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Pandora's Box  |  Health & Wellness

Neck Pain

(Part 2)


Good Posture Is Good for You

Posture is the way you hold your body.  Poor posture can lead to neck problems.
It keeps muscles from properly supporting the neck and puts pressure on
disks, ligaments and joints.  As a result, injury and pain can occur.
Practice good posture to help keep your neck healthy and pain-free.

Poor Posture Hurts Your Neck

Many of us have poor posture.  For some, it feels natural to hunch over, thrust the chin forward
or slouch the shoulders. But doing these things puts a lot of stress and strain on the neck.
Be sure to check your posture and change any poor posture habits that are hurting your neck.

 





 



Checking Your Posture

Use a full-length mirror to help check your posture.
To begin, stand normally.  Then slowly back up against
a wall.  Is there space between your head and the wall?  Do you slouch your shoulders?  Is your chin pointing up or down?  All these can cause neck pain and injury.

 

 

 


Improving Your Posture

Follow these steps to improve your posture:

   Breathe deeply.

   Pull your shoulders back.

   Think of the ears, shoulders and hips as a series
     of dots.  Now, adjust your body to connect the 
     dots in a straight line.

   Keep your chin level.

 
Goodbye Bad Body Mechanics

The way you move and position your body during daily activities is called body mechanics.
Good body mechanics helps protect the neck.  This means learning the right ways to stand, sit, and even sleep.
So do what's best for your neck and say goodbye to bad body mechanics once and for all.



Standing

To protect your neck while standing:

   Carry objects close to your body.

   Keep your ears and shoulders in a line while
     standing or walking.


   To lower yourself, bend at the knees with a
     straight back.  Do this instead of looking down and
     reaching for objects.


   Work at eye level.  Don't reach above your head or
     tilt your head back.


 

Sleeping

To protect your neck while sleeping:

   Sleep on your back with a pillow under your knees,
     or on your side with a pillow between bent knees 
     to align the spine.


   Avoid using pillows that are too high or too low.
     Instead, use a neck roll or pillow under your neck
     while you sleep.


   Sleep on a mattress that supports you, with a
     pillow under your neck.



 

Sitting

To protect your neck while sitting:

   Set up your workstation so your monitor is at or
     below eye level.  Also, use a document holder
     when viewing papers or books.


   Keep your knees at or slightly below the level of
     your hips.


   Sit up straight, with feet flat on the floor.  If feet
     don't touch the floor, use a footrest.


   Avoid sitting or driving for long periods.  Take
     frequent breaks.
 

 

Treating Neck Pain: Physical Therapy

If self-care treatments aren't helping relieve neck pain, your
healthcare provider may suggest one or more sessions of physical therapy.
Medications or other treatments also can be helpful for treating neck problems.





 

Physical Therapy for Your Neck

Physical therapy is performed by a specialist trained to treat injuries.  Your physical therapist (PT) will teach you how to strengthen muscles, improve the spine's alignment and help you move properly.  Treatment methods used in physical therapy may include:

   Heat.  A special heating pad called a neck pack
     may be applied to your neck.


   Exercises.  Your PT will teach you exercises to help
     strengthen your neck and improve its range of
     motion.


   Joint mobilization.  The PT gently moves your
     vertebrae to help restore motion in your neck
     joints and reduce neck pain.


   Soft tissue mobilization.  The PT massages and
     stretches the muscles in your neck and shoulders.


   Electrical stimulation.  Electrical impulses are
     applied to your neck.  This helps reduce soreness
     and inflammation.


   Education in body mechanics.  The PT shows you
     ways to move your body that protect the neck.

 

Other Treatments

If physical therapy doesn't relieve your neck pain,
your healthcare provider may suggest other treatments.
For example, medications or injections can help relieve pain.
In some cases, surgery may be needed to treat neck problems.

Exercises for a Healthy Neck

When neck muscles are strong, the neck is supported and can move naturally.
Below are examples of exercises you can do to strengthen and stretch your neck muscles.
Move slowly as you exercise and don't force your neck into position.  And don't overdo it!


NOTE:  Do these exercises only if instructed by your healthcare provider.

