Thursday, August 11, 2022

Can Neck Pain Cause Shoulder And Arm Pain

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Treatment Of Pain In Neck And Shoulder Radiating Down Arm

Neck Pain, Shoulder Pain AND Pain in Your Arm?

Even when this happens, they usually get better without special treatment. Most neck and shoulder injuries are treated conservatively, at least initially. Common treatments include

1. Surgery

Surgical intervention depends on many factors including the type and severity of the symptoms, as well as the location of the nerve root involved. Spinal cord compression may also require surgery, sometimes much earlier than if only a nerve root is involved. Surgery may need to be considered if there is a movement impairment, weakness or debilitating pain that has not responded well to non-surgical treatment. Surgery can also be recommended if the neck is structurally stable.

2. Physical therapy

Physical therapy is one option. This can be exercises that can strengthen the neck muscles and improve range of motion. Pulling the neck can help reduce symptoms by stretching the muscles and reducing pressure on the spinal cord. Upon completion of formal physical therapy the patient would be instructed to continue this exercise and treatment at home.

The soft cervical collar can be worn for a short time to allow the neck to relax and help reduce any swelling, but prolonged use of these collars can weaken the neck muscles and cause other problems. Anti-inflammatory drugs can cause pain. Corticosteroids can help reduce inflammation. Narcotic pain relief can be ordered in a very short time.

3. Medication

4. Pain Relief

5. Stimulation of nerves or neuromodulation techniques

Can This Injury Or Condition Be Prevented

Your physical therapist will educate you on how best to prevent cervical radiculopathy from recurring. Your instructions may include guidance on:

  • Maintaining proper posture. Sitting in a proper position while at your desk or in the car helps you keep ideal spinal alignment. It also reduces abnormal forces on the cervical spine. Your physical therapist may recommend changes to your chair to help with alignment.
  • Workstation setup. It is important to set up your desk or workstation to minimize undue forces on the spine. Your physical therapist may advise you to make some changes to your work environment, such as:
    • Using a hands-free phone.

How Are Back And Neck Pain Diagnosed

Your healthcare provider will ask about your health history and do a physical exam. They may also do X-rays of the affected areas, as well as an MRI. This allows a more complete view. The MRI also makes pictures of soft tissues such as ligaments, tendons, and blood vessels. The MRI can help spot infection, tumor, inflammation, or pressure on your nerve. Sometimes a blood test may help diagnose arthritis, a condition that can cause back and neck pain.

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Pain In Your Shoulder And Neck 5 Signs That The Neck Could Be The Problem

Most patients who come to my clinic attend because of pain in their shoulder or arm. Sadly, shoulder pain isnt limited to the shoulder and it is quite common for shoulder conditions to cause pain to radiate up to the neck or down the arm toward the elbow. Some patients have both shoulder and neck pain and it can be challenging for patients, phyios, GPs and surgeons to work out if the problem is in the shoulder or the neck, or both. There are some tips that can help to identify if the neck is the problem.

Get The Right Treatment For Neck And Shoulder Pain

Blog Two Hands Physiotherapy

Persistent or chronic pain in your neck or shoulder need to be medically evaluated. Without a doctors care, your symptoms can become a lot worse. Dr. Geoffrey Van Thiel offers advanced options for neck and shoulder pain relief, helping patients from all over Wisconsin and Illinois including Rockford, Elgin, Huntley, Dekalb, Crystal Lake, Barrington, McHenry, Beloit and Algonquin. To find out whats causing your painful symptoms, schedule an appointment with Dr. Van Thiel today.

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Could That Shoulder Pain Really Stem From The Neck

When a nerve root in the cervical spine is irritated, the symptoms can radiate into the shoulder, arm, and hand. WatchCervical Radiculopathy Interactive Video

When shoulder pain is actually coming from the neck, it is wise to seek treatment as one or more nerves running from the neck into the shoulder could be at risk.

