Arthritis of the Neck

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Arthritis of the Neck

Natural wear and tear of the cervical spine causing arthritis of the neck. As you age, the discs that serve as cushions between vertebrae begin to bulge, shrink or weaken. This allows the vertebrae to start collapsing on one another. This causes pain, stiffness and loss of range of motion. Your body responds to these changes by growing new bone (bone spurs), which can narrow the area around the spine.

Arthritis of the neck causes

Arthritis of the neck (cervical spondylosis) is most often a result of aging. It can also be caused by:

Arthritis of the neck symptoms

Many people with arthritis of the neck (cervical spondylosis) don’t experience any symptoms. However, some symptoms may include:

  • Grinding noise when turning the neck
  • Headaches
  • Loss of balance
  • Muscle spasms in neck and shoulders
  • Neck pain
  • Popping noise when turning the neck
  • Stiffness in the neck
  • Trouble walking
  • Weakness in the legs, arms, hands or fingers

Arthritis of the neck treatment

Your treatment will depend on the cause of the pinched nerve. Treatment may include:

  • Physical therapy –A certified physical therapist will teach you exercises to reduce pain, improve flexibility and strengthen muscles in the neck.
  • Medicine – Over-the-counter and prescription medicine can help relieve chronic pain, reduce inflammation and help you find comfort.
  • Injections – Corticosteroid injections, medial branch blocks and other injections can help reduce inflammation and help relieve pain caused by arthritis in the neck.
  • Acupuncture – Thin needles are inserted into specific spots along the spine to trigger the release of certain chemicals into the body, helping reduce pain. Acupuncture, along with traditional treatment, like pain management or physical therapy helps with pain.
  • Massage – Medical massage therapy can help reduce inflammation, ease pain and provide relief from certain back conditions. Your doctor may recommend massage therapy along with other treatments.
  • Anti-inflammatory Diet – A diet that helps boost your body’s natural ability to fight inflammation may help reduce symptoms, when combined with other treatment plans.

Generally, surgery is not needed to treat arthritis. Your provider may recommend surgery if your arthritis is causing another cervical spine condition, like a pinched nerve.

Arthritis of the neck risk factors

You may be at higher risk of developing arthritis in the neck if you:

  • Experienced trauma or injury to the neck
  • Have a family history of neck pain or neck arthritis
  • Have a job that requires repetitive neck movement or overhead work
  • Smoke

Arthritis of the neck prevention

Nearly everyone over age 60 will develop cervical spondylosis. But, you can take steps to reduce your risk and minimize your pain:

  • Eat healthy
  • Exercise regularly
  • Maintain a healthy weight
  • Strengthen back and core muscles

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Common Neck Injuries

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Article featured on TriHealth

We usually don’t give much thought to our neck until it becomes tight, sore or difficult to turn. When this happens, we realize all the muscles, tendons and bones in the neck (cervical spine) allow us to move freely.

Common Neck Injuries

When your neck is sore – whether it’s from a poor night’s sleep or sudden injury – it can make simple tasks a challenge. Turning your head when driving, lifting objects or just playing a favorite sport can become painful and uncomfortable. Discover the most common neck injuries and how you can find relief.

Types and Causes of Common Neck Injuries

The most common neck injuries include:

  • Neck sprain or strain – A sprain can happen when ligaments in the neck are torn. A strain refers to a torn muscle or tendon. This can occur as a result of a sudden injury during physical activity or even a minor car accident.
  • Stiff muscles and tendons – Often called a crick in the neck, stiffness can be caused moving awkwardly or keeping the neck in the same position for a long period of time (like sleeping overnight).
  • Herniated disc – A herniated disc occurs when a spinal disc becomes torn and the soft jellylike interior leaks or bulges out of the disc. Most commonly a result of wear and tear, herniated discs can also be caused by a sudden injury, including a fall.
  • Pinched nerve – Bone, tissue or tendons can push against surrounding nerves, which causes pain. This can happen as a result of a muscle sprain or strain.
  • Fractured cervical spine – Though rare, a fractured cervical spine (or broken neck) is a serious condition that requires immediate medical attention.

