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...
“Lene, you’re a neurological accident waiting to happen.”
My rheumatologist had ordered X-rays of my neck and the results showed that my rheumatoid arthritis (RA) had made the top joint unstable. This was how the doctor told me. They wrote an order for a CT scan to get more detail. Then I waited six weeks for the scan and another six for the results. Thankfully, the CT scan showed that the joint wasn’t in fact unstable.
I refer to those three months as the time my head was loose.
Image credit: Samo Trebizan
RA and spine joints
When it comes to the spine, RA can be either a pain in the butt or a pain in the neck. There is some disagreement in rheumatology about whether RA can affect the spine itself or if it should more accurately be called rheumatoid spondylitis, ankylosing spondylitis, or even osteoarthritis. However, there is agreement that RA can affect the two joints in the spine. One is the sacroiliac or SI joint . It is located...
Doctors are using a new tool called Clinical Prediction Rules (CPRs) to help tell what a patient's outcome might be for various problems. In this study researchers try to find CPRs for shoulder pain. Knowing what factors in patients with shoulder pain will predict the prognosis is helpful. Treatment decisions can be made with this information in mind. And patients have some idea of what to expect. Other studies in this area found high pain intensity as the only predictor of poor outcome. Studying 587 patients with new shoulder pain was more helpful. All patients in the study received the same treatment. Data was collected on many possible factors that could affect the outcome. Questions were asked about physical activity, workload, and psychosocial factors. Information about the patient’s age, gender, education, and lifestyle was included. Pain intensity, frequency, and duration were recorded. An exam of the shoulder was done. The main measure of outcome was shoulder pain. Patients were ...
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