A recent task force has determined that women are at higher risk for developing neck pain than men. What accounts for this gender difference? A number of factors contribute to neck pain including coping skills, personalities, work environments and physical activities. But, as a patient eloquently stated while lifting her shirt, "What about these?" Are breasts a major contributor to the higher incidence of neck pain in women? In 1996, our judicial system examined the evidence and determined (Bancroft v Tecumseh Products) that breast reduction surgery was indeed medically necessary to relieve headache , neck pain and shoulder pain. This verdict establishes the cause and effect relationship between breasts and neck pain.
A closer examination into the breast risk factor can illuminate a multitude of reasons why size A, B, C, D, or DD really matters to the spine. Let's think in terms of triple "B's".
B reasts :
Are your breasts big, small, not at all (absent) or just righ...
"Separation" of the acromioclavicular (AC) joint, where the end of the collarbone meets the shoulder blade, is actually a sprain of the ligaments that connect the two bones. "Separation" is an old medical term that has been applied to the widening of the space between the bones. Since this problem involves ligaments, it really should be called a sprain. AC separation is typically an injury of young, active people who fall on the shoulder. Most commonly, it occurs when a person lands on the point of the shoulder, driving the shoulder blade down relative to the clavicle. Patients often tell of being thrown over the handlebars when bicycling, being tackled while playing football, or being upended while skiing. As with sprains , there are degrees of severity. Weight lifters, in particular those who do bench presses, often get AC separation. It can also occur in other situations where lifting occurs, or with injury such as falling on the shoulder. A mild, or first-degree, s...
Back pain - nonspecific
The majority of nonspecific back pain is probably caused by muscle strain. This usually responds to 2-5 days of rest and pain medications (such as nonsteroidal anti-inflammatory agents -- ibuprofen, naproxen, aspirin, etc.), followed by gradual return to activities. Medications may be needed to reduce muscle spasms.
Physical therapy is often prescribed to instruct the patient on proper body mechanics (such as good posture and lifting correctly) and to improve strength and flexibility in the spine, abdomen, and legs.
Surgery is not useful for the treatment of nonspecific back pain.
Most cases of nonspecific back pain resolve on their own or respond to treatment. It is helpful to sleep on a firm mattress, with a board under the mattress, or even on the floor. Heat or ice applied to the affected area may provide some relief.
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