Types of neck pain
Neck pain is frequent and usually caused by blockages of the small vertebral joints of the cervical spine or muscular tension. Frequently recurring neck pain, on the other hand, is usually the result of the natural aging process in which the intervertebral discs and small joints of the cervical vertebrae slowly wear out.
Neck pain caused by cervical spinal canal stenosis?
If the above-mentioned processes of wear and tear cause neck pain due to a narrowing of the spinal canal of the cervical spine, an MRI is required for the time being in order to be able to estimate the extent of the narrowing more precisely. All structures of the spinal canal (intervertebral disc, bones and ligaments) are shown in detail without the use of X-rays. If an advanced constriction is detected, the space available for the spinal cord may no longer be sufficient. Then often only one operation is suitable to give the nerve roots enough space again.
Neck pain due to instability of the cervical spine?
A careful physical and neuro-orthopedic examination can determine whether the neck pain is caused by cervical spine instability. Magnetic resonance imaging and X-rays provide further information. The rather conservative treatment is based on physiotherapy and physical therapy, as well as pain-relieving and anti-inflammatory drugs, through which pain in the small vertebral joints can be specifically combated. However, surgery is only recommended if the instability slowly increases in regular X-ray checks, if the symptoms do not improve during treatment, or if there is a risk of permanent damage to the spinal cord or nerve roots.
Neck pain - Further information?
The most common cause of neck pain is the so-called unspecific neck pain (see also cervical spine syndrome). This means that no specific cause for the complained neck complaints could be found during the examination by the doctor or in the further diagnosis (e.g. with an MRI). Usually there is already a certain amount of wear. However, the symptoms are rather muscular. The treatment is conservative.