Neck Pain: Causes and Treatment Options

In addition to performing a thorough examination, a neurosurgeon may order diagnostic tests to help determine the cause and severity of your neck pain. These tests include x-rays, computed tomography (CT or CAT scans), magnetic resonance imaging (MRI), myelograms, electromyograms and nerve conduction studies (EMG/NCS), and discography. A spinal tap for a cerebrospinal fluid analysis will be done if meningitis is suspected.

You should consult a doctor for neck pain if:

• It occurs after an injury or blow to the head
  
• Fever or headache accompanies the neck pain
  
• Stiff neck prevents you from touching your chin to your chest
  
• Pain shoots down one arm
  
• There is tingling, numbness or weakness in your arms or hands
  
• Your pain does not respond to over-the-counter pain medication
  
• Pain does not improve after a week

Nonsurgical treatment is the first approach in patients with common neck pain not involving trauma. For example, many patients with cervical disc herniations improve with conservative treatment and time and do not require surgery. Conservative treatment includes pain medication, bed rest, reduction of physical activity, and physical therapy. Your doctor may prescribe medications to reduce the pain or inflammation and muscle relaxants to allow time for healing to occur. An injection of corticosteroids may be used to temporarily relieve pain.

You may be a candidate for surgery if:

• Conservative therapy is not helping
  
• You experience progressive neurological symptoms involving your arms and legs
  
• You experience difficulty with balance or walking
  
• You are in otherwise good health

To find out more information about neurological disorders or to locate a qualified neurosurgeon in your area, visit: www.NeurosurgeryToday.org.

To learn about the American Association of Neurological Surgeons Click Here