Neck Pain After Cervical Impact: Seeking Solutions for Recovery - Orthopedics

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Cervical spine impact pain issues?


Hello, Doctor.
In mid-December 2019, I performed a backflip catch during a cheerleading competition, and my cervical spine directly hit the ground.
At that moment, I experienced symptoms such as chest tightness and nausea.
Due to the neck pain, I went to a nearby hospital the next day for an X-ray, and the doctor indicated that there was no major issue, suggesting it was likely just a strain that would improve with rest.
I was prescribed muscle relaxants and other medications.

Now, nearly three months have passed, and my neck issues have not improved.
I can turn my head smoothly to both sides, but I experience pain when looking up, although I cannot pinpoint the exact pain location, and my hands do not feel numb.
Recently, I have been undergoing rehabilitation with the physical therapy department for half a month (including heat therapy, electrical stimulation, and traction).
I have also been following the doctor's instructions for neck strengthening exercises at home, but there has been no improvement.
On the day of my appointment, the doctor applied pressure to several acupressure points, which provided temporary relief, but the pain persists.

I would like to know if this condition will gradually improve with continued rehabilitation, or if I need to see another specialist for further evaluation.
Thank you!

Miss Hsu, 20~29 year old female. Ask Date: 2020/03/10

Dr. Shi Guozheng reply Orthopedics


Injuries to the cervical spine may not involve fractures of the bones, but there is a possibility of damage to the surrounding soft tissues, which typically requires more than three months to heal.
Continued rehabilitation is necessary and may lead to improvement.

Reply Date: 2020/03/10

More Info


Neck pain following a cervical impact, especially after an incident like a cheerleading stunt, can be quite concerning. It’s important to understand that neck injuries can vary significantly in severity, and while some may resolve with conservative treatment, others may require more extensive evaluation and intervention.

From your description, it seems that you experienced an acute injury to your cervical spine, which was initially assessed through X-ray imaging. The fact that the X-ray did not reveal any significant issues is a positive sign, suggesting that there may not be any fractures or dislocations. However, it’s crucial to note that X-rays primarily show bone structures and may not adequately assess soft tissue injuries, such as those involving muscles, ligaments, or nerves.

Your ongoing symptoms, including pain when looking up and the absence of numbness or tingling in your arms, suggest that there may be muscular strain or possibly a mild sprain of the cervical spine. The fact that you have been undergoing rehabilitation, including heat therapy, electrical stimulation, and traction, indicates that you are taking proactive steps to manage your condition. These treatments can help alleviate muscle tension and improve blood flow to the affected area, which may promote healing.

However, if you have not seen significant improvement after three months of conservative treatment, it may be time to consider further evaluation. Here are some recommendations:
1. Consult a Specialist: If you haven’t already, consider seeing a neurologist or an orthopedic specialist who focuses on spine injuries. They may recommend advanced imaging studies, such as an MRI, which can provide a more detailed view of the soft tissues, including discs, ligaments, and nerves.

2. Physical Therapy: Continuing with physical therapy is essential. Ensure that your therapist is aware of your specific symptoms and can tailor your rehabilitation program to address them. They may incorporate exercises to strengthen the neck muscles, improve flexibility, and enhance posture, which can all contribute to pain relief.

3. Pain Management: Discuss with your physician the possibility of using pain management techniques. This could include medications such as non-steroidal anti-inflammatory drugs (NSAIDs) or muscle relaxants, which can help manage pain and inflammation.

4. Alternative Therapies: Some patients find relief through alternative therapies such as acupuncture, chiropractic care, or massage therapy. These can sometimes provide additional benefits when combined with traditional physical therapy.

5. Monitor Symptoms: Keep a detailed log of your symptoms, including when they occur, their intensity, and any activities that exacerbate or relieve them. This information can be invaluable for your healthcare provider in determining the best course of action.

6. Patience and Persistence: Healing from neck injuries can take time, and while it’s frustrating, many patients do see gradual improvement with continued therapy and self-care. Focus on maintaining good posture, using ergonomic supports, and avoiding activities that may strain your neck.

In conclusion, while it’s encouraging that your initial imaging did not show significant issues, your persistent symptoms warrant further investigation and possibly a multidisciplinary approach to treatment. Don’t hesitate to advocate for your health and seek additional opinions if necessary. With the right combination of therapies and interventions, many individuals can achieve significant improvement in their neck pain and return to their normal activities.

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