Archive for the ‘Neck Arthritis’ category

Minimally Invasive Spine Surgery (MISS)

May 9th, 2013

Minimally Invasive Spine Surgery (MISS)

How about a surgical procedure? What is MISS?

MISS is one of the latest surgical techniques principled spine surgery minimally invasive. This technique uses an endoscope, microscope, assisted navigation tools, and monitoring to help achieve maximum accuracy during surgery. MISS become an alternative solution to handling spine because it has several advantages, namely a small wound, fewer complications, and help shorten hospitalization.

Is MISS safe to do? How does the level of risk?

People still think that the spine surgery likely to cause paralysis / disability. With MISS, patients need not worry as MISS using equipment and procedures that minimize damage to bone technology, nerves and other tissues around the surgical site, so that the level of risk of complications during and after surgery is small.

For what are the disorders of the spine may be done by the method of Minimally Invasive Spine Surgery?

Almost all patients with symptoms of spinal cord and spinal nerves can use this technique of solving the spine problem.

Since when MISS technology is used?

MISS has been used sucessfully for many years. The technology developed since the 1970s in which the spinal surgeon as Caspar, Yasargil and Williams perform surgery lumbar spine for the first time by using a microscope.

In 1975, Hijikata reported percutaneous endoskopic action for the first time in the world. And then followed by Kambin and Gellman in 1983.

Advantage of MISS

  • well established
  • rapid recovery and return to work or/and sports
  • less post-operative pain
  • small wound
  • shorter hospital stay

Minimally invasive surgery is highly technical. This requires significant training of the surgeon and Dr Kevin Yip has more than 20 years in this line. Furthermore, the equipment needed to perform these procedures safely and effectively can be very expensive.

Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

Please Note: These questions do not replace the advice of a physician. It is important that you ask us all the questions you have about minimally invasive spine surgery.

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Shoulder And Neck Pain

April 9th, 2013

Shoulder And Neck are made up of bones, muscles, blood vessels, nerves, and connective tissue are also other supporting tissues. So many factors that can cause pain. From just one bed up to a heart attack can cause pain in the neck and shoulders.

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Shoulder And Neck Pain

Cause Shoulder and Neck Pain

  • The most frequent are injuries to the soft tissues in the shoulders and neck such as muscles, tendons, and ligaments.
  • Degenerative arthritis in the cervical spine can cause pinched nerves, causing pain in the area around the shoulders and neck.
  • Degenerative bone condition called spondylosis cervical collar.
  • Bursitis or inflammation of the sac occurs in the joints when the joints along the collar bone.
  • Tendinitis, or inflammation of the tendons around the shoulder and neck
  • Rotator cuff injuries or injuries that occur to the tendons that support the shoulder, resulting in the so-called frozen shoulder. Activity can occur in lifting or throwing motion.
  • Trauma from falls can cause damage or a broken collarbone is certainly causing pain.
  • Trauma occurs in the tendon that binds the bones clavicle and scapula.
  • Whiplash injury, the injury to the cervical spine when moving the vehicle stops suddenly or abruptly.
  • Gallbladder disease; may cause pain in the right shoulder and neck.
  • A heart attack; Referred pain can happen that spreads to the shoulders and neck.

Signs and Symptoms of Shoulder and Neck Pain

  • Stiff neck and shoulder,
  • The free movement of the shoulder and neck restrained,
  • Headache,
  • Numbness or numbness,
  • Cold in the arm to the end of the hand,
  • Change the colour of the skin,
  • Swelling in the area around the peak, shoulder, and neck.

When Seeking Medical Help

  • If the above signs and symptoms seem worse
  • Or pain settled and does not go away, when I have tried all means.
  • If accompanied by fever.
  • When the cause is unknown and you are worried.
  • But if that is felt too much pain what else is accompanied by weakness, Numb, and cold; then it should immediately seek medical help.

