Neck pain can be defined as pain in the neck that comes with or without referred pain that can be felt in one or both shoulder and/or arms that can last for at least one day. Neck pain is common throughout the world which puts a burden in the health care system. Pain and disability that is often associated with neck pain can have large impact on someone's life, family, community and business.
10 to 20% of the world’s population report neck pain and 54% of those individuals have experienced neck pain within the last 6 months. Neck pain is usually higher in women rather in men and it usually peaks at 45 years of age.
Reoccurrence rate of neck pain are high and most people who experience neck pain usually do not have a complete resolution of their symptoms. About 50 to 85% of individuals with neck pain report a relapse of symptoms 1 to 5 years later after their first episode.
Some studies have shown that 30% of individuals with neck pain can develop chronic symptoms and report persistent problems for 12 months or more. Individuals with chronic conditions usually report their symptoms as being stable or fluctuating. A "stable" individual has no change in symptoms, whereas the "fluctuating" individuals report their pain as being recurrent where there are periods of improvement and period of worsening. Both stable and fluctuating individuals report that treatment may alleviate their symptoms in the short term.
Like many other musculoskeletal conditions, neck pain shares similar risk factors such as genetics, depression, anxiety, poor coping skills, sleep disorders, smoking and sedentary lifestyle. However, there may be unique risk factor for neck pain such as history of trauma (MVA, traumatic brain injuries) or playing certain contact sports. There are also certain occupations that have a higher prevalence of neck pain that include office workers, manual labourers and health care workers.
Neck Pain Classifications
Understanding someone's neck pain should be the primary goal of a practitioner when seeking to determine which specific treatment plan will be effective.
Classification Types: Neurological or Mechanical Neck Pain
It is important for the physiotherapist or health care practitioner to clear out serious spinal pathologies before treating the neck. This is usually done in the first session through a series of questions or tests the physiotherapist will perform on you. Once those are cleared the physiotherapist will determine if your neck pain has a neurological or mechanical component. Usually, 50% of people that come in with neck pain usually have a mix of the two because the neurological component is usually caused by a degenerative condition. It is also important to note that identifying the exact tissue causing symptoms is not as important as we once thought to treat and management individual with neurological or mechanical neck pain.
Neck Pain and Physiotherapy
Although most acute episodes of neck pain can get better with time, about one third of individuals have low grade symptoms that can persist one year later after initial symptoms. The best evidence suggest that exercise is the best for managing neck pain and a physiotherapist has a detailed knowledge of the neck which can help you manage the mechanisms that may be contributing to your symptoms. They can also help prescribed appropriate exercises to help an individual experiencing neck pain to return to normal function.
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