All about neck pain

Symptoms of neck pain

Cervical pain, also known as cervicalgia, manifests itself in different ways depending on its origin and severity. Among the most most frequent symptoms include:

  • Pain or stiffness in the back of the neck
  • Pain radiating to shoulders, back or arms
  • Associated cephaleas (headaches)
  • Dizziness or feeling of instability
  • Loss of strength or sensation in arms and hands
  • Difficulty moving the neck or holding it in certain positions

In some cases, neck pain can become chronic, significantly affecting the quality of life of those who suffer from it.

How does neck pain occur?

Neck pain can have multiple causes. The most common are:

  • Muscle tension due to bad posture, stress or overloading
  • Degeneration of cervical discs due to aging (cervical osteoarthritis)
  • Herniated discs in the cervical region
  • Trauma such as whiplash following an accident
  • Inflammatory diseases such as rheumatoid arthritis
  • Structural alterations congenital or acquired

Sedentary lifestyle, excessive use of screens and inadequate ergonomics also contribute to the increase in cases of neck pain in the population.

How neck pain is diagnosed

At MIVI Salud we perform a complete medical assessment to arrive at an accurate diagnosis of the origin of the cervical pain. This includes:

  • Detailed medical history
  • Musculoskeletal physical examination
  • Imaging tests such as X-rays, MRI, or CT scans
  • Electromyography (EMG) if nerve damage is suspected

An accurate diagnosis is key to apply the most appropriate and personalized treatment.

Types of neck pain

Cervicogenic Headache (Headache with cervical origin)

The cervicogenic headache is a pain that manifests itself in the cranial region whose source of origin is in the cervical region. It is overall one of the most common causes of head pain after migraine and tension headache. It manifests itself most frequently unilaterally, usually as a pain in the back of the head (occiput), on the sides of the head (temporal) and whose origin/source is in the degenerative or traumatic deterioration (due to an accident) of the joints that join the cervical vertebrae (facet joints) of the upper segments of the cervical region (from C1 to C3).Occasionally the pain is accompanied by nausea and photoaudiophobia (sensation of discomfort to noises and light).

For more information on cervicogenic headache click here.

Radicular Pain

The radicular painalso commonly called sciatica (when it affects the legs) can also manifest itself in the upper limbs (arms). This pain, as in the legs, when it manifests itself in the arms, it manifests itself as a tingling, numbness or electric sensation that affects different areas. This pain can cause significant discomfort in the sufferer and may also be accompanied by alterations in motor skills. Determining the origin of the problem and where it is located is essential in order to apply the most appropriate treatment.

For more information about radicular pain click here.

Myofascial myofascial syndrome of the cervical-dorsal region

The myofascial syndrome of the cervical-dorsal region is a picture of muscle pain sustained over time caused by persistent contracture of a muscle or muscle group. This is the most frequent cause of cervical and dorsal pain. This contracture is characterized by presenting as a tense, palpable band in the muscle (the contracture), which presents increased consistency and which when pressed produces pain in the area of the contracture or in the path of the muscle.

For more information on myofascial syndrome of the cervical-dorsal region click here.

How to treat neck pain

The treatment of this pathology will depend to a large extent on the patient’s condition, age and symptoms. Some of the possible treatments are outlined below:

  • Drugs for pain relief
  • Interventional treatments: when pain control is not sufficient with drugs, interventional treatments will be applied to alleviate pain. Treatments of great help such as:
    • Radiofrequency to deactivate pain-causing nerves
    • Advanced minimally invasive techniques
    • Image-guided infiltrations (facet blocks, radicular blocks, etc.)
  • Physiotherapy: we have a team of physiotherapists specialized in cervical pathology who apply advanced techniques with a functional and personalized approach. The most effective treatments include:
    • Manual therapyjoint mobilization, myofascial release and neuromuscular techniques to reduce stiffness and improve range of motion.
    • Dry needlingTreatment of myofascial trigger points responsible for radiating pain.
    • Electrotherapy and tecartherapytechnologies that accelerate recovery through deep tissue stimulation.
    • Therapeutic exercisespecific cervical strengthening, stabilization and motor control exercises adapted to each patient.
    • Global Postural Re-Education (GPR)Comprehensive treatment to correct muscular imbalances and prevent relapses.
    • Neuromuscular bandaging (kinesiotaping) to relieve muscle tension and improve circulation.

Here begins your life without pain

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Quiero expresar mi agradecimiento al Dr. Francisco Duca por poder olbidar de mis dolores de espalda. Gracias a su profesionalismo vuelvo a poder disfrutar la vida activa y alegre. Ademas el trato y su apoyo ha sido excepcional. Me considero muy afortunada por haber encontrado un gran profesional y la gran persona en que se puede confiar. Muchisimas gracias y bravo!!!
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Llevaba dos años con dolor de cadera por un esfuerzo que hice, fui a muchos médicos y ninguno me ayudaban a remediar este dolor. Fui al doctor Nicolás Sarria, y el ha hecho todo lo posible por qué yo volviera a tener una vida normal. Solo puedo agradecer a Nicolás por todo lo que ha hecho por mi, por su cercanía y su trato. Ojalá te hubiera encontrado antes. También me gustaría agradecer a Paula, por ayudarme a resolver algunas dudas y por ser tan amable siempre. Gracias por todo Nicolás, te quiere tú Martita
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