Neck pain or shoulder pain, WHY IT HURTS.
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- Опубліковано 9 січ 2023
- animated video describes Dr. Ebraheim’s educational animated video describes conditions associated with neck pain.
Neck pain causes and treatment
Patients can complain of neck pain from a variety of reasons and in this video I am going to try to outline the most common causes of neck pain and how to
treat it.
The first thing you want to identify is if the patient has neck pain or shoulder pain. Shoulder pain and neck pain problems overlap. You need to know if the origin
of the pain is the cervical spine or if the shoulder itself is the origin of pain.
Does the patient symptoms improved by shoulder abduction and placing the hand over the head, then the pain has the cervical spine origin.
Shoulder abduction test
Lifting the arm above the head usually relieves the symptoms because it decreases tension on the affected nerve.
Is the pain more when you move the shoulder?
Then the shoulder itself is the source of the pain.
An important cause of neck pain is disc herniation. The patient will complain of numbness, paresthesia and radiculopathy, which is shooting pain that radiates
from the neck to the arm. The patient will have unilateral arm pain, numbness and tingling in a specific dermatome in the hand. As you see here in this diagram.
There will be weakness in a specific muscle group. And cervical radiculopathy, the pain is sudden and goes to the arm. Radiculopathy occurs due to compression
of the nerve root either by a disc herniation or by arthritis that narrows the foreman. Cervical disc herniation occurs most frequently at the level of C6-C7 and it will affect the C7 nerve root. It can also occur at C5-C6 and in this case, it will affect
the C6 nerve root.
How to you test for cervical spine disc herniation?
Neurological exam of the patient will include:
Motor testing
Sensory testing
Reflex testing
This is how you test the motor strength of the nerve root from C5-T1. This is how you test the sensory as you see her in this diagram. This is how you test the
reflex as you can see in this diagram.
Spurling test for cervical spine radiculopathy
What is the Spurling test?
The Spurling test is considered to be positive with neck extension and rotation towards the painful side reproduces symptoms in the ipsilateral arm. The
natural history of cervical radiculopathy is favorable with resolution of the symptoms in most cases. And cervical radiculopathy, the patient will have 70 to 80% successful outcome after 2 to 3 months with conservative treatment.
How do you really treat cervical disc herniation?
We are going to start nonsurgical treatment first. Use anti-inflammatory medication, isometric exercises, physical therapy, and muscle relaxers. Get an MRI if
symptoms do not improve after 6 weeks of conservative treatment.
The MRI result should be correlated with the clinical symptoms. False positive rate of the MRI is high.
. In asymptomatic patients older than 40 years old, you will find that 57% of these patients will have at least 1 degenerative disc on the MRI. The MRI may show you a problem with the disc in patients
you are not complaining of any neck pain. Therefore, use a result of the MRI wisely and do not scare the patient, because what you find on the MRI could be a normal process.
Persistent disabling pain for 6 to 12 weeks despite nonoperative treatment can be an indication for surgery. The surgery is usually anterior and it involves decompression
and fusion of the involved disc space. Asked the patient if the patient has gait disturbance (unstable gait when walking, wide-based gait) or hand clumsiness, may indicate cervical myelopathy due to compression of the spinal cord (serious condition). The
patient may have decreased manual dexterity and difficulty manipulating fine objects such as buttoning and on buttoning shirts. The patient may have occipital headache and a sense of discomfort in the neck. The patient may not have severe neck pain. In
general, and cervical myelopathy the onset of pain is insidious, gradual, poorly characterized, and localized. Cervical myelopathy is a slow progressive process with stepwise progression and deterioration over time. In cervical myelopathy, the MRI will show
compression of the spinal cord. Cervical myelopathy you will find upper motor neuron signs including a positive Hoffmann sign. This is how you will see a positive Hoffmann sign.
What are other upper motor neuron signs?
You will find the patient will have hyperreflexia, positive Babinski test and clonus test. Early recognition and early surgery is important for a good outcome.
The severity of the symptoms and early treatment is most important to the outcome. Surgery is done for any functional impairment of the gait or the hands. Usually the treatment in this situation is surgery back decompression and fusion.e condition of neck pain and cervical disc herniation
Can you make exercises videos for this problem please. Thank you.
Good diagnosis 👍🏿👌🏿🙏🏿
Thank you. This was very helpful.
Pain radiating to whole of neck, intense pressure on shoulders, migraines, pressure headaches, dull ache behind eyes, for months. LET’S GO WITH THE MED BEDS ALREADY…
Thanks for sharing!
This Greatly helped explain, thank you
thank you!!!
