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Occipital Neuralgia – What is it?

occipital-neuralgia head and neck pain nerve blockHead and neck pain could be caused by occipital neuralgia, a non-fatal condition that involves nerve irritation or injury from a variety of causes. The prefix ‘neuro’ means nerve and ‘algia’ means pain, while ‘occipital’ describes a region of the head running from the spinal column in the neck up to the scalp at the back of the head.

There are numerous possible causes of this kind of spreading neck pain and headache resulting from injury or compression of the greater and lesser occipital nerves. Read more

Bone Spurs in the Neck – Where are they most common?

bone-spur-neck-cervical-mriThe most common sites of bone spur formation in the neck are levels C6-C7 as this is the segment of the spine where the intervertebral discs tends to degenerate faster with age. A combination of shocks to the discs and the general wear and tear of compression can cause the disc to collapse, leading to a loss of vertebral height and reduced mobility of that spinal segment.

When one area of the spine becomes less mobile, the areas nearby often compensate by becoming more mobile. In this case, the spinal segments C3-C5 show increased motion and the body then attempts to restore stability by remodelling bone at the outer edges of the vertebral body. Bone spurs typically indicate a loss of spinal stability, rather than simply arising out of nothing.

Causes of Bone Spurs in the Neck

Bone diseases also contribute to the development of osteophytes (bone spurs) though, as does smoking, poor nutrition, and genetic factors. In order to maintain strong bones the body needs sufficient amounts of calcium, but it also needs magnesium, vitamin C, vitamin K, vitamin D, and a range of other nutrients that work to create the collagen scaffold onto which these minerals are deposited in crystal form. Without adequate magnesium, for example, the bone crystals that are formed are poorly constructed and weak, leading to an increased likelihood of bones in the spine fracturing, compressing, and developing spurs.


Symptoms of Bone Spurs in the Neck

Bone spurs cause problems in the spine because they can impinge upon spinal nerves and nerve roots, as well as entering the disc space or even compressing the spinal cord itself. These bony growths may lead to symptoms such as paraesthesia, weakness, numbness, muscle wasting, and pain in the neck, back, down the arms, or even up into the jaw and head, depending on the location of the bone spurs and which nerves are pinched or section of spinal cord compressed.

Surgery for Bone Spurs in the Neck

To alleviate these symptoms, surgery is often necessary to remove bone spurs as this is a physical obstruction rather than one that can be managed with anti-inflammatory and analgesic medications. In addition to operating to remove the bone spurs in the neck, it is also important that the surgical team help a patient understand the potential factors contributing to the development of osteophytes, otherwise it may simply be a matter of time before the patient is back in for further surgery to remove more aberrant bone.

Cervical Brachial Neuritis – A Rare Cause of Neck and Shoulder Pain

brachial neuritis neck pain shoulder lower than otherParsonage-Turner Syndrome may sound a little like a band from the 1970s but, in fact, this medical condition could be the cause of your ongoing neck and shoulder pain. Also known as brachial neuritis, this syndrome involves inflammation of the brachial plexus that results in acute pain in the shoulder and arm, sometime radiating into the neck and leading to weakness and/or numbness. Read more

The Difference Between Neuropathy and Nociceptive Pain (and why it matters)

neuropathic vs nociceptive pain neckNeck pain can have a variety of causes, some more serious than others, and the way that we describe that pain is important for understanding its likely progression and appropriateness of treatments.

We all recognize that the body is a complicated system where the mind can affect pain perception and pain perception can affect the mind. In some cases mind-over-matter really is key to resolving neck pain as both internal mental factors and external environmental factors within our control can have a significant effect on how pain is felt, if at all. Read more

Antibiotics – Are They Causing Your Neck Pain?

neck pain pinched nerves from fluoroquinolone use

Peripheral nerve damage and neck pain need adding to this list of fluoroquinolone's adverse effects.

There are many causes of pinched nerves in the neck and resulting neck pain but new guidelines highlight how your neck pain might be triggered by antibiotics taken for an unrelated condition. The US Food and Drug Administration (FDA) now requires peripheral neuropathy to be listed more prominently as a possible side effect of fluoroquinolone antibiotics, with potentially serious and permanent nerve damage a risk even with short term use of these antibacterial drugs. Read more

Pain in Throat and Neck

throat and neck pain laryngeal cancerEar, nose, and throat clinics are full of kids waiting to have their tonsils whipped out, but what about if you have a sore throat and neck pain as an adult? Does recurring throat and neck pain also necessitate surgery? If you’re suffering from chronic, severe, or recurring bouts of pain in the neck and throat then it’s time to see your physician and find out what’s going on. Read more

How to Tell if You Have a Pinched Nerve in the Neck

Pinched nerve in the neckA pinched nerve in the neck is not what it sounds like in most cases. Far more often than not, what people refer to as a “pinched nerve” in the upper back (or “cervical” region of the spine) is actually a strained muscle. The muscles in the neck region might become strained when you sleep with your head in an awkward position, or if your head turns quickly at an unusual angle. While extremely painful in some cases, the pain will usually subside after a few days, and can typically be managed using over-the-counter pain medication. However, there is another condition that actually does deserve the title, “pinched nerve,” and that can produce symptoms which are much more difficult to manage. Read more

Learning More About Your Cervical Herniated Disc Diagnosis

Herniated Disc DiagnosisIf you’re like many people, receiving a cervical herniated disc diagnosis gives rise to mixed emotions. On the one hand, it is likely a relief to finally know the cause of the neck pain and other forms of discomfort that you may have been struggling with for weeks or months. On the other hand, it can be scary to find out that you are suffering from a degenerative condition that has the potential to get worse over time.

The important thing to keep in mind when you do receive your diagnosis is to remain positive and patient. The treatment process many involve a certain degree of trial and error. It is unlikely that any one treatment will provide total relief, but a combination of conservative treatments like exercise, stretching, medication, and hot/cold compresses will probably help to alleviate your neck pain and other symptoms. Read more

Why a Herniated Disc Causes Referred Pain

Herniated Disc CausesA herniated disc causes many different types of symptoms, from shooting pain to muscle weakness to a pins-and-needles sensation. Depending on the location of the herniated disc, these symptoms can reach as far as the fingers and toes. Why? Because all of the nerves that provide muscle and sensory stimulation throughout the body are extensions of the spinal nerve roots that branch off the spinal cord. If an anatomical abnormality like a herniated disc intrudes on the spaces in the spinal column where the spinal cord and its nerve roots reside, and nerve tissue becomes compressed, pain signals may be sent along the entire path of the compressed nerve.


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Can a Herniated Disc Cause Headaches?

Herniated discWhile most people wouldn’t automatically think that a herniated disc in the spine could cause headaches, it is important to remember that the spine and the brain comprise the body’s central nervous system (CNS), which regulates sensory and pain signals throughout the body.

Any type of anatomical abnormality in the spine has the potential to affect any of the 31 pairs of nerve roots that branch off the spinal cord. If this occurs, pain signals can be sent along the entire path of the affected nerve, including the nerve branches that extend from that nerve root to wherever it leads in the body. Pain that is felt in the extremities due to a damaged or compressed nerve root in the spine is called referred pain.
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