By Dr.Nakayugi , Chiropractor
Woe to those who open the car window for a long period or who discovers his neck during the night, keeping the window open! Woe, too, who walks around with wet hair! It happens that we are suddenly with a stiff neck, that block that prevents painful to turn my head. The neck muscles are tense, swollen and painful and impediscolo collo.A movements due to contractions, any change in muscle tension, with the attempt to turn his head, causing pain. The muscle spasms are acting on the facet joints, causing inflammation and stop the pain, both perceived locally to the neck, both in the areas of distribution of nerves. They are the real pain that radiates to the shoulders and arms in the fingers. The stiff neck, in principle, could also be a manifestation of a pathological process tumor in the spinal cord or brain, and therefore should never be discarded with said, “wait – will go go”
In the case of post-traumatic Stiff neck, following an uncontrolled or violent, as in the famous “whiplash in a car accident, took over stretching the muscles and ligaments in cervical lesions. In some cases there are addiritura as impairing the vertebral subluxations, herniated discs or fractures. In most cases, however, a simple uncontrolled movement, which causes cervical block with neurological reflex and muscle contraction. There are people with a predisposition to Stiff Neck Causes that is, who have suffered trauma before, those who have arthritic changes, and finally those with major congenital malformations of the cervical spine. For them, just a prolonged awkward position in front of the television or computer terminal to get a stiff neck. Worse still is a nap of the neck sleeping sitting without support, train or airplane. It happens even with bad posture, carriage lateroflessione in the head. It’s called postural Stiff neck occurs when the static, that is the center of gravity of the body is affected by scoliosis. The latter is formed over a basin svirgolato and / or due to a difference in leg length. The tocicollo or rheumatic gout develops without warning, in a phased manner, but no less important or disabling. Sore throat, sinus or ear or an abscess of a tooth are more causes for blocks and pain in the sense of a pseudo-head tilt. Also applies to the poisoning of amalgam fillings of the teeth. Another cause is the malocclusion of the jaws, after extraction of teeth or dentures or bridges that do not fit more perfectly. The stiff neck should not be confused with diseases such as cervical osteoarthritis, rheumatoid arthritis and Bechterew’s disease, conditions that limit because of their characteristic mobility of the neck.
As we have seen, there is a whole range of causes that cause the same symptoms – a stiff neck. The therapeutic procedure in case of a torcicolloè as follows: first it detects a history (the history of the event), thereafter we shall examine the spine, by performing active and passive movements of the neck, then, the chiropractor examines the struttture mucolari palpation of the neck and joints. The examination continues with the control of the neck (muscles, lymph nodes, thyroid glands), throat (inflammation, tonsils), the teeth of arterial and neurological reflexes. Verification of skin sensitivity and muscle strength in the neck and upper limbs complete the examination of cervical routine. If necessary, we make all the radiographs of the cervical spine and thorax and in particular cases the magnetic risonaza to display the soft tissue of the neck (muscles, ligaments, intervertebral discs, spinal cord) and / or brain.
If you are examining tissue injuries in the acute phase, we proceed immediately immobilization of the neck with a collar and informs the patient, if necessary, any hospital treatment. If, however, purely functional disorders, or if the collar with the acute phase is over, the best treatment is the chiropractic spinal manipulation, to dissolve the vertebral joints blocked. If the release cord and the functional restoration of the cervical spine is not sffettuata time, the patient may suffer in the future of neck pain, stiff neck, headache and so on. The qualified chiropractor feels with his hands and frees them dysfunctional segments with a manipulative move fast and precise segment by segment. The adjustment is usually painless and immediate relief measures for the paziente.Come auxiliary air using cryotherapy immediately frozen to relax tense muscles and intermittent traction to rehabilitate the dynamic movements of the neck. Surprisingly, and contrary to what is still often practiced, the cold applied to the muscles, relaxes, and smote off his pain, even if the patient would feel more readily the heat. The majority of cases treated with frozen air, along with the protocol chiropractor, healing after 2-5 treatments. For chronic or neglected cases, it takes some more consultation and regular checks every 6 to 12 months.
The prevention of Stiff neck, for those subject and those who have already suffered, is the gym of the pack in free movement in all directions: forward, backward, and through lateralmete rotation. These movements can be made even against the resistance of the hands (isometrics). A gentle massage prior to the trapezius also serves to relax after a day of stress or heavy work.