Can Sciatica Cause Neck And Shoulder Pain

Dr. Brian Floyd, a chiropractor in North Vancouver, notes that sciatic pain is not localized it starts in the lower back and shoots down to the buttocks and farther to the large sciatic nerve found in the back of the leg. This condition, especially when accompanied by bad posture and a reckless lifestyle, can impact the neck and the shoulder, resulting in a wider scope of pain and discomfort.

Alternately, a pinched nerve in the neck area can also be the reason behind sciatic pain. Although the pain can be felt mainly in the lower back, the root can be traced all the way up to the base of the skull, where there could be misalignment. In either case, professional help is advised, as this could lead to more serious and debilitating problems.

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What Is The Outlook For Pain In The Right Side Of The Neck

Experiencing pain on the right side of your neck is not unusual and most likely not something to be concerned about. Neck pain often will go away on its own after a few days or weeks, particularly if you engage in self-care treatments and do not strain your neck further.

Severe neck pain that occurs after an accident or seemingly out of nowhere should be seen by a doctor, as well as neck pain linked to other serious symptoms.

Shoulder Tendinitis Or Bursitis

Neck Pain | Headaches | Shoulder | Arm | Tingling | Melissa

Tendons are strong fibers that attach muscles to your bone. Bursa are fluid-filled sacs that prevent friction at joints.

Inflammation of the tendons and the bursa are common causes of shoulder pain, but pain can occur anywhere that inflammation occurs.

The tendons and bursa around your rotator cuff are especially prone to inflammation that causes pain and stiffness around your shoulder.

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Pain Shooting Into Wrist And Hand

Shoulder pain can quite often radiate down the arm toward the elbow. When pain goes below the elbow down into the wrist or hand this can suggest that the problem may be due to a trapped nerve in the neck. When a nerve in irritated the brain feels pain in the distribution of the nerve not always at the site of irritation.

Fix Your Form To Stop Shoulder Pain

There are a lot of ways to jack up your shoulder in the gym. Kipping before your shoulders are ready is a major one. Im fine with kipping during your gymnastic moves. But you need to have shoulder mobility beyond the normal range and strong shoulder stabilizers before trying it. Kipping is a way to speed up pull ups, not a way to skip the work required to do a strict pull up. A couple other common-problem lifts are highlighted below.

Shoulder position is the most important thing when performing overhead press. Keep them at a 30 degree angle instead of straight out at the side. Click HERE for more details.

Shoulder position is even more important during bench press. But it is a full body lift, and if you are only using the upper body, youre setting yourself up for pain. Check out our complete post HERE for more.

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Treatment For Cervical Spondylosis

Cervical plate used in an ACDF procedure

As with a herniated disc, your doctor may first recommend non-surgical treatment plans. You may first have a period of bed rest, accompanied by medication to help ease your pain. A cervical collar or a brace may be worn to support your neck and keep you from further aggravating the pain. Then, gradually, your doctor will have to return to normal activity.

As you begin to move your neck and return to your daily routine, your doctor may also recommend physical therapy. A therapist can help you to gain better habits through posture exercises. He or she will also direct you into exercises that will stretch and strengthen your muscles. Hot/cold therapy may also help.

If the treatment plan including pain management, bracing, and exercise does not suffice, you may have to have a surgery in your cervical spine. Often, the most effective surgery is an ACDF, which stands for anterior cervical discectomy and fusion. This approach is done through an incision in the front of the neck.

The disc that has been degenerated by arthritis will be removed. A bone graft will fill in the empty space and keep the vertebrae from compressing any further. Then, by using instrumentation such as screws, hooks, or a metal plate, the spine will be stabilized. Over time, the vertebrae will fuse together.

How Can You Get A Neck Pain Diagnosis

5 Ways to fix your neck and shoulder pain â Pykal

Neck pain is most often diagnosed by a primary care provider. The most important aspect of treatment is to try to identify the underlying cause of the pain, as this will direct the treatment, explains Dr. Bonte.

