Should You Choose a Hard or Soft Neck Brace for Injury Recovery? - Orthopedics

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Should a cervical collar be hard or soft?


I experienced pain in my cervical spine after being hit by an elbow, but I'm also feeling pain in areas that weren't directly impacted, such as my thoracic spine and upper back.
The outpatient physician said there are no issues with the bones and advised me to take anti-inflammatory medication and vitamin B.
I asked other doctors, and they suggested wearing a neck brace.
Should I use a hard or soft brace? Can I participate in physical education classes and engage in running and jumping? Is swimming allowed?

FiFi, 20~29 year old female. Ask Date: 2019/07/27

Dr. Li Yongheng reply Orthopedics


Hello, I sustained an injury to my cervical spine from an elbow impact, but the outpatient physician stated that there are no fractures.
The impact has caused cervical tendinitis, which not only results in neck pain but also radiates to the upper back, causing discomfort in the thoracic spine and upper back as well.
The recommendations are: 1.
A cervical collar is not necessary, but if you feel uneasy, you can purchase a soft cervical collar.
2.
Avoid activities that involve jumping, running, or swimming, as these can jolt the neck.
3.
Continue applying ice and take anti-inflammatory medication.

Reply Date: 2019/07/27

More Info


When recovering from a neck injury, particularly one caused by an impact such as being hit by an elbow, the choice between a hard or soft neck brace can significantly influence your healing process. Understanding the nature of your injury and the recommendations from your healthcare provider is crucial in making this decision.


Understanding Your Injury
The pain radiating to areas like your chest and upper back, despite the impact being localized to your neck, can be attributed to several factors. The neck is a complex structure comprising bones, muscles, ligaments, and nerves. An injury can lead to muscle strain or spasms, which may cause referred pain in adjacent areas. Additionally, inflammation from the injury can affect surrounding tissues, leading to discomfort beyond the immediate site of impact.

Choosing the Right Neck Brace
1. Soft Neck Brace: A soft neck brace is typically made from foam and provides gentle support. It allows for some movement while still offering stability. This type of brace is often recommended for mild strains or sprains, as it can help alleviate pain while allowing for some range of motion. It can be beneficial for individuals who need to maintain some mobility during recovery.

2. Hard Neck Brace: A hard neck brace, on the other hand, is more rigid and restricts movement significantly. It is usually recommended for more severe injuries, such as fractures or significant ligament damage, where immobilization is necessary to prevent further injury and allow for proper healing.
Given that your doctor has indicated that there are no bone issues, a soft neck brace may be more appropriate. It can provide the necessary support without overly restricting your movement, which is important for maintaining muscle strength and flexibility.


Activity Recommendations
Regarding physical activities such as running, jumping, or swimming, it is essential to follow your doctor's advice. Generally, if your pain is manageable and you are not experiencing significant discomfort, light activities may be permissible. However, high-impact activities should be approached with caution.
- Running and Jumping: These activities can put stress on your neck and spine, especially if your injury involves muscle strain or ligamentous issues. It is advisable to avoid these until you have fully recovered and received clearance from your healthcare provider.

- Swimming: Swimming can be a low-impact exercise that may help maintain fitness without putting undue stress on your neck. However, it is crucial to avoid strokes that require significant neck movement, such as freestyle or butterfly, until you are fully healed.


Additional Considerations
- Physical Therapy: Engaging in physical therapy can be beneficial for recovery. A physical therapist can provide tailored exercises to strengthen the neck and upper back muscles, improve flexibility, and reduce pain.

- Pain Management: Continue to follow your doctor's recommendations regarding anti-inflammatory medications and any other prescribed treatments.
- Follow-Up: Regular follow-ups with your healthcare provider are essential to monitor your recovery progress. If your symptoms persist or worsen, further evaluation may be necessary.

In summary, a soft neck brace is likely the best option for your recovery, allowing for support while maintaining some mobility. Avoid high-impact activities until cleared by your doctor, and consider physical therapy to aid in your recovery. Always prioritize communication with your healthcare provider to ensure a safe and effective recovery process.

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