Neck pain may be caused by a number of reasons from a simple muscle strain to a serious spinal injury. Poor posture, uncomfortable neck positioning (and prolonging in such a state) may cause pain radiating from the sternocleidomastoid or even the trapezius- in plain English, your neck muscles. The symptoms could vary from mild ache to serious respiratory disturbances or even neurologic deficit and paralysis should the cause be spinal fracture.
It is emphasized that if upon assessment, the injury is serious- such as involving trauma (i.e. a person who fell a flight of stairs or involved in a vehicular accident), the patient should immediately seek medical attention. Note also that care must be taken in moving the patient so as not to worsen the injury. Any spinal injury as high as T3 (in the thoracic spine) would immediately impair breathing, and lose both sensation and movement below the injury. If the injury is in the cervical spine (the neck area) neurologic deficits, breathing, and even spinal shock could occur- thus it is emphasized that this is an emergency case and home remedies are not applicable.
For minor neck pains, such as those in simple muscle strains, several options may be available. A hot compress or “hot pack” may be applied to the sore muscles. Heat may be applied in the form of either hot water bottles, electric heating pads that produce moisture (dry heat may cause skin damage), or warm towels. The warmth causes vasodilation in the area. Care must be taken in heat application compresses should be wrapped by a cloth and never applied directly to the skin as these may cause burns. Care must also be taken in patients with impaired sensation (such as those with Diabetes Mellitus) because they may be injured without them knowing it.
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