Upper body shoulder orthopedic assesment for patient performed by chiropractor in keilor, victoria

NECK & HEADACHES

  • Neck pain is a common musculoskeletal condition that can develop due to prolonged sitting, workplace demands, sporting injuries, reduced physical activity, stress, joint irritation, or muscular tension. Research suggests that neck pain is influenced by a combination of physical, lifestyle, and psychosocial factors (Côté et al., 2019). Treatment often focuses on improving mobility, restoring strength, reducing pain, and improving long-term function.

  • Whiplash commonly occurs following motor vehicle accidents, sporting collisions, or sudden acceleration-deceleration forces. Symptoms may include neck pain, stiffness, headaches, dizziness, reduced movement, and difficulty returning to normal activities. Research supports active rehabilitation and gradual return to movement as important components of recovery (Sterling, 2014).

  • Cervicogenic headaches originate from structures in the neck and are commonly associated with reduced mobility, joint irritation, and muscular tension. Symptoms are often felt at the base of the skull and may radiate towards the forehead, temples, or behind the eyes. Research supports the use of manual therapy and exercise for improving neck-related headache symptoms (Bryans et al., 2011).

  • Prolonged computer work, phone use, studying, and desk-based occupations can contribute to neck pain and stiffness. While posture alone is rarely the sole cause of symptoms, prolonged static positions and reduced movement variability may increase stress on muscles and joints. Improving movement, strength, and work ergonomics can often help reduce symptoms (Côté et al., 2019).

  • Tension headaches are among the most common headache types and are often associated with muscular tension, stress, prolonged sitting, fatigue, and lifestyle factors. Symptoms are typically described as a dull ache, pressure, or tightness around the head and neck. Management may include exercise, stress management, movement strategies, and addressing contributing musculoskeletal factors (Bendtsen et al., 2010).

  • Headaches can develop following concussion, whiplash, sporting injuries, or other traumatic events. These headaches may be associated with neck dysfunction, vestibular disturbances, reduced exercise tolerance, and neurological factors. Assessment is important to identify contributing factors and guide rehabilitation (Silverberg & Iverson, 2011).

  • Concussion is a mild traumatic brain injury that can affect physical, cognitive, and emotional function. Symptoms may include headaches, dizziness, balance issues, neck pain, fatigue, and difficulty concentrating. Rehabilitation often focuses on symptom-guided recovery and gradual return to activity.

  • Cervical disc bulges occur when the outer fibres of a spinal disc extend beyond their normal boundary. Symptoms may include neck pain, arm pain, numbness, tingling, or weakness if nearby nerves become irritated. Disc changes are common findings on imaging and do not always correlate with symptoms, highlighting the importance of a thorough clinical assessment (Brinjikji et al., 2015).

  • Cervical radiculopathy occurs when a nerve exiting the neck becomes irritated or compressed. Symptoms may include pain, numbness, tingling, weakness, or altered sensation travelling into the shoulder, arm, or hand. Management commonly focuses on reducing nerve irritation, restoring movement, and improving strength and function (Thoomes et al., 2013).

  • Facet joint sprains involve irritation or injury to the small joints located at the back of the neck. These injuries may occur following trauma, awkward movements, repetitive loading, or sporting activities. Symptoms often include localised neck pain, stiffness, and discomfort when turning or extending the neck. Accurate assessment is important, as cervical facet joints are recognised as a common source of neck pain (Bogduk, 2011).

  • Exercise-induced headaches can occur during or following physical activity and may be associated with exertion, dehydration, fatigue, neck dysfunction, or underlying headache disorders. A comprehensive assessment can help identify contributing factors and determine appropriate management strategies.

  • Many people experiencing recurrent headaches also report neck pain, stiffness, reduced mobility, or discomfort during prolonged sitting and desk work. Research suggests that addressing cervical spine dysfunction, movement limitations, and muscular tension may help reduce symptoms in some individuals experiencing neck-related headaches (Bryans et al., 2011).