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Home Columns

Neck pain paralysing my shoulders, hands

2nd May 2019
in Columns, Health
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Is the prolong pain in the neck radiating to your shoulder and hand? Enormous help are available for those suffering from such condition. A lot of treatment options are open for victims of common skeletal neck pain. However, there is essentially preferred treatment option, which is non-invasive and non-surgical that even meets with almost universal approval- it is physiotherapy that is skillfully performed.

Common musculo-skeletal neck pain has caused so much distress and agony to thousands of victims.

According to Reverend Father Udeh, a parish priest with a Catholic Church in Owerri has suffered this for eight years. His neck pain started when he was shortly ordained. It started as a little pain that was dull in the neck and he would go for over-the-counter drugs, which relieved him. But with time, he began to feel some abnormal sensation in the shoulder and hands such as numbness and tingling. Months later, he began to feel the inability of the neck to raise and sustain the head. The head now drops forward. He visited several hospitals in Owerri to no avail.

One morning as he woke up, he was unable to raise his hands freely. His hands were so sluggish to rise. This condition eventually led to his early retirement at the age of 41 years. Years later, walking became difficult because it affected his gait. He was confined to a wheel chair. This time his hands have become so weak and thin and the neck completely unable to raise the head. This is the consequence of neglected or improper treatment of the neck pain at the early stage. However, after a workshop the Back Pain Care Foundation had for Catholic Church in Owerri last year, the Reverend Father was introduced to our affiliate centre weeks later and immediately treatment was expedited.  Months following, he got his extremely weak hands and fallen neck strengthened and functions restored!

Neck pain of mechanical origin has prevalent rate of five per cent though small, yet has no quick fix medically.

Neck pain being so close to the head, makes the whole issue a personal one like headache. It is subjective and also invisible. It is a problem that only you as the victim know what you are passing through. The pain and feeling of heaviness at the back of the neck and shoulder, numbness and tingling sensation; along the hand and fingers, the inability to make a grip or a fist, and disturbance of your night sleep and distress. If you are a vocational worker, neck pain will restrict your activity, reduce your work capacity and would even increase your emotional stress.

Degenerative process of the cervical (neck) spine and strains/sprains of muscles and ligaments are the major causes of painful experiences in the neck.  Neck pain starts as an acute experience followed by a feeling of heaviness at the back of the neck.  It may become so disturbing that even to sustain a load with your arm could be labourious!

The experiences caused by either the degeneration of the spine or sprain/strain of muscles and ligaments may result to slipped disc, which could pinch on the cervical (neck) nerves roots.

Range of movement of the neck to the left or right side may be limited. The same too to the backward or forward movement because of pain and stiffness. Sometimes there could be complaints of “shocking” or spasm along the spine when any of these movements are initiated. Disturbing neck pain is hard to ignore. It can be very, very disabling. Many victims of chronic neck pain have had their arms/hands so weak and even paralysed because of negligence or improper treatment when the neck pain was acute.

One intriguing relationship between neck pain and waist pain is that a high percentage of waist pain sufferers will likely develop neck pain and the neck pain will now become a serious concern to the victim.

The relationship is hinged on the awkward posture of the waist pain sufferer, which invariably and unwittingly brings about slight adjustment or compensatory movement at the neck joints. This, over time, will give rise to pain in the neck.

Why a waist pain sufferer who also has neck pain is more concerned with the neck pain than the waist is simple because the neck is closer to the head than the waist and we know the importance of the head to the rest of the body. The fear of the effect of this pain being so close to the head portends some thing unpalatable.

The group of people that are likely to develop this pain in the neck are the office workers, who spend long years in sedentary life style, long distant drivers and other workers whose job cause the head to always be positioned in a forward posture while at work.

Indeed, a good number of people who are suffering from neck pain are struggling on their own. They continue to suffer this because they are uninformed of the proper health facility where their neck pain would be dramatically relieved.

Some people would quickly opt for surgery of the neck just to escape the pain. The fact is that most people with neck pain are treated without surgery.  Really surgery helps more than it hurts, but some surgeries reduce only some of the patients pain and other surgeries are completely unsuccessful; range of motion is reduced and pain is not because of the metal (titinum) implant in the neck and on some occasions with screws, these foreign elements will be in the neck for the rest of ones life!  The victim seems trapped and he still has months before he can even begin to do anything reasonable except to tell the story.  As a seasoned musculo-skeletal physiotherapist, I advise victims of neck pain to always consider the coordination of a good medical and skillful physiotherapy approaches for their disturbing neck pain, if they do not want to be disabled and loose the functions of their arms and shoulder

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Rapheal

Rapheal

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