Common neck injury symptoms

Your symptoms will depend on the type and severity of your injury, but most common symptoms include:

  • Difficulty turning the neck
  • Headaches
  • Muscle spasms in neck and shoulders
  • Neck pain
  • Stiffness in the neck
  • Weakness in the legs, arms, hands or fingers

Common neck injury treatment

Your treatment will depend on the cause of your neck injury. Treatment may include:

  • Physical therapy – A certified physical therapist will teach you exercises to reduce pain, improve flexibility and strengthen muscles in the neck.
  • Medicine – Over-the-counter and prescription medicine can help relieve pain, reduce inflammation and help you find comfort.
  • Injections – Corticosteroid injections, medial branch blocks and other injections can help reduce inflammation and help relieve pain caused by several different injuries to the neck.
  • Acupuncture – Thin needles are inserted into specific spots along the spine to trigger the release of certain chemicals into the body, helping reduce pain. Acupuncture, used with traditional treatment, like pain management or physical therapy can help.
  • Massage – Medical massage therapy can help reduce inflammation, ease pain and provide relief from certain back conditions. Your doctor may recommend massage therapy along with other treatments.
  • Anti-inflammatory Diet – A diet that helps boost your body’s natural ability to fight inflammation may help reduce symptoms when combined with other treatment plans.

Our team will work closely with you to manage your pain before recommending surgery. If you continue to experience pain and loss of motion, cervical spine surgery may be recommended. These include:

  • Mazor X – A robotic-guided spine surgery, Mazor X uses 3D imaging to allow your surgeon to customize the surgery to your specific anatomy and needs. This leads to better outcomes and faster recovery.
  • Cervical discectomy and fusion – A damaged cervical disc can be removed and replaced with an artificial disc. You may also need a fusion surgery, which helps fuse two or more discs with hardware to stabilize and support the cervical spine (neck).
  • Laminectomy – A laminectomy removes part or all of the back of vertebrae and thickened tissue around the vertebrae to allow more room for the spinal cord. This helps relieve pressure on the affected nerve.

Common neck injury risk factors

Several common risk factors contribute to a neck injury. These include:

  • Genetics – A family history of neck pain or neck arthritis
  • Tobacco use – If you are a smoker
  • Repetitive neck movement – If you have a job that requires repetitive neck movement or overhead work
  • Trauma or injury to the neck – Either through an accident, sports or even sleeping wrong

Common neck injury prevention

It may be impossible to completely prevent an injury to the neck, but you can take steps to reduce your risk and protect your spine health:

  • Maintain a healthy weight
  • Exercise regularly
  • Strengthen back and core muscles
  • Eat healthy
  • Look for ergonomic pillows, chairs and other materials to help properly position your spine
  • Use good posture when standing and sitting
  • Use caution when lifting, twisting and turning

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

How Long Does it Take to Recover from Neck Surgery?

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Article featured on Arkansas Surgical Hospital
The time it takes to recover from neck surgery depends on several factors, including the type of surgery you have, the extent of your condition, and your overall health. Discussing your options with your surgeon will give you a clearer picture of your predicted recovery time.

Common Causes of Neck Pain

There are many causes of neck pain, including poor posture, muscle strain, herniated discs, and degenerative disc disease. Some neck pain can be treated with conservative measures such as ice, heat, over-the-counter medication, or steroid injections. However, surgery may be required if your neck pain is severe or persists for more than a few weeks.

Warning Signs of a Serious Injury

If you have any of the following signs of a serious neck injury, talk to your doctor right away:

  • Severe pain that doesn’t go away with over-the-counter medication
  • Intense headaches that are not relieved by medication
  • Loss of feeling or numbness in the arms or legs
  • Loss of coordination in the arms or legs
  • Difficulty walking or standing upright

Surgical Options for Neck Pain

If your neck pain has persisted through conservative treatment options without relief, it may be time to ask your doctor whether surgery may be the answer. Surgical options for neck pain vary by each individual and their condition. If you are unsure about what is best for you, consult with your doctor.

Some common neck surgery procedures include:

  • Fusion. In a cervical fusion surgery, two or more vertebrae in your neck are fused together, often using a plate of metal or another material. Spinal fusion stabilizes the vertebrae and reduces pain.
  • Laminectomy. Cervical laminectomy removes a part of the vertebrae called the lamina. The surgery aims to ease pressure on the spinal cord or nerves.
  • Discectomy. Like a laminectomy, a discectomy is a type of spinal decompression surgery. A cervical discectomy is the removal of a damaged disc between two vertebrae. It is often accompanied by a fusion procedure to keep the vertebrae stable.

Most people spend a few days in the hospital after undergoing neck surgery. During this time, you will be monitored closely, and you won’t be able to move your head or neck much. Once you’re home, you will need to take it easy for several weeks, so it’s important to have a support system in place. You will be able to gradually increase your activity as the pain and swelling goes away.

Recovering from Neck Surgery

Recovery from neck surgery typically ranges from one to six months, but some cases can take longer. Your surgeon will determine a more specific time frame after evaluating your condition and discussing which procedure is right for you based on your diagnosis.

In the months following your surgery, you will have follow-up appointments with your surgeon to check your progress. Each situation is unique: your recovery time depends on the type of procedure performed and the severity of the symptoms you had before surgery. The specific length of time depends on what was done during your procedure and how well it went.

