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Neck Pain – Can Chiropractic Really Help?

Synchrony ChiroCare Neck Pain 250pxNeck pain is a very common problem affecting up to 70% of the adult population at some point in life. Though there are specific causes of neck pain such as arising from a sports injury, a car accident or “sleeping crooked,” the vast majority of the time, no direct cause can be identified and thus the term nonspecific is applied. There are many symptoms associated with patients complaining of neck pain and many of these symptoms can be confused with other conditions. Wouldn’t it be nice to know what neck related symptoms are most likely to respond to chiropractic care before the treatment has started? This issue has been investigated with very favorable results!

The ability to predict a favorable response to treatment has been termed, “clinical prediction rules” which in general, are usually made up of combinations of things the patient says and findings from exams. In a large study, data from about 20,000 patients receiving about 29,000 treatments, was collected and analyzed to find out what complaints responded well to chiropractic treatment. The results showed that the presence of any 4 of these 7 presenting complaints predicted an immediate improvement in 70-95% of the patients: 1. Neck pain; 2. Shoulder, arm pain; 3. Reduced neck, shoulder, arm movement; 4. Stiffness; 5. Headache; 6. Upper, mid back pain, and 7. None or one presenting symptom. Items not associated with a favorable immediate response included “numbness, tingling upper limbs,” and “fainting, dizziness and light-headedness in 4-12% of the patients. The “take-home” message here is that it was far more common to see a favorable response (70-95%) of the patients compared to an unfavorable response (4-12%), supporting the observation that most patients with neck complaints will respond favorably to chiropractic treatment.

So, what do we do as chiropractors when a patient presents with neck pain? First, after gathering preliminary information such as name, address and insurance information, a history of the presenting complaint is taken. This consists of information including what started the neck complaint (if you know), when it started, what makes it worse, what makes it better, the quality of pain (aches, stiff, numb, etc.), the location and if there is radiating complaints, the severity (0-10 pain scale), timing (such as worse in the morning, evening, etc.), and if there have been prior episodes. Various questionnaires are included that are scored so improvement down the road can be tracked and a past history that includes a medication list, past injuries or illnesses, family history and a systems review are standard. The exam includes vital signs (BP, pulse, height, weight, temperature and respiration), palpation, range of motion, orthopedic and neurological examination. X-ray and/or other “special tests” may also be included, when needed. A review of all the findings are discussed and after permission to treat is granted, a chiropractic treatment may then be rendered. A list treatment options may include:

  1. Adjustments;
  2. Soft tissue therapy (trigger point stimulation, myofascial release);
  3. Physical medicine modalities;
  4. Posture correction exercises and other exercises/home self-administered therapies;
  5. Education about job modifications;
  6. Co-management with other health care providers if/when needed.

Patient Testimonials

  • Margaret E.

    "I am truly amazed at the improvement in my life since starting this program"

    The adjustments made to my lifestyle as well as my spine have made quite a change in the way I feel. I am sleeping much

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  • Meredith M. (2)

    "The back pain due to my injury has stopped"

    Since starting treatment the back pain due to my injury has stopped. Before treatment I suffered from headaches since childhood. I am getting headaches due to

    ...
  • Phil K.

    "Am now able to lean head back fully when riding bus."

    Am now able to lean head back fully when riding bus. Pain in right leg has noticeably decreased when climbing steps. Pain in left shoulder has

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  • Cristina F.

    "Dr. B is very compassionate and he cares about his patients."

    Since I started to come to see Dr. B, I noticed alot of improvement on my back and my neck. Dr. B is very compassionate and he cares

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  • Amanda W. (2)

    "Through chiropractic I have gained mobility with my arm and shoulder."

    I would have pain with shoulder movements. Through chiropractic I have gained mobility with my arm and shoulder. I am able to

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