Neck pain medical therapy
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Editor-In-Chief: Robert G. Schwartz, M.D.[3],Piedmont Physical Medicine and Rehabilitation, P.A.
Medical Therapy
Medications, such as muscle relaxants, narcotics, non-steroidal anti-inflammatory drugs (NSAIDs/NSAIAs) or paracetamol (acetaminophen).
Neck pain is treated by numerous physical therapies. They range in complexity depending on the severity and underlying causes of the pain. Treatment is administered by chiropractic, osteopathic and physical therapy. All of these specialties treat neck pain issues. The benefit of mobilisation and manipulation is not clear.[1][2] Neck pain can also be eased via many self help techniques such as stretching, strength building exercises. Non-traditional methods such as Acupressure, Reflexology and therapeutic massage are commonly used as well.
Interventional therapy can ease pain by blocking nerve conduction between specific areas of the body and the brain. Approaches range from injections of local anesthetics, steroids, proliferative agents (Prolotherapy) into affected soft tissues, joints, or nerve roots to more complex nerve blocks. When extreme pain is involved, low doses of drugs may be administered by catheter directly into the spinal cord. Chronic use of steroid injections may lead to increased functional impairment.
References
- ↑ Gross AR, Hoving JL, Haines TA; et al. (2004). "Manipulation and mobilisation for mechanical neck disorders". Cochrane database of systematic reviews (Online) (1): CD004249. doi:10.1002/14651858.CD004249.pub2. PMID 14974063.
- ↑ Hoving JL, Koes BW, de Vet HC; et al. (2002). "Manual therapy, physical therapy, or continued care by a general practitioner for patients with neck pain. A randomized, controlled trial". Ann. Intern. Med. 136 (10): 713–22. PMID 12020139.