Factors that affect recovery time from neck surgery include:

  • The type of surgery you had
  • How many vertebrae were affected
  • The state of your health before surgery
  • Whether you experience any complications after surgery
  • Whether you follow your doctor’s post-operative instructions

Depending on your circumstances, you may be able to return to work in a few weeks. Other patients may take as long as three months to get back to work. In general, most people fully recover from neck surgery after six months, but some patients can take up to a year or more.

There are some things you can do to help with your recovery. For example, practice good posture at all times. Always follow the instructions your surgeon gives when recovering from neck surgery.

Is Neck Surgery Right for You?

If you have tried other treatments for chronic neck pain with no relief, it may be time to consider surgery.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

What is Spondylosis?

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Article featured on HealthPartners

As we get older, just about every part of our body will experience natural changes. And for many adults, neck and back problems are some of the not-so-fun parts of the aging process.

Spondylosis (or degenerative disc disease) is one of the most common spinal conditions adults experience. In fact, it’s estimated that around 85% of adults over the age of 60 have some degree of spondylosis.

But what is spondylosis exactly? What are the signs and symptoms of spondylosis? Is it treatable? And when should you see a doctor for any neck and back pain you might be experiencing? We answer all these questions and more.

What you should know about spondylosis

Spondylosis, or degenerative disc disease, is a form of arthritis that’s sometimes called spinal osteoarthritis. Spondylosis affects the discs in your spine, which can sometimes lead to neck pain, back pain or loss of normal spinal function.

Aging is the main cause of spondylosis

As you get older every part of your body changes, including vertebra (spinal bones) and spinal discs.

Spinal discs act as cushions between each of your neck and back’s vertebra – these discs are often described as rubbery or jelly-like. But as we age, these discs begin to dry out and thin. And that thinning places stress on every muscle, joint and ligament that holds your spine in place, which can lead to pain and decreased range of motion.

Over time, these spondylotic changes can sometimes lead to compression on one or more of the spinal nerve roots, bone spur growth or herniated discs, which may cause other symptoms.

Risk factors for spondylosis

Spondylosis is very common as you age, and you may not be able to avoid getting it. There are certain risk factors that can speed up the aging process or make you more likely to get spondylosis, including:

  • Being overweight – Extra weight can put added pressure on the structures of your spine, causing them to break down faster.
  • Genetic factors – People in certain families are more likely to experience spondylotic changes.
  • Smoking – People who smoke are more likely to get spondylosis – and when they do, their symptoms get worse more quickly.
  • A sedentary lifestyle – Sedentary behaviors are shown to increase the risk of lower back pain from spondylosis and other causes.
  • Repetitive stress – Having a job that requires repetitive movement that puts stress on your spine increases your chances of developing spondylosis.
  • Spinal injuries – If you’ve injured your spine in a car accident or a fall, you may be more likely to develop spondylosis.

The three types of spondylosis: Symptoms and locations

There are three different types of spondylosis. Each type is related to a specific area of your spine where the changes have occurred. These include the cervical (C), thoracic (T) and lumbar (L) regions.

Your spinal column is made up of 33 bones called vertebrae that, in part, consist of seven cervical (neck), 12 thoracic (mid back), and five lumbar (lower back) vertebrae. Between each vertebra is a disc.

The spinal column also has joints called facet joints. Their job is to connect the vertebrae and give them the flexibility to move against each other.

Spondylosis symptoms can vary from person to person. Some people may not even notice any neck or back pain or problems. While spondylosis can affect the joints anywhere along the spine, it occurs more commonly in the neck and low back.

What is cervical spondylosis?

Cervical spondylosis affects your neck, which is also called the cervical spine and represents vertebrae C1 to C7. These vertebrae connect your skull to your body and are responsible for motions like turning your head left and right, or nodding your head up and down.

Cervical spondylosis symptoms

Your neck has a big job to do. It supports the weight of your head and a wide range of movements. While many people don’t experience any symptoms of cervical spondylosis, those that do may feel:

  • Neck pain, which can feel like a constant ache, get worse when you move or both (pain may also spread to your arms or shoulders)
  • Neck stiffness that can get worse over time
  • Muscle pain or spasms
  • Headaches, especially in the back of your head
  • A grinding, clicking or popping feeling when you move your neck

Is cervical spondylosis serious?

Most of the time, cervical spondylosis isn’t serious. But in some cases, cervical spondylosis can lead to the narrowing of the spinal canal, which is where the spinal cord and nerves pass through.

If the cord or nerves become compressed (or pinched), you may experience the following symptoms and should see a doctor as soon as possible:

  • Numbness, tingling or shooting pain in your shoulders, arms or hands, or what can feel like an electrical sensation when you flex your neck forward
  • Difficulty walking or lack of coordination
  • Loss of bladder and bowel control (rare)

What is thoracic spondylosis?

