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Stiff Neck is a common problem that affects all people irrespective of gender or age. It is characterized by a sprain or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।" data-rx-term="strain" data-rx-definition="A strain is injury to a muscle or tendon. সহজ বাংলা: মাংসপেশি/টেনডনে টান।">strain of the soft tissues in the neck. The neck represents the upper part of the spinal canal that begins at the base of the skull. It comprises of 7 cervical vertebrae that are surrounded by the ligaments, nerves, blood vessels and muscles. Stress or injury to any of these constituent parts may lead to Stiff Neck.
Causes
- Sleeping in an awkward position may stress the soft tissues
- Prolonged working on the computer
- Poor postural habits
- Stress or anxiety
- Acute Torticollis- Waking up with the neck twisted on one particular side
- Carrying heavy weight above the head or on one shoulder
- Cervical Spondylosis- Wear and tear of neck ligaments due to age and overuse
- Whiplash- Sudden jerk to the neck caused by an external force or vehicular accident
- Falls
- Pinched Nerve
- Sports injury
Symptoms
- Pain in the head, neck, shoulders and may radiate down to the arms
- Stiffness and difficulty in moving the neck
- Muscle spasms around the neck and shoulders
- The patient may feel a tingling sensation or pricks in the neck, arms and fingers
- Numbness in the limbs and upper body
- The muscles around the neck may feel swollen or tender
Diagnosis
- Details of the patient’s medical history, lifestyle and occupation may be taken into consideration
- The patient may be asked to move the neck, shoulder and arms to check for range of motion
- Palpation may be done to check for swelling
- X-ray imaging may be required in some cases to diagnose the underlying cause
- MRI and CT scan may help in identifying injuries to the soft tissue structures
Treatment
In most cases, Stiff Neck is not a serious condition and the symptoms can be managed through conservative treatment methods. These may include the following:
- Heat pads may be used around the affected area to alleviate stiffness and pain
- Ice packs may also be applied to prevent infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।" data-rx-term="inflammation" data-rx-definition="Inflammation is the body’s response to injury, infection, or irritation, often causing pain, swelling, heat, or redness. সহজ বাংলা: শরীরের প্রদাহ; ব্যথা, ফোলা বা লালভাব হতে পারে।">inflammation and improve blood circulation
- Pain killers and anti inflammatory medicines may be prescribed by the orthopedic doctor
- Avoid using laptop and maintain a good posture till the pain subsides
- A soft neck collar may be helpful but it should be used only for a couple of days
- Use a soft pillow to rest the head
- Gentle exercises may be helpful in improving flexibility of the neck and upper body