Shoulder and Neck Pain Diagnosis

Usually the history is enough for doctors to diagnose. But it could be supporting doctors require additional examination in accordance with existing symptoms and suspicion examining physician. Additional checks such as:

  • Xray
  • ECG
  • Check the blood
  • CT Scan & MRI
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Neck Anatomy

Shoulder and Neck Pain Treatment

Do Alone

  • Resting the affected side of the movement and expenses for 2 to 3 days; then began with the movement of trains back side of the hospital earlier.
  • Ice pack. Usually wrapped in a cloth or towel, and stick it on the affected area for 15-30 minutes every hour. Do not use heat.
  • When accompanied by swelling, keep hands higher than the level of your heart; using a pillow when lying down, for example.
  • Take medications and anti-inflammatory pain barrier over the counter.

Do Doctors

  • When the cause sprains, interest or other minor causes; then the doctor will prescribe anti-pain and anti-inflammatory for the first few days, then if necessary immobilised with a splint, sling or cast.
  • Could be advised to undergo physiotherapy to speed up the recovery process.
  • When the cause of severe injury or disease-causing hazards such as heart attack, then it is certainly suggested by the doctors to be hospitalised.

Shoulder and Neck Pain Prevention

  • Be careful in the move and work to prevent injury.
  • Sleeping with a good cushion to reduce the risk for “any sleep”
  • Exercising muscle strength around the shoulder and neck will reduce the chances of developing an injury due to movement or activity.
  • Know the limits of your ability. Do not do activities that can injure you.
  • Use extra safety while working or exercising.

Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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Spinal Arthritis: Causes & Symptoms Of Arthritis Of the Spine

March 21st, 2013

For many parents who suffer from spinal arthritis feel very weak. Most people who suffer from this disease are older, but there are some young people who have been hit by a mild form of arthritis of the spine. Types of Arthritis has many symptoms and most of them are related pain. Most of the time it began in a mild form but it will progress with the years.

When you are diagnosed with arthritis of the spine there is no reason to be alarmed that it’s not a life threatening disease or harmful. The biggest problem is that the mobility of people who hear this diagnosis will become more and more difficult and painful. This became a reality with painkillers year will be stronger and stronger.

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Spinal Arthritis

What causes Spinal Arthritis

There are not many kinds of types of arthritis, osteoarthritis, spinal stenosis, degenerative disc disease and facet joint arthritis. The most common cause for this type of spine disease is succumb to wear and tear, age-related, spinal cartilage, normal aging, and injury to the bone. This leads then later can cause bone jewelery which can be very painful.

induced spinal cartilage wear down and this results in cartilage friction, but also pain, swelling and loss of motion of inflammation. When arthritis of the spine is the result of osteoporosis, it will, for the most part, focused on the neck of a lower back area. This kind will come as we become old and often begins with pain in the spine and lower back. As the cartilage becomes more and more degenerate there will begin to increase friction between them. Morning and evening is the time of day that the pain will be the most.

Old age is the biggest cause of arthritis in spin but poor diet is another. Most people focus on a lot of their organs when it comes to their diet and thus ignore the bone and cartilage health in general.

Some Symptoms Spinal Arthritis

Pain, stiffness, swelling, feeling as if your bones rub together, numbness, spinal deformation and reduced agility are some of the symptoms that you will see a form of arthritis in the spine and very similar to other forms of the disease this would indicate.

There are still people who think that the cold weather will aggravate arthritis of the spine but there is not much data on this that it is difficult to call this a fact or myth. If you really want to reduce this disease you need to drink plenty of non-fat or skim milk. Another thing to do is to use calcium supplements but beware because sometimes these can have unwanted effects. Ask your doctor what it is and if you have to take them or not.

Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.


Neck Pain Causes Headache

March 12th, 2013

Neck Pain Causes Headache / Headache Caused By Neck Problem

Cervicogenic headache is a headache caused by a disorder of the neck especially neck vertebrae and discs. The cause of this disorder include: chronic tension, acute whiplash, intervetebral disc disease, and arthritis. These disorders can refer pain to the head, causing headaches. The pain will usually start at the back of the head and worked his way up and forward. treatment of headache types of headaches should begin with pain at the neck. Pattern headaches associated with trigger points in the neck, as well as the discs and joints in the upper cervical spine is well mapped Even headaches located mainly on the forehead, or behind, in and around the eyes is very often painful zone “intended” for pathology that lies behind the neck and at the base of the skull. Suboccipitgal area is the area below the occipital skull head. The joints that connect two or three levels above the cervical spine to the base of the skull handle almost 50% of the total motion across the neck and head area, so absorb the amount of continuous repetitive stress and strain, in addition to bearing the main burden of the weight of the head. Issues such as fatigue, poor posture, injuries, disc problems and neck surgery before they can be complex and the wear and tear on the body. One can also develop a narrowing of the spinal canal itself, which runs through the spinal cord and its nerve roots are all out, leading to a condition called spinal stenosis, is also a possible source of headaches, among other symptoms.

