2023-11-06 10:30:00
Keypoint:
‘Neck and shoulder pain’ is a disease that comes with working. A popular symptom that should not be overlooked by young office workers who spend a long time in front of the computer. If you have neck and shoulder pain Fractured into the arm, there is numbness and weakness. These symptoms are warning signs of degenerative disc disease in the neck. Press on the nerve or spinal cord, adjust behavior, adjust daily life adjust work equipment You should leave your desk every 2 hours. Avoid carrying heavy objects and carrying bags over one shoulder. Reduce the risk of neck and shoulder pain
In this era, ‘neck and shoulder pain’ seems to be a common disease for salaried workers. or people who have to sit in front of a computer screen Looking down at mobile phones and tablets for long periods of time due to changes in working and living habits There is less emphasis on standing, walking, moving, or exercising like before.
Pain in the neck, shoulders, shoulder blades, and back. It is the initial symptom of office syndrome. At first, you feel that massage may help you get better. But following a while it will come back once more. and become more chronic
If you leave it without coming to detect the cause and provide treatment It may progress to migraine. Or more severe musculoskeletal diseases may occur as a result.
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Neck and shoulder pain that you should be careful of
The neck consists of 7 layers of cervical bones arranged together. lumbar disc Ligaments connect bones, nerves, and muscles. Neck pain is a common symptom of people of all genders and ages, especially among working people who have a lot of movement in their necks. May cause neck pain. Especially those who sit and work in the office. Or the office itself. Most of which are in front of the computer screen. Hands typing on keyboard continuously for hours Sitting in the same position for a long time which if taken care of and behaved incorrectly It will make the neck pain more severe.
shoulder pain
It will be the area between the neck and the shoulder. In this part, there are often aches, pains, stiffness, and stiffness in the shoulders from daily living habits, stress, and improper use of muscles. If you can change your behavior correctly. It will allow you to gradually recover better.
shoulder pain
There will be pain in the curve of the shoulder. or pain in the part that connects the body to the arm This often causes shoulder pain, sharp pain, and difficulty moving the shoulder. There is a tightness in the shoulder. It may come from improper movement, such as lifting heavy objects in the wrong position. Playing various sports, etc.
Risk of spinal disc disease
Dr. Weerawut Imsamran, Deputy Director-General of the Department of Medical Services, said that cervical disc herniation compresses nerves or spinal cord. It is a disease caused by degeneration of the spinal discs. or there is a tear in the cervical disc membrane May be caused by an accident Movement of the neck erratically and quickly and violently This causes some parts of the spinal disc to come loose and press on the nerves or spinal cord.
The symptoms can be divided into 2 groups.
1. Symptoms of nerve compression The patient will have pain in the neck radiating down the upper arm. The arm or hand depends on where the nerve is compressed. Patients with more severe symptoms may experience arm or hand weakness.
2. Symptoms of spinal cord compression Patients will have symptoms of leg weakness and difficulty walking. When walking, there will be tightness in the legs, numbness in the body and can spread to both legs. Some patients also have weakness in the hands. without pain in the legs or weak arms As for neck pain, it may or may not be present.
Adjust your behavior and take care of yourself when you are in pain.
Dr. Thanin Wechachapinan, Director of the Neurology Institute Added that Treatment begins with having the patient take pain relievers, anti-inflammatory drugs, and muscle relaxants. together with physical therapy Adjusting behavior in daily life In some patients with severe pain, it may be necessary to use a soft collar to help reduce neck movement. Which makes the pain go away faster.
Most patients will get much better or recover. But if the pain still doesn’t go away following 6-8 weeks of treatment or the patient begins to experience weakness in the arm or hand muscles as well. The doctor will recommend spinal disc surgery to relieve pressure on the nerves.
As for the treatment of a herniated disc in the neck pressing on the spinal cord This is due to the spinal cord being compressed for a long time and causing weakness in the legs. Or in some cases there is weakness in the hands as well. If surgery is not performed to remove the herniated disc that is pressing on the spinal cord, the patient may be permanently disabled or paralyzed.
