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Sir I am taking dexona and syproheptadine from 2 year one daily. now m feeling big pain my whole back and problem in breathing some time and very low diet now. What to do.
A sudden-onset (acute) bout of neck pain is common. Two out of three of us will have neck pain at some time in our lives. In most cases it is not due to a serious disease or neck problem and often the exact cause for the pain is not clear. This is called 'nonspecific neck pain'. Most are probably due to minor sprains or bad posture. Full recovery occurs in most cases. The usual advice is to keep the neck active. Painkillers are helpful until the pain eases. Persistent (chronic) pain develops in some cases, and further treatment may then be needed.
Understanding the neck
The back of the neck includes the cervical spine and the muscles and ligaments that surround and support it. The cervical spine is made up of seven bones called vertebrae.
- The first two are slightly different to the rest, as they attach the spine to the skull and allow the head to turn from side to side.
- The lower five cervical vertebrae are roughly cylindrical in shape - a bit like small tin cans - with bony projections.
The sides of the vertebrae are linked by small facet joints.
Between each of the vertebrae is a 'disc'. The discs are made of a tough fibrous outer layer and a softer gel-like inner part. The discs act as 'shock absorbers' and allow the spine to be flexible.
Strong ligaments attach to adjacent vertebrae to give extra support and strength. Various muscles attached to the spine enable the spine to bend and move in various ways. (The muscles and most ligaments are not shown in the diagram, for clarity.)
The spinal cord, which contains nervous tissue carrying messages to and from the brain, is protected by the spine. Nerves from the spinal cord come out from between the vertebrae in the neck to take and receive messages to the neck and arms. A major blood vessel called the vertebral artery also runs alongside the vertebrae to carry blood to the rear (posterior) part of the brain.
What are the types and causes of neck pain?
Neck pain is common. About 2 in 3 people develop a bout of neck pain at some time in their lives. One survey done in the UK found that, of adults aged 45-75 years, about 1 in 4 women and about 1 in 5 men had current neck pain. Types and causes of neck pain include:
Nonspecific neck pain
This is the most common type. This is sometimes called 'simple' or 'mechanical' neck pain. Often the exact cause or origin of the pain is not known. It may include minor strains and sprains to muscles or ligaments in the neck. Bad posture may also be a contributing factor in some cases. For example, neck pain is more common in people who spend much of their working day at a desk, with a 'bent-forward' posture.
A 'whiplash' jolt to the neck
This is most commonly due to an accident involving a vehicle, such as a car crash. It can cause neck pain. See separate leaflet called Whiplash Neck Sprain for details.
Sudden-onset (acute) torticollis
This is sometimes called 'wry neck'. A torticollis is when the head becomes twisted to one side and it is very painful to move the head back straight. The cause of acute primary torticollis is often not known.
However, it may be due to a minor strain or sprain to a muscle or ligament in the neck. Some cases may be due to certain muscles of the neck being exposed to cold ('sleeping in a draught'). It is common for people to go to bed feeling fine and to wake up the next morning with an acute torticollis. The pain usually eases and clears away over a few days without any treatment.
How can I tell if the pain is due to a more serious cause?
A doctor's assessment and examination can usually determine that a bout of neck pain is nonspecific and not due to a more serious cause. The following are the sort of symptoms that may indicate a more serious problem:
- If neck pain develops when you are ill with other problems such as rheumatoid arthritis, AIDS, or cancer.
- If the pain becomes progressively worse.
- If some function of an arm is affected. For example, weakness or clumsiness of a hand or arm, or persistent loss of feeling (numbness). (As mentioned, some pins and needles may occur with nonspecific neck pain. However, this is mild and usually goes within four weeks.)
- If you feel generally unwell and have 'general' symptoms such as weight loss or a high temperature (fever).
- If the neck bones (vertebrae) are very tender (which may indicate a bone problem).
