Shoulder and Neck Pain: Insights on Chiropractic Adjustments

Experiencing shoulder and neck pain and receiving back manipulation during medical treatment?

Due to shoulder and neck pain, I visited a rehabilitation specialist and had an X-ray of my cervical spine.
The doctor said there were no major issues, only that the C5 and C6 vertebrae were somewhat tight.
He taught me chin tuck exercises.
After that, I occasionally experienced pain in my upper back.
The doctor instructed me to lie on the bed facing away from him, and he applied manual pressure to my upper spine, pressing down five times.
During one of the presses, I heard a "cracking" sound, but I didn't feel any discomfort at the time.
However, the next morning, while lying down, I felt soreness in the area where he applied pressure.

I have a couple of questions:
1.
Is it normal for a "cracking" sound to occur when the upper back is adjusted with manual pressure?
2.
Is it also normal to experience soreness the day after the upper back was subjected to pressure? What else should I be aware of?

Mr. Chen, 40~49 year old female. Ask Date: 2021/01/23

Dr. Li Yanheng reply Rehabilitation

This is likely a normal phenomenon; however, it is important to monitor for any subsequent reduction or loss of sensation in the limbs and trunk, or any decrease in limb strength.

Reply Date: 2021/01/23

More Info

Understanding shoulder and neck pain, especially in the context of chiropractic adjustments, is crucial for effective management and recovery. Your experience with chiropractic care raises several important questions regarding the sounds and sensations you experienced during and after treatment.

1. Is the popping or cracking sound during spinal adjustments normal?
Yes, the popping or cracking sound you heard during the chiropractic adjustment is a common occurrence known as "cavitation." This sound is produced when gas bubbles in the synovial fluid of the joints collapse or burst as the joint is manipulated. It is generally considered a normal part of the adjustment process and does not indicate any harm or injury. Many patients report feeling immediate relief or a sense of release following such sounds, which can be psychologically reassuring.

2. Is it normal to feel soreness after an adjustment?
Experiencing soreness or discomfort in the area that was adjusted is also a common response. This post-adjustment soreness can be attributed to the muscles and ligaments around the spine being stretched or manipulated in ways they are not accustomed to. Just like after a workout, your muscles may feel sore as they adapt to the new alignment and movement patterns. This soreness typically subsides within a day or two. However, if the pain persists or worsens, it is essential to consult your chiropractor or healthcare provider to rule out any complications.

3. What should you be aware of following chiropractic adjustments?
After a chiropractic adjustment, it is important to monitor your body’s response. Here are some considerations:
- Rest and Recovery: Allow your body some time to adjust to the changes. Gentle stretching and light activity can help alleviate soreness.

- Hydration: Staying well-hydrated can help your muscles recover and reduce soreness.

- Follow-Up Care: If you experience significant discomfort or if the soreness does not improve, follow up with your chiropractor. They may adjust your treatment plan or suggest additional therapies such as physical therapy, massage, or specific exercises to strengthen the surrounding muscles.

- Posture Awareness: Pay attention to your posture throughout the day, especially if you spend long hours sitting or working at a desk. Ergonomic adjustments to your workspace can help reduce strain on your neck and shoulders.

- Exercise and Stretching: Incorporating regular stretching and strengthening exercises for your neck and upper back can improve flexibility and support spinal health. Your chiropractor can provide guidance on appropriate exercises.

In conclusion, while the sounds and sensations you experienced during your chiropractic adjustment are generally normal, it is essential to listen to your body and communicate with your healthcare provider about any concerns. Chiropractic care can be an effective component of a comprehensive treatment plan for shoulder and neck pain, especially when combined with other modalities such as physical therapy, exercise, and lifestyle modifications. Always prioritize your comfort and well-being, and do not hesitate to seek further evaluation if needed.

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