Neck Pain

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. Neck pain can result from many different causes – from injury to 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 abnormalities of the vertebrae and bones
• tumors

How is neck pain diagnosed?

In addition to a complete medical history, physical examination, and possible blood

tests, diagnostic procedures for neck pain may include the following:

• x-ray – a diagnostic test which uses invisible electromagnetic energy beams to produce images of internal tissues, bones, and organs onto film.
• 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 cross-sectional images (often called slices), both horizontally and vertically, 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.
• magnetic resonance imaging (MRI)– a diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body.
• radionuclide bone scan – a nuclear imaging technique that uses a very small amount of radioactive material, which is injected into the patient’s bloodstream to be detected by a scanner. This test shows blood flow to the bone and cell activity within the bone.
• electromyogram (EMG) – a test to evaluate nerve and muscle function.
• myelogram – involves the injection of a dye or contrast material into the spinal canal; a specific x-ray study that also allows careful evaluation of the spinal canal and nerve roots.

Treatment for neck pain:

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

• your age, overall health, and medical history
• extent of the condition
• your tolerance for specific medications, procedures, or therapies
• expectations for the course of the condition
• your opinion or preference