If you have severe neck that radiates down your arm and into your hand, it is generally caused by a traumatic injury or a herniated disk that causes a compromised nerve exit, which results in nerve compression. Cervical nerve root neck pain will require pain management by a physician or physiotherapist.
Usually, the areas most commonly affected are the C7 nerve 60 percent of the time and the C6 nerve 25 percent of the time. Around 25 percent of arm pain is the result of an acute prolapsed disc, although in older people it is usually the result of the exit channel narrowing from body outgrowths, ligament infolding, bulging discs and facet joint enlargement because of arthritis. Routinely physiotherapists assess this kind of neck pain, and then develop a pain management plan and treat the underlying cause.
Some things are likely to cause nerve root pain more likely to occur. This includes:
• Routinely lifting 25 pounds (12 kilograms) or more
• Driving or operating machinery that vibrates
While cervical radiculopathy does occur, it is a rather uncommon condition, occurring much less often than lumbar root lesions like sciatica. There can be numerous reasons for nerve root neck pain onset or it may come on slowly with the reason not being clear.
Cervical radiculopathy onset can occur after an incident but sometimes it is without obvious cause, which can be more dangerous. The following are known causes:
• A sudden bend to your opposite side with either extension or cervical flexion can traction the nerve on one side, which leads to injury.
• A sudden load on your cervical spine occurring in any position can cause disc prolapse.
• In older persons if there is osteophytes present repeated or sustained extension with rotation can lead to nerve irritation with the onset being slower.
When the physiotherapist exams he or she will record any muscle spasms, check your reflexes and muscle power, and look at the movements that aggravate your pain. The first step in pain management is to reduce your pain and inflammation. This might include NSAIDs, Tylenol, prescription narcotics, and it can include treatments such as cervical epidural steroid injections, acupuncture, mechanical or manual traction and cryotherapy. After the acute phase when Pain Management has brought relieve your physiotherapist will concentrate on regaining your neck movement, and ensuring long term that your pain is managed or that your injury is controlled and therefore pain is no longer a concern so pain management is no longer necessary.
There are many kinds of neck injuries but cervical nerve root neck pain is one of the rarest and most serious conditions. It is important if you have neck pain to see your doctor so that it can be further looked at to determine the seriousness, if the underlying cause can be determined, and what the condition is along with ensuring pain management is available so you no longer need to suffer.