Thursday, February 25, 2010

Neck pain prevention tips

Dealing With A Pain In The Neck
By: Dr. Jasper Sidhu

If you’re suffering from chronic neck pain you definitely know it: Chronic neck pain is consistent pain in the neck lasting for more than six months, and an estimated 7 in 10 adults develop it at some point in their lives. The big question, of course, is what can you do about it? Fortunately, neck pain is usually treated effectively by chiropractors. In fact, recent guidelines on neck pain point to spinal manipulation as a recommended treatment option. It’s also important to recognize that another recommendation is exercises, many of which can be performed at home. Let’s take a look at how the neck muscles relate to neck pain and what you can do about it.

What do you think of when I tell you i’m going to give you exercises for your neck pain? Do you expect advice on general stretches or instruction sheets with simple exercises Perhaps you have a vision of weights attached to your head like the weight-lifters you may have seen in an old movies. the reality is that neck exercises can be gentle and easy to do, and don’t usually require a lot of equipment or time. It begins by understanding why exercises are important for relieving neck pain in the first place.
In general, there is no one cause of neck pain that applies to every patient. If you have chronic neck pain, you may have received a diagnosis of disc herniation, whiplash, strain, sprain, or something else. Regardless, most of these conditions have one thin in common: Certain muscles are affected, and these are the muscles we need to target before progressing to more challenging exercises or activities.

There are certain muscles in the neck that are designed to help us maintain our normal and healthy curve of the spine. In addition, these muscles are designed to hold our head up all day. The technical names of these muscles are the longus capitus and longus colli, more commonly known as the deep neck flexors. They are the muscles that attach to the front of your spine. Because they’re located deep in the front of the neck, we often ignore them. As they say, “Out of sight, our of mind,” but they’re important muscles to consider whenever you’re suffering from neck pain.

In people with chronic neck pain, these muscles are often fatigued a lot quicker than in people without neck pain. That means other muscles pick up the slack and begin working harder. the muscles that begin working harder are the ones we generally end up stretching. Have you ever noticed that when you stretch stiff muscles, they feel good for a short period of time, only to get tight again? The thing is, if you don’t address the other muscles, the ones that get fatigued and gradually stop working, then your stretching program will not work as well. All these muscles need to be in “balance”.

the best way to see if your deep neck flexors fatigue is to try and lift your head off the ground when you are lying down. The technique is simple: Just tuck your chin in to your chest and lift your head off the ground, and then attempt to hold it there for 10 seconds. If the neck begins shaking, or your chin is unable to stay tucked in, then your deep flexors are fatigued and need to be addressed.
For most people with chronic neck pain, this can be a difficult exercise. That’s why you can begin your exercise program by doing simple chin tucks while sitting or standing. Simply tucking your chin in and holding in until you fatigue will help reactivate these muscles. You can start with 12 repetitions of this exercise, working your way up to three sets of 12 repetitions each. Ensure you get adequate rest (several minutes) in between each set.

Once you get comfortable with basic sitting/standing chin tucks, you can try doing the exercise lying down. The goal is to be able to do it 12 times, holding each one until you fatigue. The next goal is to work your way up to three sets of 12 repetitions, with rest in between each set. then work your way to three sets of 15 repetitions and then three sets of 20 repetitions. Remember, this is a marathon, not a race. The goal is to increase the endurance of your muscles rather than their strength. Your neck is designed to carry the weight of your head all day, not to lift trains or buses! that why building up endurance should be your first priority.

Remember, the neck muscles are like any other muscle in our body. With long-term pain or injury, the muscles get weak and get tired quicker. By first “balancing” the weak muscles and increasing their endurance, you will be prepared to progress to more challenging strengthening exercises. As a research and guidelines conclude, combining this with your chiropractic care will lead to the best outcomes and improvement in your chronic neck pain.


The following exercises are a great way to test if your deep neck muscles are easily fatigued and thus contributing to your neck pain. they’re also a great way to train the muscles so they don’t fatigues as quickly, which can help relieve your chronic pain.

Gently lift your head off the flow with your chin tucked in. You should be able to hold this position for 10 seconds. If your chin goes up, head tilts back, or your head begins to shake and you are unable to hold the position, this indicated fatigue of the deep neck muscles, which may be contributing to your pain.

Simply tuck the chin in. Make sure you don’t tilt your head forward. Keep chin tucked in and head back. This is a good exercise to start with if you’re suffering from chronic neck pain and are unable to perform lying chin tucks for a sustained period of time.


In most cases, don’t expect anyone to find a single “cause” for your neck pain.
Stay as active as you can; simple exercises and reducing mental stress can help.
A combination of therapies, including chiropractic care, may be needed.

Source: The Bone and Joint Decade
2001-2010 Task Force on Neck Pain
and Its Associated Disorders

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Neck pain treatment in Manhattan-Chiropractic care,Physical therapy.

Wednesday, February 3, 2010

Ice or Heat?: What's Good for my Injury?

Have you ever had a sports injury but you weren't sure whether to use heat or cold for pain relief? You'd be surprised how often I hear this question at Living Well Medical in NYC, and with the big game coming up this weekend, it seemed like a good idea to talk about something geared more towards sports medicine and injuries.

So first let's start with the essentials for discussing heat or ice: the different types of pain/injuries. In medical lingo, we have two main categories for pain, acute and chronic. Acute pain is anything that comes on suddenly and lasts for shorter amounts of time. Chronic pain takes longer to develop and can tends to have a much longer duration. Although the amount of time ascribed to each term is sort of arbitrary, 3 or 6 months from the onset of pain are pretty normal markers for the term "chronic."

Anyway, in general, cold or ice are best used for acute injuries because they reduce swelling and pain. Cold temperatures are vaso-constrictive, reducing the amount of blood that can enter a give area of the body. This can help stop muscle spasms by reducing nerve sensitivity.

Heat, on the other hand, is more suited to chronic injuries, for the most part, provided there is no swelling or inflammation. By heating a muscle before an exercise, the muscles become more elastic and have increased blood flow. In general, heat tends to relax muscles. It can also be effective in treating muscle spasms. Moist heat like in a hot towel often seems to do the most good.

There are, of course, some exceptions to these rules. For instance, if you have a chronic knee injury that gets worse after you run and becomes inflamed, cold temperatures are what you need to lower the temperature and swelling.

More importantly, if you have an injury that isn't responding to home treatment like ice or heat, be sure to consult a doctor. At Living Well Medical in NYC, we have years of experience helping athletes and sports enthusiasts get back to the things they love to do. Give us a call at 212-645-8151 if you need help.

- Dr. Shoshany