Your thoracic spine, T1 through T12, picks up where your cervical spine leaves off. It continues to protect your spinal cord, and also connects to and supports your rib cage.

As the “trunk” or middle part of your back, these 12 vertebrae are stable and sturdy. As a result, thoracic spondylosis is the least common type of degenerative disc disease.

Thoracic spondylosis symptoms

Most people do not experience any symptoms. But if symptoms are present, they may include:

  • Stiffness or soreness in the middle-back
  • Pain in the chest and upper abdomen
  • Pain radiating down the back or legs
  • Weakness or tingling in the arms or legs
  • Increased pain with activity

Is thoracic spondylosis serious?

Thoracic spondylosis is not usually serious, but it can worsen over time without treatment. Sometimes more serious symptoms can develop. If you experience sudden loss of motor control or walking becomes difficult, get medical care immediately.

What is lumbar spondylosis?

Lumbar spondylosis impacts your lower spine, L1 through L5. More specifically, the lumbar region is the section of the vertebrae between the thoracic spine and the sacrum. It’s the part of the spinal column that supports and distributes most of your body’s weight, making lumbar spondylosis perhaps the most common spinal osteoarthritis condition. In fact, more than 80% of those in the U.S. over the age of 40 may have lumbar spondylosis.

Lumbar spondylosis symptoms

Many people with lumbar spondylosis, don’t have any symptoms or feel pain. But some people experience symptoms such as:

  • Low back pain, which can feel like constant soreness, flare up when you move, or both (back pain may also be worse in the morning and get better throughout the day)
  • Back stiffness
  • Weakness in the legs or feet
  • Muscle pain or spasms
  • Grinding, clicking or popping sensation when you sit, stand or move in a certain way
  • Bladder retention (inability to urinate)

Like with cervical spondylosis, changes in spinal discs in the lumbar region can lead to nerve or cord compression. Disc herniation, which is when a disc slips or bulges through a weakened part of the spine, is also a possibility. Herniated discs are most common in the lower back and are also more common as we get older.

Is lumbar spondylosis serious?

While lumbar spondylosis usually isn’t serious, you should see a doctor right away if you experience any of the following symptoms:

  • Numbness, tingling or pain that radiates from your back to your buttocks, legs, feet or toes (sciatica)
  • Changes in how you walk (gait) or difficulty walking
  • Loss of bladder or bowel control (rare)

Spondylosis vs. spondylolysis: What’s the difference?

These two terms may look and sound almost identical, but there are key features that make the conditions different. While they can both cause back pain, spondylosis refers to the normal changes that can occur as we age. Spondylolysis is actually a stress fracture that occurs in a portion of the spine called the “pars,” and commonly caused by overuse.

How spondylosis is diagnosed

If you’re experiencing any spondylosis symptoms, you may be able to skip a trip to your primary care doctor and go straight to making an appointment with a physical therapist. Physical therapy is usually covered, but it’s always a good idea to check with your insurance provider to understand your coverage.

During your first visit, your physical therapist will likely start with a physical exam that may include:

  • Asking you questions about the location and severity of any pain, stiffness or other symptoms you’re experiencing
  • Evaluating your range of motion by having you move, bend or twist in different ways
  • Testing for muscle weakness in your arms and legs
  • Feeling along your spine to help detect any tenderness, or possible muscle spasms, bumps or areas of inflammation

In some cases, your therapist may recommend tests like X-rays or magnetic resonance imaging (MRI) that allow them to take a closer look at your spine.

Treatments for spondylosis

For most people, spondylosis symptoms can be managed with at-home treatments such as over-the-counter pain relievers, hot and cold therapy, and some lifestyle modifications.

Depending on your condition, a spine specialist may also recommend pain psychology, acupuncture or injections for longer-term, yet still temporary, pain relief. And if spondylosis has led to nerve or spinal cord compression, surgery may be helpful to relieve the pressure.

But stretching and activity may be the most important step for managing pain or other spondylosis symptoms. That’s because movement is important for keeping all of your body’s muscles, ligaments and joints in working order. And working with a spine physical therapist can help.

Spine physical therapists can teach you targeted stretches and exercises to strengthen your neck and back to reduce spondylosis-related pain and stiffness. A spine strengthening program is specifically designed for people with chronic back pain.

Take the first step toward neck and back pain relief

While you can’t stop your body from aging, there are steps you can take to manage the neck and back pain that can come with it.

If you’ve recently started noticing regular neck or back pain and stiffness, and it doesn’t seem to be subsiding, a great first step can be making an appointment with a spine physical therapist.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Types of Surgery for Chronic Neck Pain

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New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

What Causes Neck Pain in Seniors?

