Dr. Mohammad Reza Kazemi Specialty Pain Fellowship

Dr. Mohammad Reza Kazemi

Specialty Pain Fellowship


خانه » Neck Pains » Cervical pain

Cervical pain

Cervical pain

Neck pain is one of the most common problems in adults and in occupations with seated positions. It is second cause of spinal pain after low back pain and its prevalence is increasing. Neck pain is usually temporary (about one to two weeks) almost they can be remedied as a result of muscle strain or viral or bacterial infections of the mouth and throat. However, if the nature of the pain is constant or exacerbated, more serious investigations should be undertaken to investigate the problem.


Neck pain is usually associated with muscle spasm exacerbated by head rotation, as well as numbness, burning pain, and even cardiac or digestive symptoms. Neck pain caused by disc protrusion can include headaches, facial pain, shoulder pain, numbness of the arm or fingers due to pressure in the neck.


Neck bears head weigh,Common Causes of Neck Pain:

Muscle Strain: Overuse of the neck muscles in various activities

Osteoarthritis of the joints: Increasing age causes erosion and loss of cartilage between the vertebrae which can affect joint movement and cause pain and the surface of the bones in the neck will become rougher.The ligaments that hold the bones in place become harder as a result of the movement of the ligaments and intervertebral discs, and may tighten the spinal canal and put more pressure on the spinal cord and nerves that pass to the arms.

Cervical disc herniation:Herniation  can cause pressure on the nerve and cause pain in the shoulder and hands.

Trauma and Injury: Car accident often causes injuries in the soft tissue of the neck that is susceptible to changes in arthritis in the neck.

Diseases: Certain diseases such as rheumatic diseases  can cause cervical pain.

Diagnosis :

A complete history, physical examination, and necessary tests such as x-rays, bone scans, bone density testing, MRI scans, myelography, and EMG & NCV nerve and muscle electrocardiogram tests will be requested and reviewed.

Useful treatments to reduce pain:

Neck pain caused by stretching or spasm is self-limiting . To reduce the complications of neck arthritis and discomfort, hot and cold compresses can be helpful, place the neck in the correct position.

Non-invasive treatments:

Drugs /High Power Laser / Manipulation / Physiotherapy / TENS.

Interventional treatments:

Injection, radiofrequency in the facet joints or around nerves root, Ozone injection into the neck muscles ,Intaradiscal laser decompression, Intradiscal Discogel injection, RF and …


Inappropriate neck positioning, aging and joint erosion all increase neck problems.

Keeping the neck in the correct position: Shoulders and ears are positioned on the hip line while sitting or standing.

Rest at work: Get up, walk and pull your neck and shoulders.

Adjust the position of your desk, chair or computer with your body: The monitor or screen should be at the level of your eyes and it is best to keep your knees slightly lower than your thighs.

Use handsfree instead of mobile phone

 Quit Smoking

Be in the right position while you sleep: In this case, your head and neck should be aligned with the body. When sleeping, use a small backrest under your neck and try to sleep on your back with your thighs resting on the small backs. This way you can straighten your spine muscles.


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Dr. Mohammad Reza Kazemi

Specialty Pain Fellowship

Dr. Mohammad Reza Kazemi

Specialty Pain Fellowship

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