Neck Pain:

Examination and Treatment

Neck pain and stiffness are typically the result of muscle and joint tension that has built up as weve aged and
may have been exacerbated by other factors muscle strain, pressure changes, strong scents, stress, etc
these pains, when exacerbated may manifest as migraine/headache, nausea, etc.

Exam: Observation: Symptom: Diagnosis:

Our Doctors:
Strain/Tightness of Ante-
Pull in Front rior neck muscles
Dr. Robert
LaBelle D.C.,
B.Sc., Owner
Neck Extension Pain in Back Facet Sprain/Irritation
Dr. Lynda Chen
D.C., B.Sc., Acu- Boney End Feel Osteoarthritis
Reduced Range
puncture Pro-
vider
of Motion Nerve Root Compression,
Peripheral Pain Stenosis
Dr. Edward
Wong D.C.,
B.Sc., Acupunc- SCM Myofascial Pain syn-
ture Provider
Nausea/Vertigo drome, cervicogenic ver-
tigo, BPPV

Treatment Methods:
Tightness and/or Strain of
Active Release
Technique;
Trapezius, Interspinous
Neck Flexion Local Pain Ligament, Suboccipitals,
Acupuncture; Reduced Range
Ball Release; DJD
of Motion
Low Level Laser
Therapy; Peripheral Pain Disc herniation, TOS
Manual Therapy;
Myofascial Re-
lease Therapy;
Ipsilateral Pain Joint Sprain/Strain
Registered Mas-
sage Therapy;
Lateral Flexion Contralateral Muscle Strain of Upper
Stretching and
Strengthening. Reduced Range Pain Traps/Scalenes/Levator
of Motion Scapulae

Hard End Feel Osteoarthrosis

Peripheral Pain Lateral Encroachment

*Clinical Pearl:
Neck pain and stiffness are often precursors to tension headaches and migraines. Detailed examination of the cervical spine
musculature can often reproduce the exact headache referral pattern experienced by the patient thus confirming the origin of the
headache. The most commonly involved muscles and their associated referral patterns are the suboccipital (pain in eye region),
upper trapezius (pain in temple region), splenius (pain on top of head), SCM (pain in the sinus area).

Treatment:
We assess the mechanical dysfunctions of an affected area and treat the affected tissues and joints primarily using a soft tissue
approach consisting of functional and postural rehabilitation of the neck to prevent future injury. Patients are tested pre and post
treatment to ensure that their practitioner is seeing improvements and thus, is treating the right area. Our patients are then pro-
vided with an individualized home rehabilitation program.

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