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Neck Pain Causes Headache / Headache Caused By Neck Problem

Cervicogenic headaches come from neck disorders, including anatomical structures innervated by the cervical roots C1-C3. Cervical headache is often brought on by neck movement and / or sustained awkward head position. Many patients also have limited range of motion of the cervix and the one-hand, shoulder, or arm pain that is vague. Treatment of headache types of headaches are directed to treat the causes in the neck area.

Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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Cervical Syndrome – Disc Bulging

March 3rd, 2013

Cervical Syndrome – Disc Bulging

Once upon a time, when you  get up early and  you  felt incredible pain in the neck terrific and will increase when moving your neck, especially rotational motion / peek left / right could either direction or one direction only. People say you “Lau Cen (In Chinese)” because sleeping in wrong position to one of the pillows.

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Cervical Bulging DIsc

Limited range of movement to the neck in such condition is also known as wry neck. Symptoms include stiffness and sore to the neck.

This incident can happen to anyone indiscriminately. What actually happens is that when you fall asleep is in the neck position is settled with no change until the morning you wake up. One side of the muscle group in a position of relaxation while the other retracts position. When all of a sudden you wake up, this muscle [shortened] directly working hard with excessive sudden contraction causing excessive movement from the initial position [in certain cases even the tendon of origin of sternocleido mastoid muscle injury involved].

These reactions result in the movement of the neck vertebrae corpus sudden yag resulting high pressure on one side of the disc that drives the disc moves out of its original position towards the rear or posterior longitudinal ligament obligue urged that this ligament flex and compress the spinal nerves or nerve roots and cause pain and you feel. This event is not to damage the ligaments and discs lasted only a moment, and immediately return to its original position. However, the pain still you would feel in a few days or even weeks.

Treatments wise include oral muscle relaxant medication, injections for faster relief, and physiotherapy to relax the muscle.

Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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Osteoarthritis

March 1st, 2013

Osteoarthritis

Osteoarthritis. Have you ever seen a middle-aged woman with a rather plump stature walked with a bit stumped by the body at the waist to head swung horizontally to the left-right rhythm of his feet while the hip down to the leg seemed to swing toward the opposite? Believe me, he’s not acting to get attention, but his reflex system is working to avoid the pain in the knees, waist and sometimes also in the ankle / heel. Usually one or both knees also pain and swelling, loin pain radiating to the lower limbs. Women like the one I described above are afflicted poor due to osteoarthritis and is avoiding the pain arising from the activities running.

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Osteoarthritis

The term always refers to osteoarthritis is degenerative joint damage which the joint space disappears because of cartilage that acts as a “mounting” [silencer] degenerated and thinned even gone so the ends of each bone directly meet and collide causing infection / inflammation characterized by swelling . Of course, the situation was “lost” this cartilage resulted in “Letting” connective tissue forming the joints so that the condition is also characterized by the loosening of joints.

Convergence of the two ends of the bone directly without “mounting” a joint system, a biomechanical will rub against each other when the limb is being carrying out its functions and friction harder when there are loads especially with a heavy load. This event also triggers inflammation, which in turn will form / grow new bone with a surface that is not flat / serrated which will add to the suffering because it was so painful. Events growth of new bone is actually a normal and natural process, where there is injury, there body tries to recover itself. Abnormal is the location / area is unusual, so since the injury at the end of the bone so new bone formation occurred there, if any injury / broken / cracked elsewhere then that is where your body system will work the same way, because the system of our body / bone continuously and constantly in a state building / remodeling, ie a situation in which osteoblasts form bone matrix membranes continuously in the bone marrow and transporting active ingredients across the membrane to initiate calcification in the area needed to build new bone. It’s called by many as the calcification / osteophytes.