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Article featured on MedicineNet

Understanding the anatomy of the neck

Most people will have neck pain at some point. Injuries and certain illnesses can cause neck pain, but the most common cause is holding your neck in the same position for a long time. More serious symptoms can come from changes in the upper spine that come with aging. These changes often cause neck pain in seniors.

The neck contains seven bones called vertebrae that enclose the spinal cord. Other nerves branch out from the spinal cord. Disks between the bones act as shock absorbers. They have a tough outer coating and a jellylike interior. Muscles and ligaments bind the vertebrae together, providing both flexibility and support. Injury to any of these parts can cause neck pain.

Pressure on the spinal cord in the neck can be serious because most of the nerves that serve the body pass through the neck. Problems in the neck can cause pain, numbness, and weakness in the arms, chest, abdomen, or legs. Many organs rely on the nerves that pass through the neck for proper function.

What are the effects of neck pain?

Neck pain can affect your employment, social life, and personal relationships. When neck pain causes you to avoid certain activities, both your physical and mental health can suffer. Sometimes, it may seem that doctors and family members don’t believe that you are having real neck pain as you age. You may become angry, anxious, or depressed.

Neck pain can get worse through the pain cycle:

  • Pain causes you to reduce movement.
  • Reduced movement causes the muscles to get weaker.
  • Weaker muscles get tired faster.
  • Tired muscles result in increased pain.

How is neck pain diagnosed?

A muscle spasm or sprain can cause neck pain. Doctors can often diagnose this type of neck pain with a physical examination. Doctors use X-rays to diagnose neck pain caused by arthritis. If your symptoms suggest nerve problems, doctors will often use magnetic resonance imaging (MRI) or computed tomography (CT) to diagnose it.

What causes muscle pain in the neck?

Poor posture that results in muscle strain is a common cause of neck pain. You can prevent this type of neck pain by taking these steps:

  • Keep your neck in alignment by not using too many pillows when you sleep.
  • During the day, don’t stay in the same position for too long. A fitness tracker can remind you to get up and move.
  • Be aware of your position, especially when using electronics. Avoid text neck. Change your computer setup to make it more ergonomic.
  • If you wear glasses, be sure your prescription is correct so that you’re not craning your neck to see over your glasses or through a certain section of your lens.
  • Don’t take on more than you can handle. Get help for big jobs that involve the arms, shoulders, and neck.

You can treat muscular pain in the neck with over-the-counter pain relievers and with heat and cold. You may have to modify your activities for a while, but you should try to stay active.

What are the other causes of neck pain?

Many older people have osteoarthritis, which can cause neck pain. The joints of the neck are subject to wear and tear just like other joints in the body. In conjunction with this, aging can cause these three conditions:

Cervical spondylosis. This term covers the changes that occur in the neck with aging. Cartilage may wear away. Disks can become thin and dry so they don’t cushion the bones. Your body may try to compensate by growing extra bone in the form of bone spurs. These changes in the neck may cause pain from pinched nerves.

Cervical spinal stenosis. Changes in the neck cause the spinal canal to narrow, putting pressure on the spinal cord and other nerves. Besides neck pain, people with spinal stenosis often have symptoms in their extremities. They may have numbness, weakness, or poor coordination in the arms, legs, feet, and hands.

Disk problems. Changes in the disks between the vertebrae can cause neck pain. Disks that are squeezed between two of the bones in the neck can rupture. The disk may bulge out through the tear, a condition called herniated disk. Damaged disks can press on the nerves and even compress the spinal cord.

How is neck pain treated?

Treatments for neck pain can be nonsurgical or surgical.

Nonsurgical treatments include:

  • Steroids
  • Injections of various types
  • Physical therapy
  • Manipulation of the neck
  • Acupuncture
  • Cervical collar
  • Cervical traction

Doctors may suggest surgery, though, if more conservative treatments don’t help or if symptoms get worse. To be a candidate for surgery, you must be in good health.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

How to Prevent Back Pain When You’re Traveling

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Article featured on HealthPartners

Few things can ruin a vacation faster than a sore neck or back. And unfortunately, back pain from driving – especially long distances – is common. (Plus, back pain and flying often come together, too.)Here are a few key tips I give them to avoid back pain from driving, sitting in a car, flying or sleeping somewhere new.

1. Motion is lotion for your body! Even when traveling, it’s important to stay active to prevent back pain.

  • Use the 30-minute rule.

If you are sitting or standing for 30 minutes, change position. Even if it is only a brief change, it can help prevent back pain. Really, I promise, your back will thank you in the long run.

  • Take regular stretch breaks.

