intervertebral discs to become less
hydrated, and they lose their flexibility,
elasticity, and shock-absorbing abilities. And
over time, you may develop a bulging disc or a
herniated disc. With both bulging and herniated
discs, the disc material can press on nerve
roots, causing neck
pain that may run into the
arm, tingling, and/or numbness.
Osteoarthritis is
a common joint disorder that causes progressive
deterioration of cartilage. Without the
cartilage, your bones rub together. The
body
reacts by forming bone spurs (osteophytes), a
self-protection step. However, the bone spurs
can press on your nerves, causing neck
pain.
Spinal stenosis causes
the small nerve passageways between the
vertebrae to narrow, which can compresses and
trap the spinal cord and/or spinal nerve roots.
Stenosis may cause neck, shoulder, and arm
pain
and numbness when these nerves are unable to
function normally. |
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Injury and Accidents: That's
right—whiplash. A sudden forced movement of the
head or neck in any direction and the resulting
"rebound" of the head or neck in the opposite
direction is known as whiplash. The sudden
"whipping" motion causes injury to the
surrounding and supporting tissues of your neck
and head. Muscles react by tightening and
contracting, creating muscle fatigue that
results in
pain
and stiffness. Severe whiplash
can also involve injury to the intervertebral
discs, joints, ligaments, muscles, and nerve
roots. Car accidents are the most common cause
of whiplash. If you've had a head injury, more
than likely, your neck has been affected, too,
even if you don't feel it right away. It's wise
to seek medical attention immediately. |
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Other Disorders: Prolonged
pain and/or decreased function of your brain,
spinal cord, muscles, or nerves may be an
indication of something more serious. Seek
medical attention immediately because
occasionally, these symptoms may be the result
of a spinal
infection, spinal cord compression,
spinal tumor, fracture, or another disorder. |
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