For example, if the cause is due to a muscle imbalance or poor ergonomics , it is important to address these underlying issues when thinking through the overall treatment plan.

To assess your neck pain, your healthcare provider will:

  • Ask for your medical history
  • Ask questions to determine the source of your pain, including:
  • When did the pain start?
  • What activities preceded the pain?
  • What have you tried to relieve the neck pain?
  • Does the pain radiate or travel into other body parts?
  • What makes the pain less or greater?
  • Perform a physical exam to determine whether your pain is related to muscle, joint or ligaments. This exam will include:
  • Observation of your posture
  • Palpating/feeling the curvature of your spine, vertebral alignment and muscle spasms
  • An assessment of your neck mobility, including the strength and sensation felt in your neck and arms
  • Diagnostic testing: to rule out certain conditions .
  • Your doctor visit may include a neurological examination that tests your reflexes, muscle strength, sensory and/or motor challenges, and pain distribution in order to help them make the correct diagnosis.

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    Some Less Common Causes Of Neck Pain Include:

    Degeneration of the cervical disc

    Vertebral bones have discs between them that act like cushions or shock absorbers. These discs are flexible but rigid, but they get weak with the passage of time or injury, and their outer covering, known as annulus fibrosus, can tear with time. As it breaks or degenerates, the internal fluid of the disc comes out and accumulates on the spinal cord.


    Meningitis can lead to headaches, muscle stiffness, and neck pain. It is inflammation caused by viruses, bacteria, or fungus. If it is left untreated, meningitis can cause complications like seizures and brain swelling.

    Cervical fracture

    The first seven bones of the vertebrae are called cervical vertebrae. Breakage or fracture of any of these bones due to injury, accident, sports, or any other reason can result in a broken neck, accompanied by severe pain.

    Herniated cervical disk

    When the outer covering of the cervical disc gets damaged or wears out, nerves get pressed, which pushes the nucleus to one side. This condition is known as a herniated cervical disc. Pressure on the nerves causes numbness, stiffness, and arm and neck pain.

    Neck Pain Referred To The Shoulder

    Lennard Funk, 2012

    Pain felt in the shoulder area can sometimes be coming from your neck. This is because the nerves and muscles that arise from your neck pass through your shoulder on their way down the arm. The nerves from your neck also travel down your arm . Thus neck pain may extend down your arm.

    Pain from your neck is usually felt mainly at the top of your shoulder over your trapezius muscle, whilst pain from your shoulder is normally felt over your upper arm.

    The pain is NOT made worse with movement of your shoulder, so your shoulder moves freely without aggravating the pain. This is the simplest way to know that the pain is not from your shoulder, but from your neck!However, it can become confusing because many people with neck-related shoulder pain also develope weakness of their shoulder rotator cuff muscles and get subacromial impingement of the shoulder. It takes an experienced clinician to help you to differentiate the two sources of pain.

    If the pain is from your neck joints and ligaments the pain is often a dull ache. If the pain is from a trapped nerve then the pain can be very, very severe. You may also get pins and needles or numbness in your hand. This is typically in the distribution of the affected nerve .

    An MRI scan of your neck is the most useful investigation to see the inner anatomy of your neck and any problems therein.

    The common causes of shoulder pain from the neck are:

  • Cervical spondylosis – arthritis of the spine
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    Are You Having Neck Or Shoulder Pain

    Cervical radiculopathy is often referred to as a pinched nerve in the neck. The pain can radiate from the neck to the shoulder, shoulder blade, arm, and hand. This occurs when a nerve root coming off of the spinal cord becomes compressed. The cervical spine consists of seven cervical vertebrae. Each vertebra is separated by a gel-like disc that provides shock absorption from the spine. Spinal nerves can be impinged by arthritis, disc wear-and-tear with age, herniated or bulging discs from trauma or degeneration, spinal stenosis, or tumors impinging the nerve root. When spinal nerves are impinged they cannot send correct messages to the muscle from the brain. Therefore if a nerve is pinched in the neck it can cause pain, weakness, loss of sensation in the arm. Symptoms include pain in the neck, shoulder blade, upper chest, and arm, sharp, pins-and-needles, popping sensation in the neck region or a general dull ache or numbness anywhere along the pathway of the nerve. People may describe weakness in the shoulder, arm, or hand and may have pain that worsens with certain neck movements. Physical and Occupational Therapy can help reduce symptoms, alleviate acute neck and arm symptoms, improve strength, range of motion, and overall function. Call the clinic today to see how we can help!