Back pain from driving is common. Stop every 60-90 minutes to get out and walk around while traveling by car, or get out of your plane seat and walk the aisle if permitted.

  • Do simple exercises while seated to help keep your back from getting stiff.

You can do something called a pelvic tilt while sitting on a plane or in the car to mimic the sit-to-stand motion.

2. Stress can contribute to the intensity of low back pain. The better you can manage stress, the better you can prevent back pain and the less you will hurt.

  • Don’t hesitate to ask for help.

Make things easier on yourself and let those who offer to help do so. If the flight attendants will help you lift your bags to the overhead compartment, let them.

  • Plan ahead.

Make a list of everything that needs to get done, and allow extra time to do them all in case things don’t go according to plan. That will make it easier to adjust if something unexpected comes up at the last minute (like, traffic or long security lines). If nothing goes awry, you’ll have extra time to relax!

  • Practice deep breathing and other mindfulness techniques.

I recommend giving progressive muscle relaxation exercises a whirl. They can be a less time-intensive alternative to yoga or meditation. And since they can easily be done in an airplane seat, they can be very helpful in counteracting the issues that can come from back pain and flying.

3. There are certain activities that may lead to back pain from driving or flying. So when you’re traveling, make simple changes to what you’re doing to prevent back pain from flaring up.

  • When you’re spending a long time in a car or plane…

Use a rolled up towel, sweatshirt, lumbar roll or a water bottle to give your back the proper support it needs for a long trip. Place the object just below the small of your back, above your hips.

  • When you’re sleeping in a car or plane…

Use a neck pillow – they really do help. Having a neck pillow will keep your spine in better alignment. And that will decrease the stress that resting in an upright position can put on your neck. If you don’t have a neck pillow, roll up a towel, sweatshirt or small blanket and wrap it around your neck.

  • When you’re standing in lines…

Keep your weight equal between both feet, or shift your weight back and forth. When it comes to the issue of back pain and flying, waiting to go through airport security is often a culprit. You can also try propping a foot up on a bag or curb to decrease the stress to your spine.

  • When you’re lifting luggage or heavy items off the ground…

Use a wide stance with your feet and squat down using your legs. Keep your butt back and put your weight into your heels.

  • When you’re picking small objects off the floor…

Try a technique called the “golfer’s lift.” Kick one leg behind you and bend at the hip like a pendulum, keeping your low back straight. Reach to pick up the object with one arm while using the other to hold a stationary object for support.

  • When you’re sleeping in a different bed…

Use blankets to help cushion a hard mattress if you prefer softer surfaces. If you’re lying on your back, prop up pillows under your knees. Or if you’re lying on your side, put a pillow between your knees. This will help you prevent back pain by keeping your spine in a better position.

New Mexico Orthopaedics is a multi-disciplinary orthopedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.

New Mexico Orthopaedics offers a full spectrum of services related to orthopedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.

Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopedic condition, and offer related support services, such as physical therapy, WorkLink and much more.

If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

6 Common Causes of Neck Pain

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Article featured on Practical Pain Management
The human neck houses incredibly important structures—the airway, the voice box, the food-entry canal (esophagus), all the nerves in the spinal cord, and of course the muscles and bones that “keep our heads on straight.” As a result of this plethora of activity, neck pain can arise from a variety of sources.
Neck pain can imply something simple like a stiff muscle, which can often be worked out with rest, therapeutic manipulation, or exercise. But neck pain can also be a warning sign of a medical emergency, such as in the case of bacterial meningitis (which can threaten one’s life) or cervical myelopathy (which can lead to paralysis). In these situations, seeing a doctor to distinguish the significance of your particular form of neck pain is warranted. Below is an overview of six potential sources of neck pain. See also our diagnosis and treatment sections for each.

1. Muscle Strain:

A strained muscle or group of muscles is often the source of neck pain. Strains can be caused by weight (including obesity), weak abdominal muscles (your “core”), or poor posture.
New studies about “tech neck” or “tablet neck” show that those who put themselves into odd positions while holding handheld electronic devices can also cause neck strain; try to avoid placing the device in your lap, which causes you to flex your neck down to look at the screen. The weight of the head on the spine, normally about 10 to 12 pounds, can increase to 60 pounds of load on the spine when the neck is flexed 60 degrees (See Hansraj, 2014).
Muscle-based neck pain can also occur from over-extending the neck. Sometimes called “belayer’s neck,” this position can be best described as a person standing at the bottom of a cliff and assuming a constant gaze upward to shift ropes and watch out for the safety of a climber. Not only are muscles affected by this position, but the facet joints of the spine are jammed together.
Certain occupational activities, sports, hobbies, and even sleeping in an odd position can lead to musculoskeletal neck strain and pain as well. A fall or car accident can spur muscular neck pain in the form of whiplash, leading to potential long-term damage or disability.

