Pain

1
Problem List

• Pain
• Loss of function
• Inability to do A.D.L activities.

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Treatment
Treatment steps need to cover the
following
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2
Short term goals
Long term goals
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Short term goals
1-Relief of pain
2-Improve function
3-Improve ADL activities
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Relief of pain

• Initially, relative rest should be recommended
• Soft neck collar
• Positioning Molded cervical pillows.

Rest
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Heat and cold

• Cold packs may be used to reduce pain for
  fifteen minutes.
• Heat packs for twenty minutes.
• Contrast bath.

6
Pulsed electromagnetic field stimulation

• Pulsed Electromagnetic Field improves pain and
  neck stifness.
• PEMF is applied for 30 min on 6 consecutive days.

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TENS

• Transcutaneous Electrical Nerve Stimulation for
  thirty minutes. (blocking of pain impulses)
• Neck pain (Trans regional) ,Referred pain (nerve
  trunk techniques).
  

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Deep transverse friction Massage

• Manual massage of posterior cervical muscles from
  C7 to occiput
• Cervical traction technique.

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To improve function
Restoratio of Range,Flexibility,And Strengh Of
Neck Muscles

• Isometric Exercises to maintain strength
• Neck And upper Back Stretching Exercises.
• Light aerobic Exercises

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Proper Stretching Technique

• stretch the muscles on both sides of your body
  evenly .
• Avoid over stretching.
• All Stretches should be smooth and slow.
• Deep, easy and even breathing is the key to
  relaxation.
• It is important to stop stretching when you feel
  pain or discomfort.

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Neck Stretching Exercises

• Neck assisted flexion
• Apply slight pressure to the top of the head with
  either hand to increase the stretch.
• Neck assisted extension
• Apply slight pressure to the top of the head with
  either hand to increase the stretch.

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Neck Stretching Exercises

• Neck assisted lateral flexion.
• Apply slight pressure to the side of the head
  with the same side hand to increase the stretch.
• Neck assisted rotation
• Apply slight pressure to the side of the head to
  increase the stretch

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Neck Isometric Exercises

• From a neutral position, gently contract your
  neck muscles against the resistance provided by
  your hands in a forward position.  

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Neck Isometric Exercises

• From a neutral position, gently contract your
  neck muscles against the resistance provided by
  your hands in a backward and side bending
  position

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Aerobic Exercises
Place both the hands on the shoulders. Bring both



elbows together in front   Slowly push the
elbows and the shoulders backwards   Hold for 10
- 15 counts   Breathe normally.
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Aerobic Exercises

•   Place both the hands on the shoulders. Bring
  both the elbows together in front.
•   Slowly raise the elbows and shoulders upwards,
  trying to touch your ears.
•  Hold for fifteen minutes.
• Breath normally.

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Aerobic Exercises

•   Slowly rotate the elbows and the shoulders
  clockwise raising the elbows up over the head and
  down again
• Place both the hands on the shoulders. Bring both
  the elbows together in front.

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Aerobic Exercises

•   Repeat the same movement anti-clockwise
•  Repeat five times in each direction.

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Gymnastic ball exercises
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Gymnastic ball exercises
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Gymnastic ball exercises
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Long term goals
Coming back to job/sport activities
Done by
Occupational therapist
Occupational Therapy The goal of Occupational
Therapy is to enable an individual to carry out
their activities of daily living, which include
those performed at work, home, school and the
community, as independently as possible.
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Advices

• Good posture should be maintained.
• Avoid slouching rounded shoulders
• Avoid the neck poke position
• Avoid working with the head down for long periods
  
• Ensure that your work ergonomics are correct
• Pull your shoulder blades down and in to
• improve your shoulder position

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Postural Awareness
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Postural Awareness

• Bad body mechanics

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Thank you