Back Clinic Neck Treatment Team. Dr. Alex Jimenezs collection of neck pain articles contain a selection of medical conditions and/or injuries regarding symptoms surrounding the cervical spine. The neck is made up of various complex structures; bones, muscles, tendons, ligaments, nerves, and other types of tissues. When these structures are damaged or injured as a result of improper posture, osteoarthritis, or even whiplash, among other complications, the pain and discomfort an individual experiences can be impairing. Through chiropractic care, Dr. Jimenez explains how the use of spinal adjustments and manual manipulations focuses on the cervical spine can greatly help relieve the painful symptoms associated with neck issues. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
Spinal injections are exactly what the name says. They are administered direct injections of medicine/s in a specific location of the spine. These are used to treat various conditions affecting the spine when non-invasive treatment/s are not working.
This could be an area along the upper cervical/neck spine all the way down to the sacrum. Injections are also utilized in helping to diagnose neck or back pain that radiates or spreads into an individual�s arms and legs. These are known as:
Cervical radiculopathy
Lumbar radiculopathy
Spinal injection/s for diagnostic or treatment purposes could be a part of an overall treatment plan along with chiropractic/physical therapy and possible medication.
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The medicine in the injection
The medicine could be comprised of a local anesthetic on its own, steroid on its own, or a combination of the two. Steroids are short for corticosteroid, which is a strong anti-inflammatory medication. A contrast dye like an x-ray dye could be added to the injection mix. This dye acts as a guide for precise placement of the needle using image guidance.
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Spinal disorders that could benefit
Proceeding with an injection treatment plan is based on an individual’s unique factors that apply to their condition/state. This decision will be made after consultation, and diagnosis with your doctor, spine specialist, or chiropractor.
Healthcare providers recommend conservative treatment first. A treatment plan typically runs around 4-6 weeks. If there is no change or improvement in the individual’s condition from the conservative therapy then injection treatment/s could be recommended. Conditions, where injection/s are used, include:
Disc herniation
Facet joint pain
Failed back syndrome
Sacroiliac joint pain
Sciatica
Spinal stenosis
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Spinal injection and nerve block difference
Spinal injections are a general term that could mean any type of injection involving the spine. Nerve blocks are a precise type of injection that targets a specific nerve. As the medicine is injected into the target nerve/s, it blocks or creates a blockade of the pain signals being sent from the area (ex. neck, low back, etc.) that is generating the pain.
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Injection types
Epidural
An epidural means an injection on the dura. The dura is the outermost layer that encloses the spinal cord. �
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3 types of epidurals. They are named according to the direction and angle the needle takes to get to the dura.
Caudal epidural:
The spinal canal ends at an opening at the end of the sacrum called the spinal hiatus. The medicine is injected into the epidural space through the sacral hiatus. This is the method that is used to provide anesthesia to pregnant women when they’re in labor. �
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Transforaminal epidural:
There are nerve roots that come out of the spinal canal at each level through a bony opening called the intervertebral foramen or neuroforamen. The medicine is injected into the epidural space in these areas.
Interlaminar epidural:
The lamina is a section that forms the arch of each level and forms the spinal canal. The lamina at each level lays on top of the lamina right below. The needle is inserted between the lamina for delivery of the medicine into the epidural space. �
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Selective Nerve Root Block – SNRB
These involve the injection of a local anesthetic onto a targeted nerve. They are typically used for diagnostic purposes. For individuals with multi-spinal compression/s, these combined with:
Medical history
Physical exam
MRI
These can help identify the pain generator such as spinal stenosis.
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Medial Branch Block – MBB
The facet joints are bony projections that connect a vertebral level to the levels above and below. These can become arthritic and is responsible for different forms of back pain.
This type of spinal injection is local anesthetic injected on the medial branch nerves. These are the nerves that send pain signals from the facet joint/s. They are useful in determining if the facet joint is the pain generator. �
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Facet Joint
These are injections directly into the facet joint itself. Much like injecting anti-inflammatory and pain meds into a knee with arthritis.