Can you do a video on nerve injury in thumb? I pulled my pants up and may have damaged my thumb nerve. Will it get better? It's tingly and sensitive now. 🙏🏻
Thank you.
Good knowledge thank u
Thank you doc
Thanks
Thanks for the information very informative ❤
I hope i feel better bcaus i got that stuff right now
Pl, what medication would be recommended
Very helpfull
How do you fix it? Are there any self help chiro tricks? I can't afford getting an adjustment every week for this pain and discomfort.
Thankyou doctor
Had this a kid a few times and I just got it again after waking up with just a simple stretch. I remember it went a way over a few days when I was younger. Now I’m trying to figure out the actual cause and potential fixes. It certainly seems like it’s from my neck as it hurts to look one direction, but it radiates from my trap to the shoulder blade.
how do you fix it?
Same issue. How do you fix it
Same
Yes mine is exactly the same. I woke up and stretched and instantly felt the pain in my right shoulder blade area. I’ve had over a week now and it’s getting worse. I’ve tried deep tissue Thai massage and also acupuncture. Neither has had any effect. Very intense pain now as I think the surrounding areas are tightening up too.
@@khkhhhhhhhh yes with a fast heart rate .
Now I know more than my Dr !
What could back pain in the back right shoulder be?
yes was helpfull i realized that the pain come from the neck but it hurt me on my back right side
Same, what did u do? What was it
Good explanation and differentiation. Can Doctor elaborate more, on your last statement please ? I hope to find a clue to the SOURCE of my pain , given that the pain is relieved by lifting my arm. Thanks a lot.
Lol when laying down and putting your arms up feels so good, right?
@@cherryfckmuffin yes that’s correct
What to do ? Can you tell me pls
Which department doctor to consult this pain
It was helpful info ! But how to fix the problem ???????
Here is the theory, for students or those interested in knowing. For treatment, look elsewhere
نفس الألم عندي 🤕
I've had this consistently throughout my life, I've had it for the last 4 months as well as well
Is there any diagnosis for it
Yes ! It did help!
Is this sarcasm ☠️
I'm suffering from the pain described in the video however I also have a perineural cyst in C5- C6 region and I'm furious in going for a surgery please suggest to which Doctor should I go for a solution
In hyd there is a doctor called Palani something in kims secudrabad. My uncle got treated with him for removing a bone spur in cervical area. He’s very good doctor and everyone suggested him even we are lost on whom to get consulted and treated with as these surgeries have a lots of complications.
Nice. I put my arm on my head and could rotate to the side without pain for the first time in days. But what do I do now?
Correct it qas nerve irritation, too much holding cp on my right arm. And stress
TY Dr.
Have had this horrible pain for almost a week now, it's really hurting,, the pain is in my neck, running towards my shoulder and some heat i don't know what to do
I just took a ibuprofen for this pain an rubbed muscle rub cream on my back an neck bcaus it's that bad an i could barely move my body bcaus of the pain
Can this overlap with TMJD symptoms? I ask because I’ve been with this left minor rhomboid pain for four years while doing pull-ups and a doc told me this is due to tmjd. Also I noticed that lot of people with this symptoms also have tmjd
I've been having this pain and I've isolated the (attempted) pull ups as the culprit. It sucks! I also have TMJ and my jaw has been severely locked and physically medically adjusted twice. I wonder?
I am undergoing orthodontic treatment and developed TMJD. I have just begun experiencing this pain in the top of my shoulder also.
Have had similar pain since February 2023 after a fell on black ice. I just did MRI which showed mild foraminal stenosis at c6-c7 and broad posterior osteophytes at same region but the doctor says MRI is normal and doesn’t account for the symptoms. I have really bad pain numbness and weakness in my right arm
Are U fine now?
What did. You do to cure it plz tell me
ياريت لوفي حل لهذه المشكله الألم من نصف الرأس الي الكتف ويمتدلصدرمعاناة فظيعه الحمدلله
How are you now??
Excelient
What are other causes of interscapular pain?
Fshd muscular dystrophy
scapula detachment
I have on c4 -c7
I even lost my reflex in one arm. They pain is killing me . Iam trying to get up MRI now. Hard in Sweden to get. I did op C4 new disc but didnt help alot. They did belive my Disc was so destroy. My nervpain is so bad. Plus I have Ehlers-danlos-syndrom
In Sweden fick dont know or wanna know this sickness. I have problem in L5-S1 and even now L4 plus somthing call Modic typ 2
@GrinningSlim doc dont know 100% But I sufferyinf from Ehlers donlos syndrom. Iam getting sick and sicker all the time
Maam do therapy exercise at home just like my mom do..😊
@@camillaSwedenGet well lik i need to stay strong
I have pain in neck and radiate to anterior thorax or axila then shoulder and scapula one side... Kindly tell me how is it cure and which type of pain is this
Tennis ball in a sock hang it over your back lean up against the wall and move up and down to roll the ball along your back shoulder muscles and across the top of your shoulders. I did that this afternoon and I feel 80% better. Self massaging
What if we get pain in left side?