Therefore, neurosurgeons will recommend surgery in almost every case. Anterior disc herniation (ACDF) is the most popular and most effective method for neurosurgeons. By removing the herniated disc that is pressing on the nerve or spinal cord. Afterward, a neurosurgeon will reinforce the resulting gap. using bone pieces Derived from cutting bone in the patient’s hip area. or use supporting materials in place of spinal discs To connect the upper and lower bones to become one bone.
In cases where there are multiple levels of the problem and more than one or two spaces need to be surgically removed, the front of the spine will be secured with a metal plate and screws. This is to prevent the material placed in each compartment from slipping out following surgery. It takes an average of 2-3 months for the materials placed on each level to form a single joint.
Currently, materials have been developed to support the spinal space. With materials that imitate the nature of the cervical disc that can move the head, tilt, and tilt the neck like natural things, it is called an artificial disc replacement (artificial disc replacement). In Thailand, the treatment has been performed for more than 10 years, but because the materials are expensive, it is still not popular.
3 groups of neck and shoulder pain
Dr. Phitsanu Sunthornpiyapon Rehabilitation medicine and physical therapy doctor Phyathai 2 Hospital said that for neck and shoulder pain, it can be divided into 3 large groups:
General symptoms The cause is related to the muscle and tendon system (accounting for 80 percent). It is caused by muscle fatigue from continuous use for a long time. Nerve compression syndrome. Rarely found but the symptoms are severe. There is severe pain, stiffness, radiating down the arm, or accompanied by numbness. spinal cord compression symptoms The most severe but very rare (1-2%).
Cause of pain
Divided into 2 large groups according to symptoms
acute pain Or a sprained muscle. Symptoms that are frequently encountered include falling asleep on a pillow. Symptoms are characterized by tight muscles, stiffness, difficulty turning the neck, etc. Subacute pain. or chronic group This is a group of patients with a history of neck pain. I had muscle pain before. The nature of the symptoms comes and goes. They can occur when the muscles are used heavily for a long time. Insufficient muscle strength make it possible once more Found mostly among office workers.
Guidelines for treating neck, shoulder, and shoulder pain
Groups with common danger signs or acute groups, such as symptoms of nerve compression Have a history of accidents Have congenital diseases such as cancer, musculoskeletal and joint diseases and among children or the elderly whose symptoms are different from those of other people Must have a doctor do a thorough diagnosis to find the cause. and the correct and appropriate treatment methods
Groups with no common danger signs Divided into 2 methods of treatment:
Acute pain group such as chest muscles sprained muscle Treated by proper rest along with medication. and do physical therapy or treated with acupuncture Palliative treatment This is a group that has general pain that is not severe and can be treated according to symptoms such as behavior modification, etc. But if the symptoms still do not improve Or if there are chronic symptoms that last longer than 6 weeks, the doctor may consider additional examinations, such as X-Rays of the cervical spine to see if there are signs of degeneration, movement, or collapsed discs?
Chronic patient group or groups that are not cured by normal treatment methods Physical therapy is required to reduce pain. and strengthen muscles by participating, such as exercising according to a training program Using physical therapy tools Such as using a hot compress, shock wave machine, using a Laser, or doing core exercises. And most importantly, when the pain is gone, there must be continued treatment. To prevent the pain from coming back once more.
Simple trick. Don’t want neck and shoulder pain. You can prevent it.
Modify lifestyle habits, such as adjusting sleeping, walking, and sitting positions to be appropriate. Modify the suitability of the workplace, such as work desks, chairs should have backrests and armrests, or the working position. Proper exercise is stretching the neck muscles to strengthen the neck and shoulder muscles and increase muscle endurance. By exercising regularly, such as running or swimming, etc.
In addition, stress is another factor that promotes these pains to not go away. Emotional and mental treatment may be required along with physical treatment.
refer: Department of Medical Services ,Phyathai 2 Hospital
1699285008
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