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Sacroiliac Joint
The two sacroiliac joints help connect either side of the sacrum to the hip joint. Like other joints, these can get inflamed and cause painful symptoms. This is an injection directly into one or both of the sacroiliac joints.
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Administration of the spinal injection or nerve block
Injections are only to be performed by doctors trained specifically in spinal injections. Injections are usually performed by an:
Anesthesiologist
Neurologist
Neurosurgeon
Orthopedic surgeon
Physiatrist
Radiologist
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Role of these procedures
Reasons why an injection could be used:
Help as a diagnostic to identify the pain generator
Therapeutically to provide pain relief
As a prognostic pain predictor of the relief, an individual could expect from a more invasive procedure like nerve ablation.
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How often
A maximum of 6 injections for one year is the recommended treatment protocol. Each injection should be based on the effect/s of the previous injection.
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Potential benefits
The main benefit is to bring pain relief and the ability to function.
Major complications happen in less than one percent of those undergoing the treatment. Individuals with diabetes could see a temporary elevation of their blood sugar.
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Lasting effects
How long the medicine lasts is different for everyone and comes with variables like:
Type of injection
Type of pathology
Diagnosis
Cause
How long the symptoms last
Most can expect to have one and a half to three months of relief. However, with some, they may only provide minimal relief, while others may see improvements for up to a year.
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Treating Severe & Complex Sciatica Syndromes
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Dr. Alex Jimenez�s Blog Post Disclaimer
The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at�915-850-0900. The provider(s) Licensed in Texas& New Mexico*
A doctor could recommend alternative treatments, as part of aplan for neck pain like acupuncture, herbal compounds, and yoga. You may want to try them out yourself. Many have reported that these have really helped. Please consult a doctor before trying any alternative therapies. These are safe but should be set-up by a professional to make sure they are done safely. For example, there could be negative interactions between herbs, supplements, and other medications being used.
Acupuncture
This is an eastern approach to healing. Acupuncture focuses on the body’s energy force known as Qi or Chi. When the energy is blocked from flowing this is when physical illnesses develop. Acupuncture restores the healthy energy flow. It isn’t better or worse it is just different.
Herbal Medicine
There are herbal compounds that have proven to be useful for neck pain.
Capsaicin Cream
Capsaicin is a chili pepper extract and can help relieve neck pain. It temporarily reduces pain. Capsaicin cream can help with osteoarthritis and muscle pain, which both cause neck pain.
Devil’s Claw
Devil’s claw comes from southern Africa, where it has been used for centuries to treat fever, arthritis, and gastrointestinal problems. It is used for conditions that cause inflammation and pain, like cervical osteoarthritis.
White Willow Bark
White willow bark is how aspirin in Europe was developed. Synthetic versions like aspirin can irritate the stomach, which is why the natural white willow bark is used instead. It helps with conditions that cause pain and inflammation like osteoarthritis.
Massage
Neck pain can be caused by stress, overuse, and misuse. Misuse means like sitting hunched over a computer for too long every day will take its toll. Massage helps to release tension, relieve muscle inflammation, and pain. Regular massages could help as a preventative measure.
Yoga/Pilates
Yoga and Pilates can increase core strength, improve balance, posture, and reduce stress. These can all help deal with neck pain/ prevent neck pain when done correctly and safely. Neck pain relief can be found with these treatments. Treatments that focus on relieving tension or stress can prove especially helpful if the pain is related to tight muscles and the physical effects of stress.
These alternative treatments could work at their optimal in combination with other therapies. This is to fully address the underlying spinal condition/root cause, along with any other neck-related symptoms.
Steroid injections into the cervical spine can help with�radiating�neck pain. Neck pain affects people all over the world. Although it is not as common as back pain, neck pain can really take a toll on a person�s quality of life and ability to work.� This comes in the form of:
Sleep problems
Radiating/Spreading pain
Mental health issues and more
Much like back pain neck pain can be hard to treat effectively without identifying the root cause known as the pain generator. If natural treatments like chiropractic aren’t working then injections could be the next phase.
