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NECK STRAIN                                                          KANDILNOTES

INTRODUCTION​

  • A neck strain is inflammation or stretching/partial tearing of one or more of the muscles around the neck

  • Neck strains are common in patients of all ages and can range from minor strains from poor positioning or major strains from severe whiplash injuries 

CAUSES​

  • Poor posture

  • Lifting a heavy object

  • Fall or collision

  • Repetitive neck motion

  • Muscle irritation from pinched nerve

  • Degenerative disk disease

SIGNS AND SYMPTOMS

  • Neck pain and achiness

  • Stiffness

  • Immobility

TREATMENT​​​

  • The goal of treatment is to decrease pain and muscle irritability/spasm 

  • Most symptoms of neck sprain will go away in 4 to 6 weeks. However, severe injuries may take longer to heal completely

  • Home exercise program: Early motion helps patients maintain neck motion and prevent stiffness. Begin by warming neck with a heating pad or warm towels. Do the following stretches in 3 sets of 10 repetitions twice daily.

  • Neck rotation by gently turning the head to the right and holding for a few seconds then repeating on the left

  • Neck tilting and trying to touch the ear to the tip of the shoulder on the right and holding for a few seconds. Repeat to the left.

  • Neck bending by touching the chin to the chest and holding for a few seconds. 

  • Shoulder rolls by pulling the arms backwards and trying to pinch the shoulder blades together. Then roll the arms forward then backward in a rhythmic, rowing motion.

  • Nonsteroidal ant inflammatory drugs (NSAIDs) or Tylenol

  • Muscle relaxants can help ease spasms

  • Physical Therapy and manual therapy for patients with refractory symptoms

  • Ultrasound therapy

  • Cervical (neck) traction

  • Soft neck collar may help support the head and relieve pressure on the neck

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