Chiropractic adjustment (spinal manipulation) of the cervical spine is usually accomplished with the patient either lying down on his or her back or in a seated position. Alternatively, the patient may be placed in a prone position (lying face down), an approach often used in lower cervical/upper thoracic vertebral and rib/vertebra ("costovertebral") joint manipulation.
Chiropractic manipulation can address several causes of neck pain. It is not a treatment for every type of neck problem, but on the other hand, is also considered a first line of treatment for many. Two typical causes of pain that originate in the neck and may be treated by manipulation include mechanical neck pain and disc problems.
Stretches and exercises for neck pain can offer relief, but it’s important to assess your pain level first. Here’s a guide to help you determine whether at-home neck exercises are right for you. The phrase “pain in the neck” rings true for many people — in fact, neck pain is one of the top types of pain reported, according to the American Physical Therapy Association.
Manipulation of the cervical spine or neck region is a common technique utilized by doctors of chiropractic for many patients complaining of neck, upper back, and shoulder/arm pain, as well as headaches. Similar to the treatment for many conditions affecting the lower back, chiropractic is considered a first line of treatment for a range of cervical spine conditions.
Myofascial release (MFR) therapy focuses on releasing muscular shortness and tightness. There are several conditions and symptoms that myofascial release therapy addresses. Many patients seek myofascial treatment after losing flexibility or function following an injury or if experiencing ongoing back, shoulder, hip, or virtual pain in any area containing soft tissue.
Myofascial therapy relieves soft tissue restrictions that cause pain. Some causes of chronic myofascial pain or low back pain are easier to diagnose than others: trauma (such as a car accident or fall), cumulative posture misalignment or mechanical deficits, a compressed nerve from a herniated disc, or inflammatory conditions.
Before beginning manual therapy or any type of physical therapy, the practitioner usually performs a full assessment of the blood and nerve supply in the area, as well as a bone and muscle assessment, in order to decide whether or not there is an increased risk of complications from the use of these back pain management techniques.
Soreness on the left side of your neck typically results from injury. However, some underlying conditions can cause neck pain. Pain on the left side of the neck can be due to any number of causes, from muscle strains to a pinched nerve. Most causes aren’t serious. A sore neck is likely due to sleeping in an odd position or holding your neck at an angle that stresses the muscles and tendons on that side. In many cases, the pain on the left side of your neck will subside on its own or with over-the-counter pain relievers and rest. See a doctor if your pain is severe, is due to a recent injury, or if it lasts for more than a week.
Many patients arrive at their first physical therapy appointment expecting to receive hot packs, ultrasounds, and instructions on how to complete a series of exercises. These modalities are warranted in many instances and most therapists would agree that exercise is needed to help restore muscle imbalances. However, many therapists now approach the restoration of function from a different perspective.
Physical therapy for lower back pain comprises a combination of strengthening, stretching, and core-building exercises that aim to: Activate and train the muscles surrounding the spine to provide better support and stability to the lower back, Foster healing in the spinal tissues to reduce pain, improve balance, and restore mobility. The exercise regimen typically starts with fewer repetitions and sets, working up to more repetitions as strength begins to build in the lower back.
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