Injections can help with:
Identifying the source/root cause of the pain as a diagnostic
Treats the pain as a therapeutic
The most commonly used are cervical epidural steroid injections,medial branch blocks (MBBs), and facet joint injections. Learn about what they are, what they treat, and the scientific research behind their risks and benefits.
Cervical Epidural Steroid
The phrase cervical epidural steroid injection:
Injection means that medicine is delivered through a needle.
Cervical means the cervical spine, which is the neck.
Epidural means the dura or outer layer of the soft tissue that encases the spinal cord, nerve roots, and cerebrospinal fluid. Epidural means the medicine goes into the space around the dura.
Spine specialists use image guidance with a contrast dye called fluoroscopy ensuring the medicine gets delivered to the proper area.
2 Types
The needle enters the space through a transforaminal approach or interlaminar approach. Words like epidural just refer to where the needle goes. These injections also called nerve root blocks, are performed by entering the epidural space through the opening where the nerve roots branch out. This space is known as the intervertebral foramen.
When it is called a selective nerve root block, this is for cases where multiple nerve roots are being compressed and the injection is being used in a diagnostic purpose to identify which nerve is the pain generator. The needle in an interlaminar epidural injection goes through the opening that exists between two adjacent vertebrae.
Candidates
Cervical epidural steroid injections may be appropriate for someone who has severe neck pain with:
Numbness
Weakness
Altered sensation in the arm, shoulder, or between the shoulder blades
Cervical epidural steroid injections are reserved as a second-line treatment for individuals that have neck pain that does not stop for more than 4 weeks despite conservative treatment like physical therapy, chiropractic, or medical pain management using NSAIDs or acetaminophen.
The source of the pain is usually what determines if injections are appropriate.
With a patient�s:
Past medical and surgical history
Pain history
Physical exam findings
Imaging Results like CT computed tomography scan, MRI magnetic resonance imaging or a nerve test like an EMG�electromyography test all can help in finding the source of the pain.
If a spine specialist thinks the nerve compression was brought on by a disc herniation, spondylolisthesis or the shifting of vertebral levels, scarring, or arthritic conditions is causing the pain, then an injection may be appropriate. If the pain comes from an infection or cancer, then this treatment is unlikely to be recommended.
Potential Benefits
The effects of injections are different for everyone, because of the variables:
The Duration of symptoms
The Cause of symptoms
Any Additional treatment
More than 50% will have at least 50% improvement in their pain for around 4 weeks. Then there are individuals that experience relief, up to 6 months. There are no significant differences in outcomes between the transforaminal and interlaminar approaches.
Overall alleviation from the pain is enhanced/improved when the injections are combined with a full-on treatment plan that includes physical therapy/chiropractic and pain medications.
Possible Risks
Common complications associated with injections are usually minor and temporary. These are:
Headache/s
Facial flushes
Light Headedness
Rash
Pain increase
Extended Numbness
Major complications are rare, but they can happen. These include�infection, paralysis, stroke, and death. However, this happens in less than 1% of individuals undergoing this treatment. These complications are thought to happen from direct spinal cord penetration of the needle, bleeding into the spinal canal, or the medicine inadvertently getting injected into the blood vessels. Surgical groups and facilities have strict guidelines to limit these complications.
This treatment is commonly used, and when done correctly can be a powerful tool in the treatment of persistent, severe neck pain. Everyone is different so if you are considering a cervical epidural spinal injection find a qualified spine specialist or consult with a chiropractor to find out if injections are necessary.
Reduce stress, reduce pain. Life creates stress, and while some stress can be good, too much causes health problems. Everyone experiences stress. However, now it is becoming a new normal in today�s hectic, fast-paced, high-pressure society. Most individuals equate stress with high blood pressure, heart attacks, or stroke. However, neck and back pain, insomnia, and weight gain can be stress-related, as well. And a lot of stress can make already-existing back/neck pain worse.