Can you please help me I am still suffering from this pain please i request you 🙏🏻
This pain started after I did a pull up exercise. What to do with it?
Same for me
Can u please help me this is exactly my problem...
Please tell me some remedy or some exercise..
Same here,how did you fix it?
@@justinamusyoka4986 Still not cured.
my neck hurts i can't move my head im only 13 I don't know what to do 😭
Why cant my doch help me with these Symptoms...?! 😢
Aslamo alikum after surgery of neck node due to TB that show in blood not in these node under the neck area. same these types of pains I feel around the shoulder and arm. I also done MR I but they clear according to doctor. What do after for this
it’s most likely just stress and you’re tensing your muscles without realising , i have the same everyday and it hurts like hell. perhaps try meditating or finding stretches to do
It still hurts when I raise my arm up or run.
Yea it’s definitely my neck
Cure?
Please 🙏🏼 thank you 🙏🏼 in advance.
Sadly none.had it 10 plus years now
@@LaidBackLora maby not for you, (yet) it’s different for everyone. Don’t give up hope you do find resolve and be at peace. Living a Good life is still possible for us. It’s been difficult year with these symptoms suddenly appearing and still here today. I’m looking to plan a holiday because I ain’t gonna let it stop me from enjoying life. (Easier said than done I know) At least we can rest assured that the spirit/soul, consciousness lives on either way, I’m 100% on that. May you have a blessed day. 🙏🏼
@@Wil_Dsense so you’re telling me I’m 18 with a slipped L1 and now this? Forever?
Mine too, it says its because of stress thats why spasm occur
I wrote 18 pages assignment it's heavily paining in the right hand and shoulder
You don’t know how to type….why are you writing ✍️ a paper?
I got a soar back an neck pain in my back right now an it hurts like hell it is very painful bro no joke i hate it
This is exactly my problem. But what is the cure ?
are you alright now?
@@chiragparmar1964 Not yet. Doctor has given some exercises for 10 days. If there is no improvement then i have to go for an MRI
@@insearchofself. YES same here its been 1 month my whole right hand is paining and still no idea whats going on no swelling no other symptoms just right arm pain and loss of strength and feeling different sensation in right thumb
I have started using a laptop stand to get the screen to eye level while looking straight instead of down. Let’s see it helps cure the problem.
@@insearchofself.did it help???
Was thinking i had heart issue for years. That must be it. It was moving from left right shoulder and arm. I think it related to my daily phone use of 8h +
Wow sound like me my husband said babe ur phone could be the cause
@@Empressslots i do look like it is. It come back when i go back to one of my job that i just do nothing mostly for 8h. I got a new job and only when i work the other one i end up with pain.
Bro I have felt this pain as a kid two times
Same! Twice if I remember right
If you're going to do a video and not show how to resolve or help improve the injury but show the course of it then that's not good. I'd rather not how to improve or resolve than know the course of it the injury 😂.
It's useful for students
He is basically saying you have a herniated disc in your neck
i have now 3 weeks that hurt me , what should i do ?
How did it heal ? I'm feeling that pain.
I had all theses pains i thought i got cancer 😂
How are you now
@@trendycollections127 Nothing i am fine it was just bone pain. 👍
@@SachinSingh-uf7rc at that time what all pain you had?
Title says "How to Deal With It" then video provides no solutions?
I apologize for any confusion caused. This video is intended for doctors as an educational resource to help doctors to differentiate between neck pain and shoulder pain. Patients often present with similar symptoms, and it can be challenging to determine the source of the pain. In addition to this video, I have shared other resources on treating Cervical Disc herniation. Please check them out, and let me know if you have difficulty accessing them. I appreciate your feedback and am here to assist you however I can. Thank you.
@@nabilebraheimplease assist me because it’s been 3 months i am facing this scapula pain😢 really hurts while sleeping, can’t sleep till morning. Please 🙏🏻 help in the name of God.
OW
I can't move my shoulder and neck hurts so bad
When I couldn't move I felt it while sleeping it felt like sleep paralysis, I had a very bad pinched neck and it went away in 2 days.
Dr ko dikhao pani bhara ho sakta he
I think I just have shit posture in general ngl