Category Archives: Neck

Acute Neck Pain and Pain on Swallowing – Longus Colli Tendonitis

Though often confused with an abscess, acute  anterior neck pain and stiffness associated with swallowing pain or globus, can be longus colli tendonitis. Calcificatrions might be seen on xray. Fortunately it last only a couple weeks on average

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Office Factors Related to Chronic Neck Pain

Keyboard too close, too long in one job position, and muscle tension are 3 factors found in one study

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Subtle Cervical Dystonia

Diagnosing early cervical dystonia and using botulinum toxin has been one of the major advances I have seen in my treatment. Sidebend or Rotation to one side can be subtle but very important as one can now get drug coverage … Continue reading

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Neck Pains From Atlanto-Occipital Joints

Top joint C0-1 refers to upper neck, face and upper shoulder tips. Exam requires you to grip c1 transverse processes and nod neck sideways. Certain manual techniques might help.

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Widespread Pain and Dizzy – Ear Canalithiasis? (rocks) and Repositioning Them Helps Whiplash, TMJ, and Fibromylagia

Study suggests dizzy whiplash and widespread pain cases could respond well to middle ear grit repositioning measure.  This is being able to see way outside the box…

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Needling Lower Trapezius Helps Unilateral Neck Pains

Needling the lower trapezius muscle was found beneficial in chronic neck pain. I was so taken with the approach then had to injecting lower trap(with muscle relaxed rather than stretched) that I had to include a pic of actual treatment … Continue reading

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Simple Neck Treatment For Headaches

The neck gets involved in headaches and can make them worse. You can tell neck may be involved because end rotation is restricted. A simple technique to encourage rotation has benefits.

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Smart Phones Not So Smart

Leaning over reading smart phones linked to neck problems.

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Remarkable New Treatment – Injecting Over Tenderized Skin Nerves With Plain 5% Dextrose

For year I felt the main expression of chronic pain was through activation of myofascial knots – now it looks like tenderized skin nerves is a front runner. Merely injecting D5W overtop tenderized nerve tracts an average of 6 weekly … Continue reading

Posted in Back Pain, Injection, Leg Pains, Neck | 3 Comments

Reaching “Critical Mass” to Achieving Pain Control – Procedure Pearls

I have recently achieved (previously unattainable) control in some of my chronic pain subjects using recent innovations – but to acheive this required use of multiple modalities at once.

Posted in arm, Back Pain, Botox, complex regional pain, Drugs, Fibromyalgia, Headaches, Injection, IV therapy, Leg Pains, Manual Med, myofascial pain, Neck, neuropathic, Pain Dystrophy, piriformis, post herpetic neuralgia, radiculitis, shoulder, Uncategorized | 4 Comments

Unilateral Interscapular Pains – Dorsal Scapular Nerve Entrapment – Forgotten and Now Rediscovered

    About 30 years ago, I attended a course given by Drs. Travell and Simon.  Dr. Simon was discussing interscapular pains and Dr. Travell mentioned – don’t forget the scalenes – something that Dr. Simon replied he was getting … Continue reading

Posted in Back Pain, myofascial pain, Neck, Thoracic, thoracic outlet syn | 6 Comments

Chronic Neck and Back Pain Might Be a Treatable Infection

Since 2001, there have been case studies showing you can grow low grade anaerobes out of damaged discs; these ignored as contamination or incidental because some studies did not find any infection. Now it appears that those with positive cultures are 5.6 times … Continue reading

Posted in Back Pain, Neck | 2 Comments

Neck Pains and Widespread Problems like Fibromyalgia(FM) – When and Where To get an Upright Flexion/Extension MRI..

