Neck & Arm Pain
Related to cervical spine disorders
Symptoms, causes, risk factors, prevention & treatment
Symptoms of neck & arm pain
Pain around the shoulder blades
Pain, numbness or weakness in one or both arms
Clumsiness, loss of dexterity,
Causes of neck & arm pain
The extrusion of the central disc material (nucleus) is pushing through the outer part of the disc (annulus) causing compression of the nerves or spinal cord, causing pain.
Herniated discs are one of the most common causes of neck & arm pain.
Spinal Stenosis. The narrowing of the spinal column that causes pressure on the spinal cord, or narrowing of the openings where the spinal nerves exit the spinal column
Cervical Myelopathy. This refers to a loss of function in the upper extremities secondary to the compression of the spinal cord within the neck
This fracture in one of the cervical vertebrae bones in the neck that support your head and connect it to the rest of the body. A fracture is a break or crack in one of the cervical vertebrae also called a broken neck.
Risk factors of neck & arm pain. Who is at risk? Everyone who is active & many who are sedentary…
What can you do?
Keep your weight under control
Don’t ignore the warning signs
People with a history of neck pain are 3X more likely to have an injury in the future
Prevention of neck & arm pain
The top 3 things you can do to prevent neck & arm pain are:
1. Exercise & maintain a healthy weight
2. Try to maintain good posture
3. Avoid neck strains, limit prolonged computer use
Warning signs of neck & arm pain!
Pain lasts longer than 8 weeks
Neck Pain with arm pain
Weakness in the arm
Treatments for Neck & Arm pain
Most common surgical treatments
ACDF (Anterior Cervical Discetomy & Fusion) This procedure involves removal of the herniated disc(s) that are impinging on the spinal cord or nerve root and fusing the cervical vertebrae above and below the herniation. The procedure is performed form the anterior, or front of the neck.
Cervical Disc Replacement The insertion of Disc Prostheses to replace a herniated or injured disc.
Usually performed as a minimally invasive procedure from a posterior approach where a small window is made on one side of the spinous process at the junction of the lamina & facet joint. A small piece of bone is removed relieving pressure on the spinal nerve
The procedure is done form the back of the neck, with the goal of the procedure being to decompress the spinal cord and/or nerve roots. Partially cutting the bone overlying the spinal cord known as the lamina on both the left and the right sides. This creates a hinge on one side and a small opening on the other side allowing the bone to open up allowing the cord more space, preserving the motion of the spine.
Cervical Laminectomy & Fusion
The procedure is done from the back of the neck and involves removing parts of the lamina to decompress the spinal cord. In addition, fusion is also performed in conjunction, to stabilize the spine