Chronic Neck Pain

Client Education Material

2008

Chronic Neck Pain

Chronic pain can be defined Chronic pain can be defined as pain that lasts beyond as pain that lasts beyond the time that natural the time that natural healing is expected to occur healing is expected to occur (greater than 6 months), in (greater than 6 months), in this case it pertains to the this case it pertains to the neckneck

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Do physical therapists know anything

about chronic neck pain?

YESYES

How will a PT determine your condition?

They will have you answer questions to give They will have you answer questions to give them information about your pain and them information about your pain and symptoms (NDI – Neck Disability Index, VAS- symptoms (NDI – Neck Disability Index, VAS- Visual analog scale and NRS- numeric rating Visual analog scale and NRS- numeric rating scale)scale)

They will also possibly use a technique termed They will also possibly use a technique termed manual therapy to assess your conditionmanual therapy to assess your condition

A PT will also assess your strength, flexibility A PT will also assess your strength, flexibility and range of movement and range of movement

BUT MOST IMPORTANTLY!

A PT will perform all of these

assessment skills in combination

What kind of treatments can I

expect from my PT?

Well, based on the evidence and the problem, it may be

one or a combination of the following:

Exercises forExercises for coordination, coordination, strengthening, strengthening, enduranceendurance

Manual therapy Manual therapy

Physical Physical therapists will therapists will counsel, educate, counsel, educate, motivate motivate

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Treatment Continued…

Specifically, ergonomic Specifically, ergonomic counseling- tips, tricks counseling- tips, tricks and adjustments to your and adjustments to your workplace, home, or workplace, home, or vehicle. These can vehicle. These can address improper body address improper body mechanics that may be mechanics that may be a cause of your neck a cause of your neck painpain

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Family involvement and Social Support- Prognosis

Current research has stated that:Current research has stated that:

Family members should be included in the treatment, Family members should be included in the treatment, and therapeutic relationships should be developed with and therapeutic relationships should be developed with each member of the family.each member of the family.

Effective communication and interaction within the Effective communication and interaction within the family should be promoted.family should be promoted.

Families should discuss perceived changes in the family Families should discuss perceived changes in the family and any associated fears.and any associated fears.

Support and Chronic pain continued…

Feelings of distance and isolation should be Feelings of distance and isolation should be addressed.addressed.

Families should be encouraged to engage in Families should be encouraged to engage in activities together to facilitate bonding.activities together to facilitate bonding.

Sexual intimacy concerns should be Sexual intimacy concerns should be addressed and clients should be encouraged addressed and clients should be encouraged to seek support from peers.to seek support from peers.

Prognostic factors Some of the following factors Some of the following factors may increase your risk for may increase your risk for developing or be an developing or be an indication of persistent neck indication of persistent neck pain:pain:

Age > 40, history of back and Age > 40, history of back and neck pain, cycling and taking neck pain, cycling and taking time off of work due to neck time off of work due to neck pain, poor quality of life and pain, poor quality of life and recurrent headaches. recurrent headaches.

Your own perception of ability Your own perception of ability to recovery, pain intensity to recovery, pain intensity and neck dysfunction.and neck dysfunction.

Concluding thoughts…

Chronic neck pain can be assessed and treated by a PTChronic neck pain can be assessed and treated by a PT

There are factors that can increase your risk for There are factors that can increase your risk for developing chronic neck paindeveloping chronic neck pain

Assessment will include a variety of tests, verbal and Assessment will include a variety of tests, verbal and written questionnaires.written questionnaires.

Treatment will include a combination of interventions; Treatment will include a combination of interventions; specific strength training, manual therapy, patient specific strength training, manual therapy, patient counseling, and conventional physical therapy counseling, and conventional physical therapy

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