Back and Neck Pain

Find Help for Back and Neck Pain

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Relief from neck pain Hartford trusts, relief from back pain Hartford usesThe Spine Institute of Connecticut at Saint Francis
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Hartford, CT 06105
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What is low back pain?

Low back pain can range from mild, dull, annoying pain, to persistent, severe, disabling pain in the lower back. Pain in the lower back can restrict mobility and interfere with normal functioning and quality of life. 

What is neck pain? 

Neck pain occurs in the area of the cervical vertebrae in the neck. Its location and range of motion leave the neck unprotected and often exposed to injury. 

Back or neck pain can be acute, meaning it arises suddenly and intensely, or chronic, lasting for weeks, months, or even years. Back and neck pain can occur continuously, or they can be intermittent. 

What causes back and neck pain?

The precise cause of back and neck pain may be difficult to determine, even when advanced diagnostic technologies are used. Many times back and neck pain is a symptom of a variety of causes, including any of the following: 

  • Overuse, strenuous activity, or repetitive or heavy lifting 
  • Trauma, injury, or fractures 
  • Degeneration of vertebrae, which is often caused by stresses on the muscles and ligaments that support the spine, or the effects of aging 
  • Infection 
  • Abnormal growth, such as a tumor or bone spur 
  • Obesity, which increases weight on the spine and pressure on the discs 
  • Poor muscle tone 
  • Muscle tension or spasm 
  • Sprain or strain 
  • Ligament or muscle tears 
  • Joint problems, such as arthritis 
  • Smoking 
  • Protruding or herniated (slipped) disc and pinched nerve 
  • Osteoporosis and compression fractures 
  • Congenital (present at birth) abnormalities of the vertebrae and bones 
  • Abdominal problems, such as an aortic aneurysm  

How can back and neck pain be prevented?

The following may be helpful: 

  • Practice correct lifting techniques 
  • Properly use telephones and workplace computers and other equipment 
  • Maintain correct posture while sitting, standing, and sleeping 
  • Participate in regular exercise with proper stretching beforehand 
  • Avoid smoking 
  • Maintain a healthy weight 
  • Reduce emotional stress that may cause muscle tension 

Rehabilitation for back and neck pain

A back and neck pain rehabilitation program is designed to meet the needs of the individual patient, depending upon the type and severity of the pain, injury, or disease. Active involvement of the patient and family is vital to the success of the program. 

The goal of back and neck rehabilitation is to help the patient return to the highest level of function and independence possible, while improving  overall quality of life — physically, emotionally, and socially. The focus of rehabilitation is on relieving pain and improving mobility (movement). 

In order to help reach these goals, back and neck rehabilitation programs may include the following: 

  • Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance 
  • Help with obtaining assistive devices that promote independence 
  • Patient and family education and counseling 
  • Pain management techniques 
  • Smoking cessation counseling 
  • Gait (walking) and movement retraining 
  • Stress management 
  • Nutritional counseling 
  • Ergonomic assessments and work-related injury prevention programs 
  • Vocational counseling 

Generally, there are 3 phases to back and neck pain rehabilitation: 

Phase I:
Acute Phase

During this initial phase, the physiatrist, orthopedist, and the rest of the treatment team focus on making a diagnosis, developing a treatment plan, and starting treatment to reduce the pain and inflammation. This may include some of the items listed above and possibly the utilization of ultrasound, electrical stimulation, or special injections. 

Phase II:
Recovery Phase

Once the initial pain and inflammation are reduced, the rehabilitation team then focuses on helping the patient restore function. This includes returning the patient to normal daily activities, while starting an exercise program that is designed to help the patient regain flexibility and strength. 

Phase III:
Maintenance Phase

The goal of this phase is 2-fold: educating the patient on ways to prevent further injury and strain to the back and neck, and helping the patient to prevent further injury by improving strength and endurance. 

The back and neck rehabilitation team

Back and neck rehabilitation programs can be conducted on an inpatient or outpatient basis. Many skilled professionals are part of the back and neck rehabilitation team, including any or all of the following: 

  • Orthopedist/orthopedic surgeon 
  • Neurologist/neurosurgeon 
  • Physiatrist 
  • Internist 
  • Rehabilitation nurse 
  • Registered dietitian 
  • Physical therapist 
  • Occupational therapist 
  • Social worker 
  • Exercise physiologist 
  • Psychologist/psychiatrist 
  • Recreational therapist 
  • Case manager 
  • Chaplain 
  • Vocational counselor