2. Cervical Disc Herniation:

In between the vertebrate in your spine are discs that serve as a cushion to the vertebrate above and below. Sometimes, through trauma or normal age degeneration, the outer hard layer of a disc breaks, and the inner, gel-like nucleus pulposus squeezes out, irritating the nerves behind it. This action is referred to as a herniated, bulging, slipped, or ruptured disc. When discs rupture within the cervical spine—that is, the vertebral column in the neck area, the movement can produce pain. Symptoms can also include pain between the shoulder blades or pain/numbness that radiates down the arm to the hand or fingers.

3. Rheumatoid Arthritis:

For individuals with rheumatoid arthritis (RA), neck pain typically comes years after the diagnosis; over 80% of patients who have had RA for 10 years wind up experiencing cervical spine issues (See Hamilton, 2000) as the disease can lead to damage in the hands, wrists, elbows, knees, and ankles. At higher risk are male patients and those with a positive rheumatoid factor, which your rheumatologist can likely share with you.
The good news is that neck pain is rarely the first known symptom of rheumatoid arthritis. When it does present in the neck, RA usually affects the atlantoaxial joint. This particular joint pivots the head so we can look left and right, up and down. As RA loosens ligaments, erodes bone, or causes thickened tissue around joints, the spinal cord and brain stem can condense, requiring urgent medical attention. Therefore, although rare, RA retains its spot on the list of possible neck pain causes even when there is no evidence of RA in the peripheral joints (eg, hips, knees).

4. Meningitis:

One of the most dangerous sources of neck pain is bacterial meningitis (also called meningococcal meningitis), as a person can go from neck stiffness to death in a matter of hours to days. The three membranes that coat and protect the brain and spinal cord, running through the neck and back, are called meninges. The dura mater guards the outside, the arachnoid mater serves as the webbed middle layer, and the pia mater shelters the central nervous system as the inner layer of meninges.
While the meninges shield our central nervous system (CNS), there are certain bacteria, viruses, and even fungi that can inflame and destroy these layers. Two of the most dangerous bacteria that can threaten one’s life rather quickly are called Neisseria meningitidis and Streptococcus pneumoniae. The bacteria are passed through saliva and the most common symptoms include fever, headache, and stiff neck. If you experience such symptoms, it is important to seek immediate medical attention.
While the highest global incidence of meningitis outbreaks occur in Sub-Saharan Africa, Centers for Disease Control and Prevention (CDC) data show that outbreaks can also occur in communities, schools, colleges, prisons, and other populations around the US. Viral and fungal forms of meningitis also exist, but are often less severe.

5. Tumors:

Since the airway is contained in the human neck, a lifetime of inhaling a toxic substance, such as asbestos, wood, nickel, dust, or tobacco, could mean that neck pain is being caused by a tumor. At least 75% of head and neck cancers are caused by tobacco and alcohol use (See Blot, 1988). Cancers in the neck usually involve abnormal cell growth in the squamous cells, which are the moist, mucosal cells that line the mouth, nose, and throat. Less often, neck cancer originates in the salivary glands or thyroid glands.
Sometimes cancer originates in squamous cells elsewhere in the body and then spreads to a neck lymph node, creating a lump. This cancer is called metastatic squamous neck cancer with occult primary. Symptoms can include pain or a lump in the neck or throat.
Human papilloma virus (HPV) is a growing culprit in oropharyngeal cancers; according to the National Cancer Institute, HPV is the source of 26,000 new head and neck cancers each year.

6. Cervical Myelopathy:

This version of neck pain usually indicates that immediate surgery may be needed. If you notice pain or numbness in your arms or legs, frequent tripping, or sudden bladder incontinence, it may be because the spinal cord is being compressed. Known as cervical myelopathy, the condition can lead to permanent disability or paralysis if left untreated, which is why surgery is usually advised.
Degenerative cervical myelopathy, also called osteoarthritic or cervical spondylosis, occurs when any of a host of degenerative problems occur, such as herniated discs, swollen ligaments, or bone spurs. Bone spurs, also called osteophytes, can grow as a result of osteoarthritis, poor posture, or traumatic injury; changes that are more common with age. Continued degeneration or trauma can lead to cervical stenosis, which means that the space in the spinal canal has narrowed. When this narrow canal pinches the spinal cord, myelopathy, or neurologic deficits (abnormalities in body function), can occur.
Overall, diagnosing neck pain can be tricky, but with the proper medical exams and tests, your doctor can narrow down the cause of your pain to make an accurate diagnosis.

