Many people will have neck pain at one point in their
life. It is estimated that up to 50% of
all Americans will suffer from neck pain each year. It is only second to low back pain on the
list of disabling musculoskeletal disorders.
Some neck pain is caused by injury such as falls or whiplash injuries
but the majority of pain in the region is caused by gradual stresses, such as
poor posture, abnormal lifting patterns or awkward sleeping positions. It is common practice in physical therapy for
mobilizations or manipulations to be used to decrease spine pain and restore
normal movement patterns. Many people
that I talk to are uncomfortable having their necks manipulated or
“popped.” Luckily for those who are
against mobilizations/manipulations of the neck a recent study in the Journal of Orthopedic and Sports Physical
Therapy(JOSPT) shows that mobilizations of the upper back may ease or
eliminate neck pain.
This study was actually a review of many past studies in
the area. This type of study is held in high
regard because many different factors are considered and only high quality
studies are compiled for results. The
researchers looked into studies where patients received upper back
mobilizations/manipulations and were then compared to patients who received
other forms of physical therapy. The
researchers found that mobilizations/manipulations of the upper back “as part
of the treatment resulted in less pain, increased neck motion, and improved
function.”1
Patients in my clinic who prefer not to have mobilizations/manipulations
of the neck can receive these same treatments to the back in order to decrease
their neck pain while increasing their function. Mobilizations and/or manipulations to the
upper back are very safe and may help you feel better faster. Your Physical Therapist can help determine if
you are a good candidate for this type of treatment. This evidence only further validates the
treatment choices already in place at Hayashida and Associates Physical Therapy
where upper back mobilizations/manipulations have been used often to treat
patients with neck pain.
J Orthop Sports Phys Ther 2011;41(9):643.
doi:10.2519/jospt.2011.0506
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