backandneck.about.comCauses, Diagnosis and Treatments for Back and Neck Pain

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Description:Back and neck pain can have a variety of causes. Learn how to work with your healthcare provider for a diagnosis and explore treatment options for...

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Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Ⓒ 2024 Dotdash Media, Inc. — All rights reserved Back & Neck Pain Common Causes of Back and Neck Pain By Anne Asher, CPT Updated on April 03, 2024 Medically reviewed by Stuart Hershman, MD Print Table of Contents View All Table of Contents Symptoms Causes Who’s at Risk? Diagnosis Treatment Causes of back and neck pain can include anything from a sudden injury to age-related changes over time. Spine-related pain is very common, with low back pain affecting up to 80% of people at some time in their lives. Low back pain is about twice as common as neck pain . Pain, stiffness , muscle spasms , and other symptoms can last for a short time after you pull a muscle playing sports or lifting a heavy object. However, chronic back and neck pain can be related to a more serious condition, and managing pain can require pain medication or even surgery . This article presents some of the reasons why your back and neck may hurt. It explains how your healthcare provider may diagnose these back and neck pain conditions, and why some people may be more at risk for back and neck pain. Stephanie Horrocks/Getty Images Back and Neck Pain Symptoms There are many ways to describe back or neck pain, and the description often involves specific sensations, timing, and exacerbating or relieving factors. Some common ones include: Muscle pain ( myalgia ) Muscle spasm Shooting pains Pain radiating down your leg ( referred pain ) Pins and needles sensations Numbness in your leg Neck or back dysfunction (i.e., can’t stand straight or twist neck) Pain gets worse with activity Pain gets better when lying down Stiffness of back or neck Loss of bowel or bladder control ( urinary incontinence ) Acute vs. Chronic Neck and Back Pain Recent or sudden onset of pain is defined as acute and typically resolves within three months. Pain lasting longer than three to six months is known as either chronic or persistent pain. Treatment can be important in preventing a transition from acute to chronic pain. One review of 5,233 people with lower back pain found a third progressed from acute to chronic pain at six months. Lower Back Pain: What Causes Symptoms in Lumbar Spine Location The location of back and neck pain depends on the specific area of the spine that is affected. Back pain can occur in the following areas: The neck is made up of seven cervical vertebrae . It is defined as the part of the spine extending from just below the base of your skull (which is approximately at the level of the bottom of your earlobe) down to the top of the first thoracic vertebrae. The mid and upper back extends from just below the seventh cervical vertebra down to the bottom of the 12th thoracic vertebra, which lines up approximately with the tenth rib (the third from the bottom). The low back is the area corresponding to the lumbar spine , which starts below the 12th thoracic vertebra and extends down to the top of the sacrum, which is almost mid-way down between the two halves of the pelvis. Sacroiliac and coccyx pain mainly takes the form of sacroiliac joint dysfunction. The coccyx bone is your tailbone. It is the last bone of the spine and attaches down at the bottom of the sacrum. How to Describe Your Back Pain to Your Healthcare Provider Why Does My Neck and Back Hurt? There are many causes of back and neck pain. Sometimes, you can have more than one cause. Habits and Aging Degenerative, changes in spinal structures occur due to age, repetitive use, and wear and tear over time. This is a common cause of chronic back and neck pain. These may lead to spinal osteoarthritis , foraminal stenosis , and possibly spinal stenosis. Osteoporosis is a disease that occurs due to thinning of the bones, and it can lead to compression fractures of the vertebrae. Trauma or Strain An accident or trauma can lead to severe neck and back pain, due to a herniated disc, muscle sprain, ligament strain, spinal fracture, or spinal cord injury. Up to 20% of all sports injuries involve a neck or lower back injury. These sudden, acute injuries can lead to chronic back problems due to repetitive stress over time. Common Types of Sports Injuries Structural Problems The disks that cushion your vertebrae can rupture or bulge (herniate) and may press on the spinal nerves . Irritation of a spinal nerve is called radiculopathy and can result in pain, weakness, numbness, and/or electrical type sensation that goes down one arm or one leg. Arthritic (degenerative) changes in the spine, such as facet joint hypertrophy , spinal stenosis, and bone spurs may also cause these symptoms. Posterior Disc Bulge vs. Herniated Disc Genetic and Congenital Conditions Genetic and congenital causes can cause neck and back pain as well. One example of a congenital spine condition is Spina bifida is one example of a congenital spine condition. Scheuermann’s kyphosis , a deformity that affects some teenagers, is another example of a genetic spinal condition. Effects of Spina Bifida in Children and Adults Systemic Problems More rarely, neck or back pain is caused by systemic problems such as inflammatory diseases, infections, tumors, or cysts. Your diagnostic workup may include screenings to identify signs of a systemic problem, especially if you have risk factors for these conditions. Who’s at Risk for Back and Neck Pain? You may be at a higher risk for neck or back pain if any of the following apply: You are female. You’re overweight or obese . You smoke. You have osteoporosis. You exercise too much or not enough. Other risk factors can include income and education level, an urban location, high stress levels, and emotional difficulties (anxiety or depression). On-the-job factors play a big role in neck and back pain risk, too. If you’re dissatisfied with your job, you lack support from your co-workers or bosses, or your job involves subjecting your body to vibration (for example, operating a jackhammer), you may have a higher likelihood of neck- or back-related pain. Office workers tend to get more neck pain than other types of workers. The 8 Best Office Chairs for Back Pain, Tested and Reviewed Diagnosing Back and Neck Pain During your evaluation for neck pain, your healthcare provider will look at your medical history and do a physical exam . Diagnostic imaging such as X-rays and sometimes magnetic resonance imaging (MRI) may be needed. However, this full workup may be an unnecessary expense if it isn’t warranted. Interestingly, a 2016 study published in The Permanente Journal found that people with public insurance got spine MRIs more frequently than those...

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