New Mexico Orthopaedics is a multi-disciplinary orthopaedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.
New Mexico Orthopaedics offers a full spectrum of services related to orthopaedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.
Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopaedic condition, and offer related support services, such as physical therapy, WorkLink and much more.
If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

Managing Neck and Lower Back Pain

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Article featured on Cone Health
According to Dahari Brooks, MD, neck and lower back pain is often caused by muscle strain, degenerative disc disease or arthritis.
“If the pain comes on suddenly and out of the blue, you may have pulled a muscle and can begin with at home treatments,” shares Dr. Brooks.
If you suspect a pulled muscle, Dr. Brooks suggests resting for a day. You can treat pain with over-the-counter anti-inflammatory medications. In the first 24 hours or so, cold therapy can help minimize pain and swelling. Place an ice pack on the painful area for 10 minutes followed by 20-minute breaks. Later, you can consider cold and/or heat therapy for relief. Ease back into exercising with walking and stretching.
“On the other hand, if your chronic pain has worsened over time or you experience a sudden onset of arm or leg weakness, pain or numbness, it is time to make an appointment,” adds Dr. Brooks. “A comprehensive physical examination will help determine the cause of your problem.”
During office visit, you will be examined for issues such as a pinched nerve. You may need to take an x-ray to rule out structural issues. Often, physical therapy or steroid injections can offer improvement. If not, soft tissue imaging can reveal bone spurs or discs that have herniated, degenerated or broken down over time.
“If you are experiencing horrific or radiating pain, weakness or numbness in the neck or limbs or lack of balance, make an appointment to be seen right away,” concludes Dr. Brooks. “These types of symptoms can signal a more serious issue and require more immediate attention.”

New Mexico Orthopaedics is a multi-disciplinary orthopaedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.
New Mexico Orthopaedics offers a full spectrum of services related to orthopaedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.
Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopaedic condition, and offer related support services, such as physical therapy, WorkLink and much more.
If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.

That Tension Headache May Be a Pain in the Neck

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Article from Brigham Health Hub, Written by Thomas P. Mecke, DC

One very common cause of tension headaches is rooted in the neck, resulting from muscle tension and trigger points.

What causes tension headaches?

At the base of the skull, there is a group of muscles called the suboccipital muscles. They can cause headache pain for many people. These four pairs of muscles are responsible for subtle movements between the skull and first and second vertebrae in the neck.

The suboccipital muscles may become tense and tender due to the following:

  • Eye strain
  • Wearing new eyeglasses
  • Poor posture
  • Grinding teeth
  • Trauma (such as a whiplash injury)

Pain from the suboccipital muscles commonly feels like a band wrapping around the head. Also, tension in these muscles may cause compression of a nerve that exits the base of the skull. This can trigger pain that wraps over the head and above the eyes.

How can you relieve tension headache pain?

Here are some tips to help you manage the cause of your tension headaches:

  • Get an eye exam. If you’re straining to read, or keep tilting your head up and down to use those off-the-shelf glasses, you may need a new pair of glasses.
  • Redesign your workstation. Simply raising your computer monitor or getting a document stand can help reduce repeated head tilting that can strain the occipital muscles.
  • Avoid slouching and practice good posture. Consider trying yoga, Pilates or Tai Chi. All of these disciplines are great forms of exercise and all can help to improve posture. Also, you may want to consult a physical therapist, chiropractor, or movement therapist for exercises that are tailored to your need.
  • Get a 30-minute massage that concentrates on the neck and upper back. This can help relax your muscles and relieve your headache pain.
  • Try applying a hot pack to the base of the head. Do this for 15-20 minute intervals.
  • Stuff two tennis balls into a sock and tie it off tightly. Lie on your back on the floor. Place the tennis balls under the base of your skull and allow your head to compress against them. Gently rock your head back and forth and side to side for a few minutes.

When does a headache indicate a serious health problem?

Most headaches are painful but not dangerous. However, headache pain can be a warning sign of a more serious health problem. Learn when you should contact your health care provider to find out if your headaches are a sign of a more serious problem like a brain tumor.

New Mexico Orthopaedics is a multi-disciplinary orthopaedic clinic located in Albuquerque New Mexico. We have multiple physical therapy clinics located throughout the Albuquerque metro area.
New Mexico Orthopaedics offers a full spectrum of services related to orthopaedic care and our expertise ranges from acute conditions such as sports injuries and fractures to prolonged, chronic care diagnoses, including total joint replacement and spinal disorders.
Because our team of highly-trained physicians specialize in various aspects of the musculoskeletal system, our practice has the capacity to treat any orthopaedic condition, and offer related support services, such as physical therapy, WorkLink and much more.
If you need orthopedic care in Albuquerque New Mexico contact New Mexico Orthopaedics at 505-724-4300.