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Neck pain is a sharp stabbing feeling from the bottom of your head to the top of your shoulders. The pain may spread to your upper back and/or arms, hindering movement around your head and neck. Neck pain is common, especially for people past 50 years of age. But what causes it? Most neck pain is caused by activities that strain the neck. Hanging clothes, slouching, or sleeping with your neck twisted are some things that can cause neck pain. These may cause swelling of joints in the neck, muscle spasm, or just a constant strain in the neck area. Physical injuries such as falling off a chair or whiplash from a car accident can cause neck pain. Some less common medical problems can also lead to neck pain.

What are the symptoms? You may experience stiffness or a pain in your neck. The pain may spread to your shoulders, upper back, or arms or even get a headache. You may also have numbness, tingling, or weakness in your arm. If your neck pain lasts for a while, you may have trouble coping with daily life. This is called chronic pain.

Common side effects of chronic pain include depression, constant pain, and anxiety. How is neck pain diagnosed? If your pain started after an injury, or if it doesn’t improve after a few weeks, your doctor may want to do more tests. Imaging tests such as an X-ray, an MRI scan, or a CT scan can show the neck muscles and tissues. These tests may be done to check the neck bones, spinal discs, spinal nerve roots, and spinal cord. How is it treated? The type of treatment you need will depend on whether your neck pain is caused by activities, an injury, or another medical condition. Most neck pain caused by activities can be treated at home.

For neck pain that occurs suddenly: Use a heating pad on a low or medium setting for 15 to 20 minutes every 2 or 3 hours. Try a warm shower in place of one session with the heating pad. You can also buy single-use heat wraps that last up to 8 hours. You can also try putting an ice pack on the area for 10 to 15 minutes every 2 to 3 hours. While there is no strong medical evidence that favors cold or heat treatment to help alleviate the pain you are feeling but one thing is for certain, either one will help alleviate your pain. Take medications and avoid doing any further physical activities. Rest your neck, and consult your doctor if symptoms persist.

Sympathetic nerves run on the front surface of the spinal column and not inside the spinal canal, like the nerves that provide sensation and strength to the legs. These nerves are part of the autonomic nervous system, which controls functions such as blood flow and temperature regulation to the arms and legs, sweating, heart rate, digestion, and blood pressure, among others.

A sympathetic nerve block involves using fluoroscopic guidance (x-ray) to inject numbing medicine around the sympathetic nerves in the low back or neck to temporarily 'switch the nerves off' in hopes of reducing or eliminating pain. If pain is substantially improved after the block, then a diagnosis of sympathetically mediated pain is established.

The therapeutic effects of the anesthetic may occur for a more extended period than would be normally expected. The goal is to reset the sympathetic tone to a healthy state of regulation. If the initial block is successful, then additional blocks may be performed if the pain continues to decrease sequentially.

Sympathetic nerve blocks are helpful in treating back pain, complex regional pain syndrome (CRPS), neuropathy, peripheral vascular disease, and neurological symptoms due to trauma.

While often neck pain can be due to a strain or pull, it can also stem from the spine. Neck pain affects the cervical region of the spine and can be due to an injury, pinched nerve, back condition, spine condition, or many other factors.

The cervical area of the spine provides mobility to the neck and is made up of multiple connecting joints, discs, muscles and ligaments. Migraine headaches are common in patients with neck injuries or neck conditions.

By seeing the specialized doctors at Doral, you have access to not only Neck Pain but also spine specialists and back pain specialists who are experts in finding the root cause of your neck pain.

Our team of neck pain specialists at Doral is focused on finding the cause of your neck pain and helping you find the best neck pain treatment option available. Neck pain can be the result of numerous conditions connected to the back and the spine as well as neck injuries and trauma.

Neil S. Ruskin is a Brooklyn Criminal Lawyer with over 40 years experience.

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