Chiropractors in Murfreesboro : Evaluating A Patient With Neck Pain
At Hellers chiropractor we want to be the chiropractor of all the Chiropractors in Murfreesboro that you go to. So we want to educate you guys on differe conditions how we go about things. So you guys understand what we do and how efficient we are and get into better and keeping you better. So in today’s article we’re going to go over some nut complaint components and kind of the neck does how it works and what we do to treat as well. So you know the neck which is also called the cervical spine serves a very unique function as a position of the head and space it basically supports the weight of the head. It also allows us to turn and look at things in a lot of movement in the neck happens and this function really requires a lot of propria a sense of integration that results in you know complete optimization of the head position. And this is a reflex setting of muscle tone. And so although having the head perched atop the neck allows a better appreciation of the surrounding environment. This arrangement also creates a potentially damaging lever arm or an acute injury events that forced the head to move quickly into extremes of different motions like flexion extension or side to side. In addition the neck itself all of its soft tissue structures can also be damaged in the extremes of these movements so the lever effect also is operative in a more insidious manner when a forward head position is maintained for prolonged periods of time.
We talk a lot about forehead posture with our patients and how it really affects the overall structure of the neck and negatively in that matter as well. Essentially when you have forehead head posture the demands of the muscles of the back part of your neck are dramatically increased by the weight of the head as it moves forward to the body. So this really puts a lot of tension in the neck. So when we’re looking at the doctors at Healthworks chiropractic which are one of the best chiropractors in Murfreesboro are focused on looking at the cervical spine for investigation of complaints also will lead us into looking at the head and the upper extremities. There’s also a association between the nerves in the upper part of the neck and the trigeminal Chiropractors in Murfreesboro nerve which is in the face because this this thing is being pinched you can have had headaches and facial pain or ear pansy you really had to study that as well. Upper Extremity complaints may be caused by or augmented by a cervical spine. Misalignments or pathology that affects the spine the nerve roots or the break you’ll plexus which is a bundle of nerves coming out of the bottom part of the neck. So some of the more common presentations that people come into at Healthworks chiropractic were one of your chiropractors in Murfreesboro could be one of the following an acute injury of the neck and or arm such as like a whiplash injury a stinger in football would be two things to think about here or an acute pseudo toward a Kahless which is in the end not a true sort of Kahless but a painful limitation of all neck movement in lots of ways that can happen there can be postural pain or stiffness due to poor posture or ergonomics in the work environment.
Maybe your computer’s not set up properly or whatever reason you have it could be a longstanding thing that has caused our through our through osteoarthritis which is associated with stiffness and pain are also headaches. Those will be the five more common things that we see coming and when people have neck pain and so you know we consider all this when we see arm complaints that accompany the neck pain it’s really essential for us to make the determination of whether nerver irritation or Ferde phenomenon is the source. Oftentimes chiropractors in Murfreesboro and Healthsource chiropractic are faced with patients who upon examination demonstrate no objective flyable neurological deficit in the arms even though numbness or tingling or witnesses even part of their complaint. So many of these patients appear to obtain relief from chiropractic procedures suggesting a Chiropractors in Murfreesboro referral connection between what is manipulated and what causes the quote unquote phantom symptoms. This is most likely going to be the first joint was what we’ve found over time the facade joint is a joint in the neck that can refer pain like this and lots of studies state that has that joint accounts for the majority of patient complaints in the neck neck and arm complaints also require consideration of brachial plexus of peripheral nerve involvement.
Again if there’s a nurse getting pinched in the base of the neck and is going down the arm lead times that’s going to be a break up like this which is again a bundle of nerves at the base of the neck that go all the way down the arm control function like movement of the hand the wrist the elbow one of the concerns that a lot of chiropractors and nerves are good and health care chiropractors get is you know I’ve heard in the news that you know you can really hurt cause a stroke with a neck adjustment and all the studies show the chances are so low anywhere between one and four hundred thousand to one in ten million adjustments is the number on that. So I think you have the better chance of you know going outside and being struck by lightning and so just that is just a fallacy out there I mean can it happen certainly can. But most chiropractors in Murfreesboro and especially doctors and health chiropractic go through proper screening tools to make sure we know exactly what’s going on before even adjusts the neck. So when a patient comes in we take them through evaluation process. We do the initial history and screening of of any type of past injuries if there is a history of trauma in the neck will determine the mechanism of the injury and the severity of the injury. If a patient been involved in a motor vehicle accident and we take a very thorough history with regard to the angle of the collision the speed with the patient was was belted had a seat belt on airbag was deployed position of the patient in the car how they were hit. All kinds of different things that need to be obtained in order to figure out the mechanism of injury. We also determine whether the complaint is one of pain stiffness weakness or a combination of complaints which generally is determining whether the complaint is limited the neck or is rated the hand of the Upper East Germany either in one arm or both is also a key component of our history.
And then determine the level of pain and functional capacity with a net questionnaire like the neck disability index where the pain scale which we also do with visual analogs which stand VHS is what that is abbreviated with on the examination of the neck. There’s some some signs that come up right away that could indicate a more serious process that is soft tissue neck injury will refer out for medical management. Someone has a suspected fracture dislocation like for example in a motor and we look at passive and active range of motion for patients with neck and arm pain. We do at a very thorough orthopedic and neurological examination process through this including compressive maneuvers of the neck and various positions such as A compression test or distraction test nerve stress from rivers deep tendon reflex testing station testing and Motome testing. We then take x rays of the patient we’d take it ATP and lateral X-ray. So from a front and from the side view sometimes we’ll take a flexion distraction or a flexion extension view and ATP open mouth view and an oblique view just different angles of the spine to look out.
Sometimes we feel like special imaging is required so potentially could send the patient out for a c t which is a computed tomography or MRI which is a main residents image. And these are usually reserved for differential of ridiculous and my pathological cases where there’s a need for further distinction among stenosis tumor herniated disc bulging disc or things like multiple sclerosis as well. After we go through all this the evaluation process and the X-ray process patients who have appeared to have a mechanical cause of pain are then managed in our er clinic conservatively with adjustments therapy such as muscle stem for the neck laser for the neck the muscle stem relaxes muscle spasm in the neck. The laser brings oxygenated blood to the area to help decrease pain take inflammation out.
So every patient is different we really work through the process of figuring out what’s going on how long the process is going on but there’s some things like age condition if there’s a lot of arthritic or degenerative changes in the neck certainly makes a factor determining how often we treat the patient how long and those are things that your doctors and how there’s chiropractic chiropractors in Murfreesboro determined through the process of experience and also we have four doctors. So we are able to look at x rays and really put x rays through the wringer and really understand what’s going on with this patient before we make any type of recommendations. I know there’s lots of chiropractors in Murfreesboro to choose from but to help those chiropractic we you to come to us for any of your needs. We’ll take great care you and we will see you in our office.