- If you develop any problems with walking or with passing urine.This may indicate problems with pressure on the spinal cord
Some other treatments which may be advised include:
- A good posture may help. Check that your sitting position at work or at the computer is not poor. (That is, not with your head flexed forward with a stooped back.) Sit upright. Yoga, pilates, and the Alexander Technique all improve neck posture, but their value in treating neck pain is uncertain.
- A firm supporting pillow seems to help some people when sleeping. Try not to use more than one pillow.
- Various treatments may be advised by a physiotherapist. These include traction, heat, cold, manipulation, etc. The value of each of these treatments is uncertain, as the results of research studies looking at which treatments work best can be conflicting.
- However, what is often most helpful is the advice a physiotherapist can give on neck exercises to do at home.
- A common situation is for a doctor to advise on painkillers and gentle neck exercises. If symptoms do not improve over a week or so, you may then be referred to a physiotherapist to help with pain relief and for advice on specific neck exercises.
Treatment may vary and you should go back to see a doctor:
- If the pain becomes worse.
- If the pain persists beyond 4-6 weeks.
- If other symptoms develop such as loss of feeling (numbness), weakness, or persistent pins and needles in part of an arm or hand, as described previously.
Other pain-relieving techniques may be tried if the pain becomes persistent (chronic). A pain management programme may be offered to help you control and live with your pain. Chronic neck pain is also sometimes associated with anxiety and depression which may also need to be treated.
I am using combiflam with zinetac tab for body pains daily morning and restyle 0.5 mg three tabs at 10.00 PM for sleeping are there any side effects if so what kind of side effects pl. Let me know without side effect medicine for the above problems.
Your neck is made of vertebrae that stretch out from the skull to the upper body. Cervical discs that lie between the bones absorb shocks. The bones, tendons, and muscles of your neck support your head and allow movement. Any injuries, swelling or damage can bring about neck pain or even stiffness.
Many individuals experience stiffness or neck pain once in a while. Usually, this occurs due to poor posture. At times, neck pain is brought on by injury from a fall, playing sports or whiplash. More often than not, neck pain is a normal condition and can be healed within a couple of days. Now and again, neck pain can show serious injury or damage and require a specialist's consideration. In case you have neck pain that lasts persistently for over a week, is serious, or is joined by different side effects, look for medicinal attention quickly.
Regardless of the possibility that you require medical treatment, for example, prescribed medicines for your neck pain, the following treatment measures will speed your recovery:
- While an ice compress is good for acute pain, heat therapy is recommended for more chronic pain. Use a warming cushion on a low or medium setting for 15 to 20 minutes every 2 or 3 hours. Take a warm shower instead of one of the sessions. You can purchase single-use heat wraps that last up to 8 hours. Use an ice pack for 10 to 15 minutes every 2 to 3 hours.
- Get back to your typical day-by-day exercises when you can. Movement helps your muscles stay solid. Stay away from tiring exercises like lifting and sports that can increase the pain and cause stiffness. Do stretching and neck strengthening activities to keep your neck flexible, strong and prevent stiffness. Stay away from or change any exercises that might bring about your neck pain, for example, sitting in front of your computers or television sets for a long time or doing an excess of overhead work at once. Delicately back rub or rub the region to alleviate pain and energize your blood stream. Try not to rub the damaged area in case it causes pain. Nonprescription creams or gels, may give pain relief.
- It can also be treated with the help of pain relievers
- ??Acetaminophen, (for example, Tylenol) can soothe the pain.
- Nonsteroidal calming medicines, ibuprofen, (for example, Advil) and naproxen, (for example, Aleve), can ease pain and reduce swelling.
- Practice good and healthy habits to improve your lifestyle.
- Attempt to decrease anxiety and pressure at work and home.
- Practice exercises that offer relaxation.
- Get gentle back rubs in intervals.
- Quit smoking. Smoking lowers down healing because it diminishes blood supply and delays tissue repair.
- Exercise regularly, including aerobics and walking.
- Practice a good posture.