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Radiculopathy

Cervical Nerve Root Compression, or Cervical Radiculopathy, is when the root of a nerve exiting the cervical spine is compressed or impacted. This causes pain and/or associated symptoms to be felt either in the arm or at the neck.

As the nerve has become impacted, it is possible for weakness, numbness or abnormal spinal reflexes to be felt. There are many different causes of Cervical Nerve Root Compression, including disc bulges, osteophytes and disc degeneration.

Thoracic Outlet Syndrome

The Thoracic Outlet is the main passage that your neural, arterial and venous structures take as they leave/enter the trunk/ arm. Its borders are made up of the clavicle and its articulation with the acromio-clavicular joint, the upper ribcage and the surrounding musculature.

Through structural injury or change, as well as through biomechanical change, the Thoracic Outlet can compress or irritate these neural structures or blood vessels, causing Thoracic Outlet Syndrome.

Wry Neck

Wry Neck is a condition that causes the joints in your neck to become stiff and sore, and the muscles to go into spasm.

It is often a very sudden onset, and people will describe waking with their neck in this condition with no warning.

FAQ

In a large majority of cases, yes. Your physiotherapist will need to assess your neck, head and spine to identify if there may any medical or structural damage that needs to be seen to. This is very rare, and only seen in a small percentage of patients. For most cases, your physiotherapist will be identifying the very treatable dysfunctions and factors that are contributing to your neck pain. Once assessed, improvement is generally rapid and we normally see a full resolution within 12 weeks.

Not in most cases. If your physiotherapist feels that there may be a medical reason for your neck pain, or there is a structural impairment that needs to be further investigated, then a medical image scan may be required. Your physiotherapist will advise if this may be the case, and will help to liaise with your GP if a referral or medical investigation is required. If you already had a scan, that’s fine, bring it in with you to your physiotherapy session and your physio can go through the results with you.

The short answer is yes. Its is fairly common for structures in the neck to be able to cause a headache or even symptoms of migraine. The most common cause of this is Cervicogenic Headache. This is when structures between C1-3 (the top 3 joints in your neck) become irritated, and they then refer pain into the head via their attachment to the brainstem. Less frequently, muscle knots around your neck and shoulders can refer pain into the neck or head. Both of these types of pain referral are very treatable. Talk to your physiotherapist about organising an assessment.

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