Neck pain is one of the most common musculoskeletal conditions in the world affecting about two-thirds of the population at some stage of their life (Koes et al., 2007). Patients experiencing upper neck pain will experience neck pain in the upper three cervical segments and can experience neck related headaches in the base of the skull, forehead, temples and behind the eyes. Patients experiencing lower neck pain will experience pain in the bottom four cervical segments and can experience referred pain in the upper back, shoulder blade, shoulder, anterior chest and the upper limb (Misailidou et al., 2010).
Acute neck pain is neck pain that patients have experienced for up to four weeks in duration and can arise from a variety of different cervical structures including:
Early intervention with education, exercise therapy and manual therapy (mobilisation and manipulation techniques) provides patients with good outcomes and decreases the chance of acute neck pain becoming chronic (Binder, 2008).
Melbourne Headache Neck and Jaw Clinic our practitioners are highly skilled in the assessment, treatment and rehabilitation of neck pain disorders. We take the time to properly diagnose your acute neck pain and design a personalised treatment plan to suit your recovery needs. We utilise Osteopathy, Dry Needling, The Watson Headache Approach and Joint Manipulation to treat acute neck pain.
Neck pain is an extremely common condition affecting about two-thirds of the population at some point in their life. About 90% of acute neck pain is managed effectively with early interventions such as osteopathy, patient education and neck pain rehabilitation exercises. However if neck pain is left untreated or is inappropriately managed, 10% of patients will start to experience neck pain for months and in more severe cases years (Binder, 2008).
A variety of structures in our cervical spine cause chronic neck pain including:
Acute neck conditions that commonly progress to chronic neck pain include
Osteopaths at Melbourne Headache Neck and Jaw Clinic in Mordialloc have had great results with countless chronic neck pain patients. We draw on a combination of Osteopathy, dry needling, the Watson headache approach and joint manipulation to get long lasting relief from neck pain.
Whiplash associated disorders is a term given to injuries of the neck which are caused by a rapid acceleration-deceleration mechanism such as a motor vehicle accident (Pastakia and Kumar, 2011) or other physical trauma (football tackle, falls etc). Whiplash commonly affects the soft tissues of the neck particularly the muscles, ligaments and tendons.
Symptoms patients experience include:
It is important that acute whiplash be managed with appropriate early interventions such as patient education, manual therapy and rehabilitation exercises to give yourself the best chance of recovery and limit the chances of developing chronic whiplash.
At Melbourne Headache Neck and Jaw Clinic in Mordialloc, our practitioners are highly trained in the assessment, treatment and rehabilitation of whiplash associated disorder. We take the time to understand your individual condition and design a personalised treatment plan to suit your recovery needs. We us our skills in Osteopathy for whiplash treatment, as well as dry needling and joint mobilisation which helps us achieve long lasting results.
Whiplash associated disorder is a term given to injuries of the neck which are caused by a rapid acceleration-deceleration mechanism such as a motor vehicle accident (Pastakia and Kumar, 2011) or other physical trauma (football tackle, falls etc). If a patient's acute whiplash isn’t managed effectively with modalities like osteopathy, they will experience neck pain symptoms for months and even years after the incident, we term this chronic whiplash associated disorder.
Chronic whiplash is a very common condition with studies demonstrating that 15-40% of acute whiplash patients develop chronic whiplash. The most common source of chronic whiplash is the cervical facet joints followed by cervical disc injury with the more severe cases involving both structures. Other cases of chronic whiplash involve the soft tissues or the neck including the muscles, tendons and ligaments (Schofferman, Bogduk and Slosar, 2007).
At Melbourne Headache Neck and Jaw Clinic we are skilled in the assessment, diagnosis and treatment of chronic whiplash. We understand the need for an individualised rehabilitation program focusing on neck strengthening, patient education and osteopathic treatment techniques. Our rehabilitation programs empower our patients to take control of their pain and get back to doing the things they want to do.
Cervical radiculopathy is a neck pain condition which involves compression of the nerves in the neck. Cervical nerve compression is often caused by bone spurs in the neck or herniated discs. Cervical radiculopathy can occur due to a distinct event like a motor vehicle accident or fall or it can come on gradually due to things like prolonged postures and osteoarthritis (Iyer and Kim, 2016).
Patients will often experience symptoms like
Cervical radiculopathy can be treated non-operatively with osteopathy, neck rehabilitation programs with some studies showing that 90% of patients have good to excellent outcomes from nonoperative management (Iyer and Kim, 2016).
At Melbourne Headache Neck and Jaw Clinic in Mordialloc, we understand the debilitating effect cervical nerve pain can have on a patient's life so we take the time needed to carefully assess and diagnose cervical radiculopathy. From there we design treatment plans which focus on nerve pain management and increasing a patient's quality of life.
Binder, A., 2008. Neck pain. [online] PubMed Central (PMC). Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2907992/>.
Iyer, S. and Kim, H., 2016. Cervical radiculopathy. Current Reviews in Musculoskeletal Medicine, 9(3), pp.272-280.
Koes, B., Vos, G., Verhagen, A. and Passchier, J., 2007. Management of acute neck pain in general practice: a prospective study. [online] PubMed Central (PMC). Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2032696/>.
Misailidou, V., Malliou, P., Beneka, A., Karagiannidis, A. and Godolias, G., 2010. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. Journal of Chiropractic Medicine, [online] 9(2), pp.49-59. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2943658/>.
Pastakia, K. and Kumar, S., 2011. Acute whiplash associated disorders (WAD). Open Access Emergency Medicine, [online] 3, pp.29-32. Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4753964/>.
Schofferman, J., Bogduk, N. and Slosar, P., 2007. Chronic Whiplash and Whiplash-Associated Disorders: An Evidence-Based Approach. Journal of the American Academy of Orthopaedic Surgeons, 15(10), pp.596-606.
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