    Treatment For Pain In The Neck And Shoulder Radiating Down The Arm

    My Rare Cause of Neck Shoulder and Arm Pain

    Treatments for a pinched nerve in your neck vary depending on the cause of the condition. In extreme cases, surgical intervention may be required to correct the issue. However, in many cases, you can get relief with physical therapy.

    Physical therapists can assess your neck, shoulders and arms to identify the source of your pain and work on a personalized treatment. The main goal of most physical therapy treatments is to build your strength and flexibility in targeted areas. This helps to reduce pressure off the irritated nerves and can prevent similar pain from popping up again.

    Physical therapy treatments vary depending on your needs, but usually, they include:

    • Gentle stretches

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    What Can Cause Sharp Pain In Your Neck And Shoulder When Breathing

    A couple of conditions can cause pain in the neck and/or shoulder when you take a deep breath, including:

    • Pleurisy : Symptoms include sudden chest pain that may be felt only while coughing or breathing deeply, fever, cough, and shortness of breath.
    • Pericarditis : Symptoms include rapid-onset stabbing chest pain, possibly pain in the shoulder, fever, weakness, and trouble breathing. It gets worse if you lie down or breathe deeply.

    Pleurisy and pericarditis aren’t usually medical emergencies but you should treat any chest pain or breathing difficulty as an emergency until you know for sure what’s causing it.

    Can I Prevent Neck And Back Pain

    The following may help to prevent back and neck pain:

    • Practice correct lifting techniques. Don’t lift heavy items. When you do lift something, bend your legs, keep your back straight, and then slowly lift your body and the object.
    • Wear a seat belt in motor vehicles in case of a collision.
    • Use telephones, computers, and other equipment correctly.
    • Maintain correct posture while sitting, standing, and sleeping.
    • Exercise regularly. Learn back-strengthening exercises to keep your back and belly muscles strong. Warm up with stretching exercises before doing exercises.
    • Do exercises that improve your balance.
    • Don’t smoke.
    • Stay at a healthy weight.
    • Reduce emotional stress that may cause muscle tension.
    • Get enough vitamin D and calcium in your diet.

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    Right Shoulder Pain And Chest Pain

    The pain in the right shoulder and chest are not generally due to heart disorders. There are various causes of chest pain on the right side. Stress and anxiety may lead to chest pain and causes numbness of hands and feet. Other causes of right-side chest pain include

    • Infection

    The pain from the chest may radiate to the shoulders.

    Causes Of Shoulder Pain By Location

    Pinched Nerve in Shoulder: Symptoms, Causes, and Effective ...

    Youll see a bit of overlap here. Because everyone is different, the same problem can cause slightly different symptoms in different people. And remember: your shoulder kinda sucks at telling you exactly where the problem is. Its just like how your left arm hurts when you are having a heart attack. So be sure to have a pro take a look before deciding exactly what you have going on. Even we can be fooled!

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    How Is Neck Pain A Heart Attack Warning Sign

    A heart attack is most often due to a that blocks blood flow into the heart muscle. Most commonly, this causes a pressure, cramping or squeezing pain in your chest, but the pain can also spread to your neck. Your pain may also extend to your jaw, shoulder, back or arm because you may sense pain more easily in these areas. During a heart attack, your diaphragm and nearby accessory nerve can become irritated causing pain to refer elsewhere including your neck and shoulders. You can also feel pain, aching or discomfort in the neck and upper body without chest pain. Heart attack neck pain is more likely in women than in men.

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