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Neck pain is a very common condition that can be very disabling. It
can often refer pain into the shoulder or down the arm. There are many
causes of neck pain; like ‘whiplash’ or sporting injury,
sustained postures at work can increase neck pain as can stiffness or
arthritis in the joints of the neck.
Neck pain can be caused by muscle, joints or nerves in the neck or
a combination of all three. The specific structures causing neck pain
can be identified at assessment. Research suggests that physiotherapists
are very good at identifying the exact area responsible for a patients
pain; once identified this area can be treated appropriately.
A common cause of neck pain is excessive stiffness in the joints further
down the spine at the base of the neck and between the shoulders. It
is thought that stiffness in these areas causes excessive stress through
the areas further up causing them to become overworked and painful.
Recent research suggests that certain patients benefit greatly from
manipulation of these stiff areas with large improvements achieved over
one or two treatment sessions.
Treatment will also consist of;
- Mobilising or manipulating stiff joints in the neck
- Treating tension and muscle spasm (trigger points) in the muscles
of the neck.
- Retraining and strengthening muscles around the neck
- A home exercise program to increase and maintain strength and flexibility
of the neck
- And postural education and advice (including taping if necessary)
to prevent re-occurrence.

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