Published on under Neck Pain
The review also looked at factors that may reduce the risk for a first-time episode of neck pain transitioning into chronic or persistent neck pain, and it identified the following protective factors: supportive work and social environment; leisure physical activity; and strong cervical extensor muscle endurance (strength).
Prior studies have reported on the presence of both psychosocial factors as well as weak neck muscles in patients suffering with chronic neck pain, especially weakness of the deep neck flexor muscles. Hence, it comes as no surprise that the same two factors that were identified by the Duke University team as being important risk factors for FIRST time neck pain onset are also prevalent in chronic neck pain patients.
For the management of neck pain, treatment guidelines generally recommend a multimodal, conservative approach that includes manual therapies (such as mobilization and manipulation performed by a doctor of chiropractic), neck-specific exercises, and instruction on dietary choices (especially avoiding inflammation-promoting foods), stress relief/relaxation techniques, and improving sleep quality, as these not only aid in the healing process but also in reducing the risk for neck pain recurrence.
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