73% of individuals report experiencing stress-related psychological symptoms including anxiety and depression. These are not accurate numbers because most do not seek help for their stress issues. Stress symptoms should not be taken lightly. It is important to address the symptoms and find ways to reduce stress. Chiropractic is an effective stress reliever.
Stress
Financial pressures, kids, long work weeks, and medical problems are common anxieties. Prolonged stress can become chronic, which results in muscle tension that can feel stiff, achy and uncomfortable. Stress can develop into neck or back pain.
Stress is the state of:
Emotional
Mental
Pressure
Tension
That results from difficulties, adverse situations, or extremely demanding circumstances. The very nature of stress by definition makes it very subjective. A “stressful” situation for one person might not phase another. This makes it difficult to pin down a precise definition.
More often, the term stress is more often used to describe the set of symptoms that are caused by stress and those symptoms can be as varied as the people who experience them.
Symptoms
Stress symptoms can affect the entire body physically and mentally. Common symptoms include:
Anxiety
Chest pain
Depression
Fatigue
Gastrointestinal problems
Irritability
Lower back pain
Muscle tension
Overeating
Headache
Restlessness
Sleep problems
Unable to focus
Undereating
Health
Technically, stress itself does not have a negative impact on health. Some individuals deal with situations that others would consider to be stressful, yet they never exhibit symptoms. This speaks to the subjective nature of stress. Different people experience different symptoms and are a combination of stress symptoms, how the person handles those symptoms that adversely affect health.
Ultimately, stress symptoms can lead to some very serious conditions including:
Heart disease
Hypertension
Diabetes
Obesity
Cancer/s
Psychologically, it can lead to social withdrawal and social phobias and is directly linked to alcohol and drug abuse.
Tips
These can help you reduce stress, and reduce pain.
Vital Signs
Get a medical checkup if possible through Telemedicine and talk to a doctor/therapist about your stress, along with medical history. Side effects from medications (prescription or over-the-counter), herbal products, or other supplements can cause restlessness, insomnia, and anxiety.
Physical therapy combines pain-relieving non-invasive treatments with therapeutic exercise, posture correction, and preventive body mechanics.
Consider conversational therapy with a stress counselor, psychologist, or support group online.
Get Moving
Yoga and relaxation movements help reduce stress and stretch muscles. Viniyoga blends breathing and movement together to quiet body and mind. These movements are less precise and adapted to a person’s physical condition. Talk to a doctor about trying yoga or other stretches.
Swimming combined with a sauna or steam bathing can relieve stress-induced pain.
Take frequent stretch breaks to loosen up tight neck or back muscles.
Go for short walks at break or lunchtime to get the circulation going.
Learn to Relax
Kick back, put your feet up, and empty your mind of everything.
Wrap an ice pack and hot pack (or hot water bottle) individually in towels. Apply the ice pack for 10 minutes and then the hot pack for 5 minutes. Alternate several times.
Massage, aromatherapy and spa treatments you can do at home.
Aromatic massage oils containing eucalyptus can help ease muscle pain.
Meditation or visualization therapy combines meditation practices that focus on breathing and calming the mind.
Visualization techniques combine imagery with breathing exercises.
Take Control of the Little Things
Break up problems into smaller manageable pieces and work on resolving the easier parts first.
Learn your limits, how to delegate responsibility and not take the entire load on your shoulders so as not to get overwhelmed.
Allow yourself to fail, we all have to fail in order to learn in order to apply what was learned.
Eat and Drink for Life
Make mealtime less stressful. Pick nourishing foods, eat slowly, and savor each other’s company.
Caffeinated coffee, soda, and other drinks do not help reduce stress or promote restful sleep.
Avoid drinking at night because it can make falling and staying asleep a challenge.
Proper sleep or naps can help relieve stress.
