Dr. Balachandran

Your knee is a very complex structure consisting of bones, ligaments, cartilage, tendons, muscles and meniscus. Most people encounter knee pain at some point in their lives. If your knee pain is chronic in nature, then it may last for a prolonged period.

Many causes may be responsible for your knee pain. Some of the causes are stated as follows:

1. Your knee is very much prone to injuries. Knee injuries may happen due to accidents, falling down carelessly or while playing sports. The most common knee injuries that may be the cause for your knee pain are mentioned as follows: 

• Fractures may cause you to feel pain in the areas of your knee bones.
• Anterior Cruciate Ligament injury (ligament injury caused by twisting and a sudden motion) or Medial Collateral Ligament injury (injury to the tissue in the insides of your knee) is very common to sportspersons and may be the reason for severe knee pain.
• Sometimes your knee bones may get dislocated from their usual alignment. This can also make you experience severe knee pain.
• Ligament injuries, meniscus tear or tendon tear can also be responsible for your knee pain.

2. Sometimes pain in your buttock or foot region can also result in mild knee pain.

3. At times chronic problems like osteoarthritis that affects the cartilage can cause the problem of knee pain. Other chronic problems like Gout, rheumatoid arthritis can also cause severe knee pain.

4. Being overweight can also result in knee pain.

The symptoms of knee pain may be different in each case. The most common symptoms are mentioned below:

• Stiffness of knee
• Swelling of your knee
• You may also feel unstable
• Difficulty in walking or bending of your knee.
• You may notice redness in your knee area.

Knee pain must not be ignored. It is highly recommended for you to seek advice from an orthopedic as soon as you encounter any of the above mentioned symptoms.

Movement of the head and neck is enabled by the various joints in this region, the main role being played by the cervical spine. This is a part of the vertebra or the spine and supports the head and neck in all movements. There are cervical vertebrae, ligaments, muscles, and nerves which ensure this movement happens smoothly. However, given the complexity of the whole structure, head and neck pain are also two of the most common joint pains.

The Neck Bone’s Connected to the Head Bone…

The vertebrae of your neck (cervical spine) support the weight of your head and all its motions, which may not seem like much – until you realize your head weighs as much as a bowling ball. When your neck bones are not positioned properly, the result is tightening of the muscles and irritation of the nerves that connect with your head. Your head and neck symptoms may include some or all of the following:

1. Sharp or dull pain or discomfort in your neck
2. Stiffness in your neck
3. Inability to turn your head to one side
4. Headache
5. Shoulder pain
6. Jaw pain

Fortunately, you don’t have to live with head and neck pain – and you don’t have to take drugs to eliminate the pain. 

Causes:

The causes for head and neck pain can range from muscle strain to arthritis to pinched nerve to cancer.

1. Posture problems: Not providing adequate support when being seated grows to be a menace. With the changing lifestyle where people end up staring at a monitor, there is tremendous stress on the neck muscles, leading to pain and stiffness. There is also loss of flexibility, leading to a stiff neck and headaches.
2. Muscle strain: This can occur due to a sudden movement, either when doing something or as a result of accident (like a whiplash injury). The muscle can be torn or injured and this can result in pain, swelling, and inflammation of the affected area.
3. Stress: One of the most common identifier of stress is the constant ache/nagging pain in the back of the neck.
4. Disk herniation: When the disk is moved out of its space due to excessive movement and rotation, the disk gets herniated and the nerve gets ‘pinched.’ This can cause a sharp, shooting pain to the area where the nerve emerges out of that disk.

Spondylitis, arthritis, etc., are other chronic inflammatory conditions which can affect the neck and head areas.

Side effects:

When there is pain in the head and neck area, the whole body function is affected. The movement is limited and therefore vision, neck movements, and other functions are affected. This, in turn, affects the overall quality of life.

Management:

1. Identify the problem with a thorough examination, X-ray, and if required soft tissue examination.
2. Ice the area for relief of pain temporarily.
3. Improve ergonomics in terms of height of the monitor, seat/chair, etc., so the strain is minimized.
4. Develop an exercise regimen, which gives adequate exercise to the head and neck muscles.
5. Manage stress. Be it physical, chemical, or emotional stress, it takes a toll on the head and neck area. Managing the stress (there is no escape from it!) will definitely see the pains and stiff neck go away.
6. Engage in pain management, which is holistic (as above) and does not always resort to medications.

In case you have a concern or query you can always consult an expert & get answers to your questions!

A stinging pain in the neck that makes you feel broken from the neck joint could be a reason to worry. It is often accompanied by an aching head or a throbbing shoulder joint. Neck pain, such as this occurs due to an injury in the area resulting from sudden back and forth movement of the neck. It is referred to as whiplash as the nature of the pain and subsequent discomfort resembles the snapping of a whip. The pain is more like a sprain, but not exactly so. This can affect athletes or even any person in general who has faced an accident in recent past. Whiplash is characterized by a tearing of ligaments and tendons that connect one bone to another.

Causes of Whiplash:

1. Sports that involve contact: Any extracurricular activity involving collisions or other forms of physical contact can cause neck injuries. Football and rugby players frequently suffer from Whiplash.
2. Road accidents: Public transport has a host of disadvantages. Reckless driving can make the tendons of your neck tear. Auto accidents cause immense strain on your neck; it can also lead to Whiplash.
3. Any kind of physical abuse: If you have gotten into a violent fight with someone your neck could suffer from a Whiplash. Instances of physical abuse where the neck is jerked or punched at can also result in neck strains. Domestic violence often leads to instances of neck strains.

Symptoms related to this condition:

1. You may or may not suffer from tinnitus. Tinnitus is a physical disorder where you hear ringing sounds. It is quite distracting.
2. Your vision might get blurry.
3. You can experience irregular sleep patterns.
4. You can find it hard to concentrate on any one thing for more than a while.
5. You can grow irritable at the drop of a hat.
6. Your memory may fail you. You might find it next to impossible to trace back a day's activity.

Some of the other direct symptoms are:

1. Your neck might turn stiff preventing you from moving it left, right, up or down.
2. Pangs of pain can be felt in and around your shoulders.
3. Your upper arms can grow numb and tender.
4. Your head can spin repeatedly or you could feel dizzy.
5. Whiplash can also result in serious fatigue.