The only traumatic cause of Fibromylagia is Motor Vehicle Accidents .  see Fibromyalgia Is Only Induced by Motor Vehicle Trauma ?Whiplash Disease Makes one think whiplash and neck damage are involved in FM. Neurolgical findings of neck spine damage (cervical … Continue reading

Posted in chiari syringomyelia, Fibromyalgia, Neck | 1 Comment

Will MRI Localize the Site of Back Pain? – Epiduroscopic Study Suggests No – What this means for Insurers

Cases of chronic back pain with or without non-radicular leg referrals (in leg but not classic sciatica) were examine clinically, with MRI and by using a “keyhole” scope instrument in the spine called an Epiduroscope.  Scoping and probing area during … Continue reading

Posted in Back Pain, Insurer issues, Neck | 1 Comment

Glossopharyngeal Neuralgia (GN) Relief Manouver

GN causes sharp sudden pain in one side of pharynx (anterior neck) and lower jaw. It can be initiated by drinking cold drinks and food and by yawning. Enclosed is a case who found relief by “earlobe hyperextension and ear … Continue reading

Posted in ENT, Neck, neuropathic, Trigeminal Neuralgia | 2 Comments

Fibromyalgia Is Only Induced by Motor Vehicle Trauma ?Whiplash Disease

A prospective trial (follow people before injury to after injury – a very good trial approach) found Widespread Pains developed only after Road traffic accidents – not after any other injury. This highlights howPost Traumatic Fibromyalgia coould be a neck disease … Continue reading

Posted in Fibromyalgia, Neck | 4 Comments

Can’t Get Rid of Shoulder Tip Pain? – Think C4/5 Neck Facet

Various measures have been used for trapezius tip pains but they keep coming back. Now it’s confirmed the neck is a player.

Posted in myofascial pain, Neck, shoulder | 2 Comments

Neck / Shoulder Tip Pains, Tired and Dizzy When Upright – Maybe Coat-hanger Hypotensive Events

Postural Hypotension (Low Blood Pressure on standing) is associated with neck and shoulder tip pains in what is thought a hypo-perfusion issue.  One should notice being dizzy standing up – something that can happen after head injury and also spinal … Continue reading

Posted in chronic fatigue, myofascial pain, Neck | 2 Comments

New Hope For Some Chronic Migraine Sufferers – Occipital Nerve Stim

39% of chronic migraine cases will achieve over a 50% improvement with adjustable occipital stimulation – but not with static stim

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Bad Signs in Whiplash

Besides WAD level, there are multiple findings that predict bad whiplash outcome.

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People With Longstanding Lumbar Nerve Root Problems Have “MRI Invisible” Lesions

Radiculopathy (sciatica) cases were categorized by their pain diagrams and physical findings. Only 16- 37% of cases showed MRI findings.  If there is an MRI-visible issues – only 22-78 % cases have symptoms (positive  predictive values of MRI-visible nerve involvement).  … Continue reading

Posted in Back Pain, Insurer issues, Neck, radiculitis | 3 Comments

Manual Therapy May Help Trigeminal Neuralgia

A case  demonstrating that work on the neck can be helpful in Trigeminal Neuralgia (TN).

Posted in Manual Med, Neck, Trigeminal Neuralgia | 1 Comment

Perineural “Tarlov” Spinal Nerve Outlet Cyst Pains – Overlooked and Treatable

I have a patient with multiple level cysts where the nerves exit the spine in the neck. He also has some mild foraminal stenosis. He is symptomatic with arm and referred upper back pain. Getting his problem taken seriously has … Continue reading

Posted in Abdominal pain, Back Pain, Neck, pelvic | 1 Comment

Chronic Nonspecific Neck Pain Cut in Half With Just an Epidural Of Local Anesthetic

Chronic neck pain without a disc protrusion or facet indications (negative blocks) gets no respect. One can have pain from internal disc disruptions in a neck disc and have nothing to show for it. Now it looks like the patient’s pain can … Continue reading

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Snapping Sound in Neck

I had a patient with rather audible and palpable snap with neck rotation. She was concerned she had loose joints in neck. It turned out to be coming from a snapping Splenius cervicis muscle.

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