Play It Smart: Tips for Safe Neck Exercises

   If you are recovering from a neck problem, do only the exercises prescribed by your
     healthcare provider.  If instructed, do the exercises in this article daily.  You might
     take 15 minutes in the morning and 15 minutes in the evening.


   Don't hold your breath during exercises.  Breathe normally.

   You may have some discomfort.  But stop immediately if you feel pain, tingling or
     numbness, or if you feel dizzy, lightheaded or sick to your stomach.  Then talk to your
     healthcare provider.

 

Range-of-Motion Exercises

Range-of-motion exercises stretch neck muscles.  Gently do the following exercises.

Never force your neck into position.


 

Flexion

            1.  Slowly drop your chin toward your chest.  Only go
                 as far as is comfortable.

            2.  Hold for ........ seconds.

            3.  Return your head to the starting position.

            4.  Repeat exercise ........ times.
 

Extension

          1.  Gently tilt your head backward as far as is comfortable.

          2.  Hold for ........ seconds.

          3.  Return your head to the starting position.

          4.  Repeat exercise ........ times.

NOTE:  Only do this exercise if instructed by
            your healthcare provider.

 

Rotation

            1.  Slowly turn your head to the right as far as is
                 comfortable.

            2.  Hold for ........ seconds.

            3.  Return your head to the center.

            4.  Now gently turn your head to the left and hold
                 for ........ seconds.

            5.  Repeat exercise ........ times on each side.
         
 

Side Bend

          1.  Gently tilt your head toward your left shoulder.

          2.  Hold for ........ seconds.

          3.  Return your head to the starting position.

          4.  Now slowly tilt your head toward the right shoulder
               and hold for ........ seconds.

          5.  Repeat exercise ........ times.

Chin Glide

            1.  Hold your head and neck straight.

            2.  Slightly tuck your chin into your neck.  Glide your
                 neck back so the ears are over the shoulders.

            3.  Hold for ........ seconds.

            4.  Return your head and neck to the starting position
                 and rest.

            5.  Repeat exercise ........ times.
       
 

Shoulder Blade Squeeze

          1.  Lift your arms and bend your elbows.  The upper arms
               should be at or just below shoulder level.  Your palms
               should face forward.

          2.  Slowly move your arms back, squeezing your shoulder
               blades together.

          3.  Hold for ........ seconds.  Relax.

          4.  Repeat exercise ........ times.

Isometric Exercises

Isometric exercises strengthen neck muscles.  Do the following exercises slowly.
Do not force your neck into position.

Forward Head Press

            1.  Gently press your palms against your forehead.
                 Push your head forward using the muscles in
                 your neck.

            2.  Hold for ........ seconds.  Relax.

            3.  Repeat exercise ........ times.
         

Backward Head Press

          1.  Gently press your palms against the back of your head.
               Push your head backward using the muscles in your neck.

          2.  Hold for ........ seconds.  Relax.

          3.  Repeat exercise ........ times.


 

Side Head Press


            1.  Gently press your right palm against the right side
                 of your head.  Push your head sideways using the
                 muscles in your neck.

            2.  Hold for ........ seconds.  Relax.

            3.  Repeat exercise ........ times.

            4.  Switch sides and repeat.

         

Rotation Head Press


          1.  Gently press your left palm against the left side of your head.

          2.  Resisting with the muscles in your neck, gently try to turn
               your head to your left.  Do not allow your head or hand to
               move.

          3.  Repeat exercise ........ times.

          4.  Switch sides and repeat.

Neck's Maintenance Guide

Do the following to promote good neck health:

   Set up your computer monitor so that it's at or
     below eye level.

   Maintain neck health by practicing proper posture.

   Move your head and neck only within a comfortable
     range of motion.  Use a headset to avoid cradling
     the phone with your neck and shoulder.

   If you sit for long periods, take time to get up and
     walk around.

   Exercise daily to relieve stress and build strong,
     supportive muscles.

   Sleep on a mattress that supports your neck.
     Avoid using pillows that are too high or too low.
     And don't lie on your stomach.

   If you smoke, quit.  Your healthcare provider can
     get you information about quitting.

   Always talk to your healthcare provider about
     concerns you may have about the health of your
     neck.

 




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