Common Neck Disorders in Orthopedics: Treatment for Kids vs. Adults

Diseases of the neck?

Dr.
Hsu Chih-Chun: Hello, I just want to ask you a small question.
What are the common neck disorders in orthopedics? Could you explain a bit? Also, what are the differences in diseases between children and adults, and what types of physical therapy are more effective for each? Thank you! ^.^

Yaya, 20~29 year old female. Ask Date: 2004/05/22

Dr. Xu Zhijun reply Orthopedics

Hsu Chih-Chun has resigned.

Reply Date: 2004/05/22

More Info

Neck disorders are a common concern in orthopedics, affecting both children and adults, but the nature of these disorders and their treatment can differ significantly between the two age groups.
In adults, common neck disorders include cervical spondylosis, herniated discs, and cervical radiculopathy. These conditions often arise due to degenerative changes in the cervical spine associated with aging, repetitive stress, or injury. Symptoms may include neck pain, stiffness, and radiating pain or numbness in the arms. Treatment typically involves a combination of physical therapy, pain management (such as NSAIDs), and in some cases, surgical intervention if conservative measures fail.

In children, neck disorders are less common but can include conditions such as torticollis (wry neck), congenital anomalies, and trauma-related injuries. Torticollis, for example, can be present at birth or develop in infancy and is characterized by the abnormal positioning of the head and neck. Treatment for torticollis often involves physical therapy to stretch the neck muscles and improve range of motion. In cases of congenital anomalies, surgical intervention may be necessary, depending on the severity and impact on function.

When it comes to exercise therapy, the approach varies between children and adults. For adults, exercise therapy often focuses on strengthening the neck muscles, improving posture, and enhancing flexibility. This may include specific exercises to target the cervical spine and surrounding musculature, as well as ergonomic adjustments to daily activities to reduce strain.

In children, the focus of exercise therapy is often on promoting normal development and function. For instance, in cases of torticollis, physical therapists may use play-based activities to encourage the child to turn their head in the opposite direction, thereby promoting muscle balance. Additionally, exercises may be designed to improve overall neck strength and stability, which is crucial for proper posture and function as the child grows.

It is also important to consider the psychological aspect of treatment in children. Engaging children in fun and interactive exercises can help them remain motivated and compliant with their therapy. In contrast, adults may require more structured and disciplined approaches to adhere to their exercise regimens.

In summary, while neck disorders are prevalent in both children and adults, the types of disorders and their treatments differ significantly. Adults often deal with degenerative conditions requiring a focus on pain management and strengthening, while children may face developmental issues that necessitate a more playful and engaging approach to therapy. Understanding these differences is crucial for effective treatment and rehabilitation in both populations. Always consult with a healthcare professional for personalized advice and treatment options tailored to individual needs.

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