Neck

Neck – Chapter 3

Routine – 7 “Sprained neck”

Routine – 8 “Stiff neck”

Routine – 9 “Neck pain while turning the head 1”

Routine – 10 “Neck pain while turning the head 2”

The treatment of neck pathologies Neck pains are extremely common, second only to lower back pains. The role of the neck is to support the head while performing a very large range of motions, putting the muscles and ligaments under extra pressure. The cervical spine is also less protected than the thoracic and lumbar portions of the spine and may be subject to many injuries: Poor postural habits, postural deviations, mental stress, repetitive overuse, and major or minor injuries can all be the underlying causes for neck disorders. Most cases of neck pains respond very well to the Thai Acupressure treatment routines. Severe conditions involving serious cervical joint pathologies that do not require surgery would also respond well to the Thai routines, though therapeutic results may be slower and less certain. Choose one routine out of the four according to signs relevant to the Thai diagnosis (see diagnosis table), regardless of the western medical definition of the condition. Whenever the symptoms of your client match the symptoms described by one of the Thai routines, try using it and observe your clients reaction. If your pressure is welcome by his body, your treatment may give good results. If you notice any improvement, carry on.

Contraindications and warnings

  • Direct pressure onto a pronounced protective spasm
  • Direct pressure on inflamed tissue
  • Pressure on sensitive lines and points that creates or aggravates the symptoms
  • Pressure that makes the client shrink or move away from your hands
  • Deep pressure along the neck of older clients

Red flags If these symptoms are present, the client should be referred to a physician for evaluation.

  • Recent severe trauma
  • Constant or progressive pain
  • Persistent pain without an apparent cause that has appeared suddenly
  • Constant radiating pain or shooting pain, burning or tingling sensations down the arm (especially when down both arms) or numbness or tingling in the fingers (especially in both hands). May be the sign of a serious nerve root compression.
  • A very pronounced neck rigidity and restricted movement, especially, when bending forward accompanied by a headache May be a sign of meningitis.
  • Any acute condition
  • Any unusual signs The following symptoms may indicate a neurological problem:
    • Headaches
    • Dizziness
    • Vertigo
    • Ringing in the ears or blurred vision
    • Difficulty concentrating or remembering
    • Irritability, sleep disturbances, fatigue
    • Radiating pain, numbness or weakness in the arms or legs, without significant neck pain
    • Loss of strength, stiff legs, or walking difficulties
    • Shooting pain, heat or cold radiating down the body and into the legs
    • Change in bladder or bowel habits, especially a sudden onset of incontinence
    • Shooting pain radiating to the shoulder, through the shoulder blades or down the arm, or numbness or tingling in the fingers

Routine 7 - "Sprained Neck" (page 58)

  • Chronic or acute pain is located at any or all points, but mostly at the area below C-7 and above the upper angle of the shoulder blade.
  • Pain is often two-sided, with one side more painful than the other.
  • When examined closely, no pain appears on the neck above C-7.
  • Pain radiates usually to points along the spine, level with the mid shoulder blade and sometimes to the medial border of the shoulder blade, the lateral border of the shoulder blade and the arms.
  • Pain increases while flexing the neck, bringing the chin close to the chest, and often while extending the neck.
  • Turning the head is often the most painful movement, mainly to one side.
  • When turning the face to the right, the pain will aggravate on the right (same) side and vice versa.
  • The posture of the neck may be distorted.
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Routine 8 - "Stiff neck" (page 60)

  • Chronic stiffness with or without pain is located at any or all of the therapy points, but mostly at the area below C-7 and above the upper angle of the shoulder blade.
  • The pain is not sharp, and the complaint is often more of stiffness and less of pain.
  • Pain or stiffness is two-sided, with one side often more painful than the other.
  • Pain radiates to points along the spine, level with the mid shoulder blade and sometimes to a point above the mid scapular spine.
  • Pain increases while extending the neck and looking at the ceiling. Most pain is usually centered at the crease of the neck.
  • Flexing the neck may be restricted and somewhat painful.
  • Stiffness is most often present while turning the face to both sides, but more so to one side.
  • When turning the face to the right, the pain will aggravate on the left (opposite) side and vice versa.
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ROUTINE 9 (PAGE 62)
Neck pain while turning the head 1

  • Chronic or acute pain is located at any or all of the therapy points, but mostly at the area below C-7 and above the upper angle of the shoulder blade.
  • Pains radiate up along the side of the neck (line 3) and along the top of the trapezius muscle.
  • Pains may radiate to the shoulder and arm.
  • The pain is almost always one-sided.
  • The pain is only rarely aggravated while flexing or extending the neck.
  • Turning the head is always painful, mostly to one side. When turning the head to the right, the pains will aggravate on the right (same) side and vice versa.
  • At times, raising the arm may be painful and restricted as though it is a shoulder disorder.
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Routine 10. “Neck pain while turning the head 2”
Neck pain while turning the head 2

  • Chronic pain and stiffness are located at the three therapy points on the neck.
  • Pain may radiate to the top of the trapezius.
  • Pain is rarely aggravated while flexing or extending the neck.
  • Turning the head is painful mostly to one side. When turning the head to the right, the pains will aggravate usually on the left (opposite) side and vice versa. Pain may also appear on the same side.
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