Chronic neck pain is described as neck pain that has lasted for more than 3 months and is still associated with real or perceived damage of the neck joints, intervertebral discs, muscles, nerves, tendons or ligaments. Often there may be a greater involvement from the joints and discs and requires additional treatment techniques such as McKenzie Method, joint mobilisations and specific exercises.
The treatment of pain, joint stiffness, muscular tightness and weakness associated with chronic neck pain needs to incorporate a variety of techniques, especially with repeated movements and exercises to reduce the chronicity of symptoms. Sydney Muscle & Joint Physio Penrith is an evidence based physiotherapy practice in Penrith where we pride ourselves on utilising best practice guidelines and techniques supported by research to reduce pain and improve pain free movement.
Frequently Asked Questions
What are the signs and symptoms of chronic neck pain?
Persistent pain lasting more than 3 months that you describe as dull and nagging or sharp and stabbing. This will often be in the neck area with radiating pain to upper back, shoulders and the arms. You may report neck stiffness and difficulty completing your normal daily activities. In addition, and depending on the severity of your neck pain, you may report muscle tightness or weakness, tension headaches, numbness, tingling or weakness in the arms, hands and fingers. Overall, you will have a reduced function and find pain may be worse at the end of the day.
Do I need medical imaging prior to seeing a physiotherapist for my chronic neck pain?
For a majority of people, medical imaging is not required prior to attending physiotherapy. Your physiotherapist can determine your impairments and treat you regardless of a diagnosis. However, if there are red flags identified, your physiotherapist can refer you to your GP for further evaluation and referral for medical imaging. These red flags include nerve involvement or radicular symptoms, significant weight loss, severe headaches and sudden onset of pain.
What treatment interventions will be used to treat my chronic neck pain?
Your physiotherapist will determine the best course of action based on your presentation. Manual therapy may be used to reduce pain and increase neck range of motion. These techniques include joint mobilisations, soft tissue techniques, neurodynamics and the McKenzie Method. Exercises for the neck will be prescribed to reduce strain on the spine, improve mobility and improve tolerance of sustained postures. To reduce the likelihood of exacerbations or reinjury, lifestyle modifications should be implemented including adjustment of sleep postures, and increasing breaks when in sustained postures.