What can I do about neck Osteoarthritis

Did you know that 70% of the population will experience neck pain at some point in their lives. The estimated occurrence of neck pain in adults annually is between 10.4% to 21.3%, with a higher occurrence in office workers and females.

Many people have been told that they have osteoarthritis causing their neck pain. It can be difficult. It can be quite disheartening and a little confusing as to what the options are to get some relief and to get your life back on track…

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So what is Osteoarthritis in the Neck?

Osteoarthritis (OA) is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage at the end of bones wears down. It may be a result of normal wear and tear, poor posture or a previous injury.

Your neck is made up of 7 cervical vertebrae attaching to each other via our facet joints, as well as discs, cartilage and many muscles. The vertebrae needs to slide on each  other at the facet joints to produce normal movement, and the muscles need to activate in order for movement to occur.

With an Osteoarthritic neck however, there can be changes to the bones, discs, and joints of the neck. With slightly abnormal movement and with age, the discs of the cervical spine can gradually break down, lose fluid, causing the joints to become stiffer.

As a result of the degenerative changes, spurs or abnormal growths called osteophytes may form on the bones in the neck. These abnormal growths can cause joint space narrowing further restricting movement and can sometimes cause nerve impingement.

What are the causes?

Osteoarthritis in the neck can be caused by a previous neck injury (contact sports or car accidents), repetitive manual jobs or poor prolonged postures that leads to rounding of the shoulders and forward head posture which anatomically closes down the joint spaces in the neck. This creates hypomobility (less joint movement) – Want to find out about poor posture’s affects first hand? – Why not try it yourself! …Round your shoulders, slump down into your chair and poke your chin out. Now try to look up to the sky or turn your head from left to right!

It’s harder to move, right?

Poor posture can be the result of ergonomic factors such as poor work-station setup, poor driving postures (think Truck Driver), or increased use of mobiles phones/tablets/laptops. Poor posture as well as other factors can increase the normal age related wear-and-tear of joints and over time develop OA. Osteoarthritic joints will become more restrictive leading to further joint stiffness, and muscular dysfunction.

What are the symptoms like?

With Neck OA people typically complain of joint stiffness and an inability to fully move the neck. They may complain of a sharp pain, dull muscular aches, and some report headaches. Symptoms may be in the base of the skull, into the shoulders and the shoulder blades, and potentially pain, tingling and numbness can even go down the arms.

Risk Factors
  • Neck OA usually occurs in middle-aged and elderly people, but if you are older than 30 you have increased risk
  • Females have a 2 times greater risk
  • Office workers
  • Sedentary lifestyle
  • Prolonged forward head posture
  • Previous neck injury (rugby tackling injury or too many scrums, car accident, awkward fall)

Is there anything I can do?

A lot of people report some relief from heat (hot packs and hot rubs) and varying forms of medication – but these are just temporary. As with most cases of OA you need to get

moving… and that’s what physiotherapy encourages.  Physiotherapy has been shown to have a positive effect on osteoarthritic necks in both acute episodes and chronic conditions.

What happens at Physio?

At our clinic a full examination of the neck, shoulders, spine and kinetic chain (assessing the way you move) will be performed to diagnose the condition, identify deficits and rule out serious pathology. Physiotherapy treatment includes a combination of education, manual therapy, and exercises catered to each individual’s symptoms, presentation and their specific goals.

At Five Dock Physiotherapy and Sports Injury centre, our physios are trained in a variety of manual therapy techniques (different massage and joint gliding techniques) that aim to help relax muscles, relieve symptoms and improve movement.

Physio prescribed exercise plays a key role in improving movement, correcting muscle activation patterns and increasing strength, endurance and muscle/motor control. It will often focus on strengthening the muscles of the neck, shoulders, thoracic spine and then look at the whole kinetic chain improving posture, endurance and your
body’s ability to move. Quite often neck pain and dysfunction is secondary to shoulder, thoracic or kinetic chain issues, so it is important that we improve function and muscle activation patterns to eliminate any compensation strategies that may have led to the arthritic changes.
Education plays a key role in identifying barriers in life such as poor postures, ergonomic set up, excessive or repetitive aggravating tasks and poor load management. We provide advice and strategies on mitigating these barriers and preventing future recurrences.

Will I get rid of my Arthritis through Physio?

Unfortunately, we cannot  reverse the degenerative changes seen in neck OA, however we can help the joints glide more freely and assist the muscles in getting stronger and activating in the right sequence to support the neck better, improving movement and reducing symptoms. We can also correct any other dysfunctional movement that may be placing extra stress on the muscles and joints of the neck.

What does the evidence say?

Conservative management of musculoskeletal conditions is becoming increasingly supported by scientific research. Rheumatologist consultant A. Binder (2007) completed a review of neck OA and pain in which he recommended exercise, mobilisations and manipulations as being the best form of treatments. This is supported by numerous studies assessing the effectiveness of manual therapy, exercise and physiotherapy. Research by Meisingset et al (2016) showed that neck motion and motor control in the

cervical spine improved primarily within 2 weeks of physiotherapy treatment. Faroq et al (2017 ) proved that cervical joint mobilisations had a significant effect on pain, disability, neck range of motion and neck muscle endurance in patients with neck pain. Finally, a systematic review conducted by Teo S. Y & Loy F. L. (2015) showed that a combination of manual therapy and exercise was more beneficial than manual therapy alone. Comprehensive treatment of an arthritic neck is best managed with a thorough physiotherapy assessment and treatment plan combining exercise, manual therapy and education.

Are you struggling with Neck Pain or troubled by Osteoarthritis?

Maybe it’s time to get it checked out?

GET AN ASSESSMENT & TREATMENT WITH OUR AMAZING TEAM OF PHYSIO’S.

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