Neck Pain: Recovery Tips and Long-Term Effects - Rehabilitation

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Neck pain


Hello Doctor, I have recently experienced muscle pain in my head and discovered that I also have discomfort in my shoulders and neck.
I have been active and healthy since childhood until I turned 18.
However, in the past two years, I have been staying at home for long periods without any exercise, which has led to poor neck posture as a "low-head" individual.
Recently, the muscles in my head started to hurt, and after an examination, it was found that the pain was caused by shoulder and neck strain.
The doctor mentioned that there is currently no issue with disc herniation.
I have started taking muscle relaxants and have returned to a normal routine, stretching my neck multiple times a day and playing basketball for two hours daily.
It has been about 50 days, and I feel my stamina has improved significantly, but the shoulder and neck pain seems to persist, fluctuating between feeling better and then becoming sore again.
I would like to ask the doctor: 1.
How long will it take for my shoulder and neck to return to normal? 2.
Will the poor posture over the past two years cause permanent damage to my neck? Is it possible for my shoulder and neck muscles to fully recover? 3.
Why have I only started experiencing problems now after such a long time of poor posture? 4.
Is it suitable for me to play basketball now? My doctor said it is fine as long as I stretch before and after, but I still feel shoulder soreness while playing.
Thank you, Doctor.

Mr. Zhang, 20~29 year old female. Ask Date: 2018/07/03

Dr. Wang Huijun reply Rehabilitation


Hello Mr.
Zhang:
1.
In my experience, your neck pain issue is likely not just a simple neck muscle strain.
Although there is currently no obvious herniated disc, if it is not completely resolved at this stage, it will inevitably worsen over time.
2.
Therefore, the third point in your concerns highlights an important factor in your issue: accumulated damage.
Symptoms typically manifest only after reaching a certain threshold of accumulation.
3.
To treat accumulated damage, it is crucial to identify the underlying cause and ensure adequate rest.
If your cause is due to long-term overexertion, it is essential to avoid excessive activity during the recovery period and ideally to rest completely.
This is similar to how athletes manage injuries.
Treatment must be thorough; simply taking medication and experiencing slight improvement does not equate to recovery.
If you think this way, you will experience a recurrence, as you are currently facing.
4.
Recommendation: You must undergo rehabilitation treatment for at least four weeks.
During the treatment period, you should rest adequately and only engage in moderate exercise.
Activities that put pressure on the neck, such as weight training, badminton, table tennis, and long-distance running, should be avoided.

Reply Date: 2018/07/03

More Info


Neck pain, particularly when associated with muscle discomfort in the shoulders and neck, can be a common issue, especially for individuals who have adopted poor posture over extended periods. Your situation, where you have transitioned from an active lifestyle to a more sedentary one, likely contributed to the development of these symptoms. Let’s address your questions one by one, while also providing some additional context regarding recovery and long-term effects.

1. Recovery Timeline: The duration for recovery from neck and shoulder pain can vary significantly based on several factors, including the severity of the muscle strain, the extent of any underlying issues, and your adherence to rehabilitation strategies. Generally, with consistent physical therapy, stretching, and strengthening exercises, many individuals can expect to see improvement within a few weeks to a few months. However, complete recovery may take longer, especially if there are any underlying structural issues or if the pain is chronic. Given that you have already been active in stretching and playing basketball, you may notice gradual improvements, but it’s essential to listen to your body and avoid overexertion.

2. Long-term Damage from Poor Posture: Chronic poor posture can lead to musculoskeletal issues, including muscle imbalances, joint dysfunction, and potentially long-term changes in spinal alignment. However, the body is remarkably resilient, and many individuals can recover from these issues with appropriate intervention. Your shoulder and neck muscles can indeed fully recover, especially if you maintain a proactive approach to your physical health, including regular exercise, proper ergonomics, and posture correction techniques.

3. Delayed Onset of Symptoms: It’s not uncommon for symptoms related to poor posture to develop gradually over time. The body can often compensate for poor alignment and muscle imbalances for a while, but eventually, these compensatory mechanisms may fail, leading to pain and discomfort. Factors such as increased stress, changes in activity levels, or even age-related changes in the spine can also contribute to the sudden onset of symptoms after a period of poor posture.

4. Playing Basketball: Engaging in basketball can be beneficial for your overall fitness and may help strengthen the muscles around your neck and shoulders. However, it’s crucial to ensure that you are not exacerbating your pain. If your doctor has cleared you for activity, it’s advisable to continue with your stretching and warm-up routines before playing. Pay attention to your body; if you experience significant discomfort while playing, it may be wise to modify your activity or consult with a physical therapist for tailored advice.

In addition to the above, consider incorporating the following strategies into your recovery plan:
- Ergonomic Adjustments: Ensure that your workspace is set up to promote good posture. This includes adjusting your chair, desk height, and computer screen to reduce strain on your neck and shoulders.

- Regular Breaks: If you spend long periods sitting or working at a computer, take regular breaks to stand, stretch, and move around. This can help alleviate muscle tension and improve circulation.

- Physical Therapy: A physical therapist can provide personalized exercises and techniques to strengthen your neck and shoulder muscles, improve flexibility, and correct posture.

- Mindfulness and Relaxation Techniques: Stress can contribute to muscle tension. Techniques such as yoga, meditation, or deep breathing exercises can help reduce stress and promote relaxation.

In summary, while recovery from neck and shoulder pain can take time, with the right approach, including exercise, posture correction, and possibly physical therapy, you can expect to see improvement. It’s essential to remain patient and consistent with your efforts, and don’t hesitate to reach out to healthcare professionals for guidance along the way.

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