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Neck Pain

Neck pain is a common condition that stems from muscle strains, poor posture, injury, or underlying conditions like cervical disc degeneration, disc herniations, or arthritis. Often experienced as discomfort, untreated neck pain can impact your mobility and ability to perform day-to-day activities. 

At Impact Sports & Spine, we specialize in advanced, non-surgical treatments for neck pain. Our team employs advanced imaging technology to target and treat the root causes of neck pain precisely. We aim not just to alleviate pain but to promote natural healing and improved long-term mobility.

Understanding Neck Anatomy

The neck, or cervical spine, is comprised of vertebrae (bones), intervertebral discs, ligaments, and muscles to support your head and allow a wide range of movements.

The cervical spine includes seven vertebrae labeled C1 through C7. Intervertebral discs are present between each pair of vertebrae. These discs act as cushions to absorb shock from movements and provide flexibility to the cervical spine.

In addition to bearing the weight of the head, the combination of vertebrae, discs, ligaments, and muscles enables a wide range of head and neck movements for your everyday activities.

Common Causes of Neck Pain

Neck pain may result from various conditions affecting your cervical spine and the surrounding soft tissues and nerves. It can arise from muscle strain, sports injuries,  degenerative disorders, nerve compression, and inflammation.

Neck Muscle Strain/Cervical Paraspinal Muscle Strain

A neck muscle strain, specifically a cervical paraspinal muscle strain, refers to a condition in which the muscles supporting the cervical spine (neck) are overstretched or torn. 

These muscles run alongside the spine and help support the neck, enabling movement and maintaining posture. A muscle strain may be caused by overuse, poor posture, or injury.

Cervical Interspinous Ligament Sprain

A cervical interspinous ligament sprain refers to an injury to the ligaments located between the spinous processes of the cervical vertebrae. These ligaments provide stability to the spine by connecting the spinous processes, which are the bony projections on the back of each vertebra. 

A sprain occurs when these ligaments get stretched or torn due to trauma, sudden movements, repetitive movements, poor posture, or heavy lifting. 

Nuchal Ligament Sprain

A nuchal ligament sprain refers to an injury to the nuchal ligament, a large ligament that extends from the base of the skull to the spinous processes of the cervical vertebrae. 

The nuchal ligament helps support the head and maintain posture. When this ligament is stretched or torn, it can cause significant pain and discomfort.

Cervical Facet Joint Pain & Arthritis

Cervical facet joint pain refers to discomfort arising from the facet joints in the neck. The facet joints, located between and behind adjacent vertebrae, provide stability and flexibility to the spine, enabling smooth movement. 

Cervical facet joint pain can be due to various causes, such as injury, inflammation, or degeneration. Cervical facet joint arthritis is caused by the breakdown of cartilage within the facet joints, leading to pain and stiffness.

Annular Disc Tear

An annular disc tear occurs when the annulus fibrosus, the tough outer ring of an intervertebral disc, rips due to trauma, degenerative disc disease, repetitive strain, or poor posture. It can reduce mobility and cause neck pain, numbness, muscle weakness, and inflammation.

Cervical Disc Degeneration

Cervical disc degeneration, also known as cervical degenerative disc disease, is a condition where the intervertebral discs in the cervical spine deteriorate due to aging, wear and tear, dehydration, or injury. 

These discs act as cushions between the vertebrae, allowing for flexibility and movement of the spine. When they degenerate, it can lead to neck pain and reduced mobility.

Cervical Disc Herniation

A cervical disc herniation occurs when the gel-like center of a cervical intervertebral disc, called the nucleus pulposus, protrudes from its normal location and presses on adjacent nerves or the spinal cord. This condition can cause significant neck pain, numbness, and weakness that radiates to the shoulders, arms, and hands.

A cervical disc herniation can be caused by trauma, degenerative disc disease, repetitive strain, heavy lifting, and genetics.

Cervical Radiculopathy

Cervical radiculopathy, often referred to as a pinched nerve, occurs when a nerve root in the cervical spine becomes compressed or irritated. This condition can cause pain, numbness, or weakness that radiates from your neck into the shoulders, arms, and hands.

Several factors can contribute to cervical radiculopathy:

  • Ruptures or bulges in the intervertebral discs
  • Degenerative disc disease from age-related wear and tear
  • Growth of bone spurs 
  • Injury to the neck
  • Narrowing of the spinal canal 

Thoracic Outlet Syndrome/Brachial Plexus Compression

Thoracic outlet syndrome refers to the compression of the nerves and blood vessels that pass through the thoracic outlet, a narrow space between the collarbone and the first rib. It can affect nerves, called the brachial plexus, that extend from the neck to the arm, causing neck pain, arm pain, and numbness.

Cervicogenic Headache

Cervicogenic headaches are a type of headache that originate from problems in the bones in your neck, joints, or neck muscles. These headaches are often characterized by pain that radiates from the neck to the head, typically affecting one side. 

Cervicogenic headaches can result from a fall, sports injuries, whiplash, arthritis, or compression of the nerves in your neck. People who hold their heads out in front of their bodies can develop cervicogenic headaches, as this posture puts extra weight on the neck and upper back.

Symptoms of Neck Conditions

Common symptoms of neck conditions include:

  • Inability to hold the head in one place for long periods due to pain
  • Headaches
  • Muscle tightness and spasms
  • Decreased ability to move the head

Diagnosis & Treatment of Neck Pain

Our providers discuss your medical history before conducting a physical examination and advanced imaging tests using ultrasound. Ultrasound provides a real-time image of the ligaments, muscles, and soft tissues present in the neck area. When needed, we may order additional tests, such as X-rays, CT scans, and MRI scans, to produce detailed cross-sectional views of the neck.

Once we identify the root cause of your neck pain, we develop a comprehensive treatment plan. When appropriate, we offer interventional treatments. Our treatments are conducted using advanced ultrasound and fluoroscopy technology. 

Prevention Tips for Neck Pain

Neck pain is typically associated with poor posture and age-related wear and tear. Some simple changes in your daily routine may help prevent neck pain. 

  • Maintain good posture
  • Take frequent breaks from prolonged sitting 
  • Perform strengthening exercises for neck and shoulder blade muscles
  • Avoid carrying weight that can strain your neck
  • Sleep in a healthy position

Treatment for Neck Pain at Impact Sports & Spine

Whether stemming from poor posture, desk-bound work environments, or sports-related injuries, untreated neck pain can affect your daily activities and overall quality of life. 

At Impact Sports & Spine, we focus on providing high-quality non-surgical care for acute and chronic musculoskeletal injuries and spinal conditions. Our team focuses on uncovering the root cause of your condition rather than merely treating the symptoms. 

To schedule a consultation with our skilled practitioners, call us at 301-363-9693 or request an appointment online. 

Impact Sports & Spine
9420 Key West Ave. Suite 325
Rockville, MD 20850

Phone: 301-363-9693
Fax: 301-363-9676

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