Dealing with Stress Is Good for Your Back
We may not be able to control life’s stressors, but don’t let everyday demands interfere with your health. Incorporate exercise, relaxation techniques, and healthy foods to reduce stress and pain and promote stress prevention.
Reduce stress reduce pain with chiropractic
Chiropractic cannot get rid of stress, but it can help relieve stress symptoms. The more stress the body endures, the more sensitive it becomes to pain and physical imbalances. Chiropractic helps by bringing the body back into balance, aligning the spine, and relieving pain.
The simple act of aligning the spine helps relieve stress in the body that you may not even be aware of. The physical stress of a misaligned spine can exacerbate symptoms and make a person more susceptible to stressful stimuli in their environment. Chiropractic helps to improve circulation which is essential in relieving muscle tension and helps shuts down the fight or flight response allowing the body to rest and heal.
We are familiar with neck stiffness or a crick. This can prevent us from comfortably moving the head all around. A crick can cause the spine, and shoulders to feel rigid and stressed from not being able to turn around and could cause an upper or low-back strain from having to turn the whole body to look back or even just to the side. Chiropractic treatment is available and will help, along with some self-care therapies that can be done at home.
Crick in the Neck vs. Neck Stiffness
A crick in the neck is the same as a stiff neck. It develops when the neck muscles, tendons, and ligaments become strained/sprained. Most strains and sprains are minor but do cause inflammation/swelling of the neck�s soft tissues, which results in stiffness and, at times muscle spasms.
The symptoms
Cricks in the neck are uncomfortable, but not necessarily painful. If there is a pre-existing neck condition or injuries like whiplash the crick and stiffness could increase the uncomfortableness and generate pain.
The most common symptoms include:
Neck stiffness
Muscle stiffness
Reduced mobility affecting the neck�s range of motion
A popping sensation when trying to turn or tilt the head
Causes of a stiff neck or crick
There are different causes of neck stiffness. It can be a combination of things you can control and some you can�t.
Possible causes that you can control:
Poor posture working either sitting or standing for several hours without breaks or stretching.
Sleeping in a position that puts the neck in an awkward position or using a pillow that does not support the neck when sleeping.
Constantly looking down at a cell phone or tablet.
Stress and emotional tension can cause involuntarily tightening of the neck muscles and shoulders.
Heavy labor along with incorrect lifting techniques.
Reaching or having to look up/overhead for several hours like when painting a ceiling.
Possible causes that are out of your control:
Whiplash injury
Sports-injuries like a football stinger
Aging muscles and bones
Around 13% of cases the stiffness, and pain are caused by separate cervical spinal conditions, like:
Cold therapy reduces the swelling of soft tissues, like muscles and ligaments, while heat soothes the tightness by boosting blood circulation to the affected area. There are different products available that can deliver cold or heat to the neck and upper back.
Apply ice for 15 minutes each hour.
Apply heat therapy like a heating pad for 15 minutes every 2 or 3 hours.
Over-the-counter anti-inflammation medicines
Non-steroidal anti-inflammatory medications like ibuprofen and naproxen can help relieve inflammation and pain.
Because neck stiffness can be linked to lifestyle choices, individuals may find that they occur repeatedly. Simple neck stretches, chiropractic treatment, using a supportive pillow, and taking frequent breaks at your job can help prevent neck stiffness and keep you moving. These professionals have undergone extensive training in their field and are capable of treating neck pain effectively. So if you or a loved one are experiencing neck pain, give us a call. We�re ready to help!
Neck pain prevention can go a long way as long as you take proper care of your body, exercise, and practice healthy habits. Here are a few tips to help prevent neck pain before it begins. Neck mobility is a marvelous thing. The neck can move the head in various directions:
90� of flexion forward motion
90� of extension backward motion
180� of rotation side to side
Almost 120� of tilt to each shoulder
A lot of us are very familiar with a stiff neck or a crick in the neck. This stiffness prevents us from moving comfortably. A crick in the neck can cause the neck part of the spine to feel stiff, rigid and immobile. Fortunately, prevention and various treatments can help.
Prevention:
Standing and sitting properly maintains proper posture and keeps muscles working/healthy. If you begin to hunch over, correct it immediately as it can quickly lead to pain in the neck. Pay attention to how you stand and sit and the more you do this it will become a healthy habit.
Do neck and body exercises regularly and try for a 30-minute cardio workout 3-5 times week.
Staying within a healthy weight-range will keep your spine in top form as it carries the weight of your body, and not overstrain it, which can lead to all kinds of pain.
With healthy weight comes a healthy meal plan, not just for proper weight but to strengthen muscles, bones, enriching the blood and getting to optimal health.
Smoking can affect the bones and muscles in your cervical/neck area of the spine, as well as all the other areas of the body. Therefore it is time to quit.
Sleep with correct head and neck posture. Sleeping with your head in an awkward position is an easy set-up for a strain and pain.
Stress and tension reduction.�Tense muscles in the neck and shoulder often lead to pain in the neck. A few effective ways to reduce stress can be writing, talking to friends, exercising, walking, listening/playing music, art/crafts, cooking, reading,� and turn to these when the stress begins to build.
Driving safely and wearing seat belts can help prevent whiplash.
Using the proper equipment to protect your neck while participating in sports that can lead to neck injuries like football, skateboarding, wrestling, soccer is a must.
Taking care of your body is a complex process. Lifestyle changes pave the way to wellness and making these changes will benefit more than just the neck.
Don’t worry about the list and try to check everything off. Look at the things that apply to you and try to implement a few of these tips one at a time. Keep the bigger changes like quitting smoking/losing weight in the foreseeable future. It takes time, patience and commitment. With a little hard work, it will pay off, and you should have a healthier life with less neck pain episodes and remember prevention is key.
Massage
This is a popular therapy that relieves:
Aches
Fluid retention
Inflammation
Muscle tension
Pain
Spasms
Stiffness
Other benefits include improved blood and lymph circulation, flexibility, range of motion, and increased tissue elasticity.While increasing circulation the muscles are warmed along with other soft tissues like tendons and ligaments.
Swedish
It is one of the most popular massage types in the US. Usually, therapeutic muscle lotion or oil is used to reduce friction and relax the area/muscles as the therapist performs light stroking in one direction with deep pressure in another to relax and loosen the muscles and surrounding ligaments/tissues.
This takes the blood flow and flushes lactic acid, uric acid, and other waste products from the muscles. The ligaments and tendons get stretched, which increases their soft but firm/strong feel. The nerves are stimulated and relaxed, with any stress in the muscles taken away. Relaxing the muscles is the overall goal.
Deep Tissue
This technique aims at chronic muscle tension. The strokes are slower, using more intense direct pressure to release the built-up stress, knots, and tightness. Depending on how deep the muscle and tissue stress maybe, the therapist will adjust their hand positions, strokes, and intensity periodically to work the tissues releasing tension.
Relaxing the Muscles
The therapist using their hands or tools to rhythmically knead, rub, and stroke muscles, circulation begins muscle stimulation. This blood flow brings needed oxygen and nutrients and helps the muscles eliminate waste products, like lactic acid, that can collect in the muscles brought on by spasms, which cause pain.
El Paso, TX Neck Pain Chiropractic Treatment
NCBI Resources
Individuals with chronic neck pain that don�t seem to have a cause, could be trigger points. A doctor will refer you to a�physical therapist, chiropractor or another spine specialist�to conduct an examination for trigger points.
There are different types of topical medications, different ways of delivery and are available for patients with back and neck pain. A physician may combine one or more types of medication for maximum relief or as a way of�limiting the side effects of larger doses of only one medication. Strong dose compounds and controlled drugs are�only�available with a doctor’s prescription.
Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn’t mean they are safe to use as much as possible. Please read the label and follow the instructions. Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.
Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn’t mean they are safe to use as much as possible. Please read the label and follow the instructions. Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.
Inform your physician about all the products you take including herbal remedies to decrease the risk of side effects or potential severe drug interactions. When acute pain is present, injections either intravenous or intramuscular injected into the muscles are used. For chronic pain, medications are used and are typically in pill form. Both methods have limitations and different�delivery�approaches may be considered. This includes inhalation or topical on top of the skin applications.
Topical Pain Alleviators
These type of medications come prepared and are applied to the skin via:
Topical medications aim to reduce inflammation and soothe nerve and muscle pain. Some are available with a doctor’s prescription and others are over-the-counter. Medication administered�through the skin is becoming more popular.
Skin Cells
The skin is the largest organ of the body. It serves as�water barrier protection, it regulates body temperature, controls fluid loss, and is important to homeostasis/healthy internal balance.
It is made up of many layers and is supported by a complex blood supply. The blood vessels are in a framework of connective tissue including fat and fascia that holds the tissues together. Below that layer is the bone and muscle. There are also nerve endings that relay touch, temperature, and pain signals from the skin to the spinal cord, to the brain.
Compounds�have been developed to safely carry the various medicines through the skin into the blood. These compound enhancers are able to penetrate the skin by opening normally closed channels for a quick time to help the skin absorb the medication/s and then close back up.
Spine Pain
Spine physicians and pain specialists often first recommend topical pain-relievers to help relieve the symptoms of back and neck pain/conditions.
Topical medicines may be used to treat the pain associated with:
Neck strain
Low back strain
Whiplash
Muscle inflammation
Spasms
Osteoarthritis
Rheumatoid arthritis
Certain types of nerve pain
Topical Advantages
Bases like creams, ointments, gels, and sprays make application easy.
Symptom relief is faster than oral medicines.
Symptoms reduce at a steady rate.
Relief can last longer.
Not as much medicine is needed when applied in topical form.
As the medication is diffused through the skin and enters the bloodstream, it bypasses the digestive system reducing any unwanted�side effects, like an irritated stomach.
Topical Disadvantages
Blood flows in different ways to different parts of the body. Education about the product is essential to know where to apply the product like the arm or abdomen and how often.
Blood flow to certain parts of the body can change over time. For example, when it’s cold the blood vessels in the skin contract which decreases the absorption of the medicine, while sweating can open the pores too much and allow too much medication to be absorbed too quickly or wash it away completely.
The skin could present a negative reaction. Therefore patients need to know what to do if an allergic or other reaction takes place.
The skin nerves are different from the spinal nerves, so certain types of neck/back pain may not respond well to topical treatment.
Spinal conditions/disorders deep in the body will not respond well to topical therapy.
Is it right
Are topical pain-alleviating medications the right for you? The best person to ask is your doctor or healthcare provider. Upon a final diagnosis and medical history, your doctor should offer various treatments/therapies for pain management.
Conclusion
Patches and creams can be used to deliver a wide variety of medications. These topicals are becoming popular because of their convenience and, reduction of negative side-effects.
For individuals with muscle or tendon inflammation, applying a topical to the affected area limits the amount of medication going to other areas of the body that do not need it.
For those that have stomach problems and find it difficult to digest anti-inflammatories, these topicals could be all they need to stay active.
Individuals with chronic neck or back pain should discuss these medications with their pain specialist, physician or chiropractor to see if one of these topicals might work for them.
El Paso, TX Neck Pain Chiropractic Treatment
NCBI Resources
Everyone needs to take care of their back/spine because it is what holds us up as long as we keep it straight and strong.�Strengthening the core�can help prevent�a weak and misaligned spine from getting worse�and helps to eliminate pain.
Back safety should be priority one, as it affects all aspects of your life. Not only are you protecting your back, but are preventing future injury. We all need to pay attention to proper body positioning and�body mechanics, as it will pay off in the long run.
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