Due to growing irregular and rough, but the joints are then surely there will be appropriate levels of pain severity. If the response is silence joint pain is concerned almost no motion, then the process of degeneration faster rate so that the joints seemed to be full, and steadfastly stuck again [which generally occurs in small joints] and even memorable stiff, and likewise occurring in the connective tissue of his being as contractures / not elastic anymore. When forced to be moved instead there will be tremendous pain.

In essence, all the joints of this disease, but potentially the highest is the knee, lower back, neck, fingers. Factors other than age influence behavior, trauma and genetic. When being attacked by this disease together when uric-acid/asam veins are high the more it will be complete disabling affliction.

Why women are more likely to develop osteoarthritis?

Although it does not discriminate against gender, but why women are more likely to develop this disease? Because naturally menopausal women experience a process which is slowly hormone estrogen [which helps the joints remain elastic and slippery] stopped production so that these conditions will accelerate the process of damage joints. Apart from all that the highest age factor contributing role for these pathological conditions in addition to other factors.

While in the age of forty and above are used to weight balanced and regular exercise rhythmically without the burden or expense of a full-range minimal-movement at each joint plus isometric movement is believed to help joint flexibility in carrying out its functions without pain so as to avoid this disease.

Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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Neck Arthritis (Cervical Spondylosis)

January 29th, 2013

Neck Arthritis (Cervical Spondylosis)

Neck arthritis, which is otherwise called cervical spondylosis, is a type of arthritis caused by degenerative changes in the bones and intervertebral discs of the neck. This is mainly due to aging, because although there are other factors as well, the condition usually presents itself after the age of 40 and then continue the process on from there.

With neck arthritis, the bones in the neck, because the whole body, the more degenerate as your body ages, and from time to time, neck arthritis can cause bone spurs and from problems with ligaments and disks. In addition, the bone marrow may end up narrowing and compressing the spinal cord and nerves, and injuries of the neck arthritis can actually cause complete spinal cord compression.

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Neck Arthritis (Cervical Spondylosis)

Signs and Symptoms Of Neck Arthritis

There are a number of signs and symptoms that you may see from early arthritis neck, and these include: neck pain and stiffness is usually worse with upright activity, you may have numbness and weakness in the arms, legs, hands and fingers and have trouble running because all of the above drawbacks, you may feel or hear grinding noises or appear on the neck as you move. You may experience muscle cramps or headaches that would normally originate in the neck area.

When it comes to the treatment of rheumatoid neck, most of the time, if your symptoms are mild, your doctor will most likely recommend a variety of non-surgical treatments such as rest and treatment. However, if your arthritis is very advanced or very painful, they can choose to go for forms of more serious treatment.

Remember that different forms of maintenance work that is different from one person to the next, and so what works great for one person may not affect at all on you. This is why you may have to try several different options before you can settle on a particular one.

The most important thing is that you stay on top of your health and that you are sure to look out for any signs or symptoms of arthritis, not only on your neck, but over your entire body. Arthritis is, after all, one of the most common diseases in the world, and although it can be treated, the pain and discomfort caused by it are very severe.

Make sure that you get in for a regular check up with your doctor so that together you can make sure that you are always top notch when it comes to your health.

Need Consultation for Neck Arthritis (Cervical Spondylosis)?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopaedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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Spine Decompression Surgery

January 23rd, 2013

Back pain is as common as a headache. Most back pain disappear on their own with some rest and / or medication. Some may stay longer but can still be managed with conventional treatment building exercise medicine, therapy and back. But, there are some types of chronic back pain so that they make the disabled. Chronic condition requires surgery so as to improve the person’s condition.

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Spine Decompression Surgery

There are different reasons that cause back pain. In this article we take a look into the condition caused by compression of the structures that make up the spine, and surgical solutions for spinal problems.

To relieve pressure on one or many pinched nerves of the spinal column caused by the surgery, spinal decompression compression in its various forms – discectomy, laminectomy and foraminotomy – is used. Let’s start with a description of each of these conditions followed by an understanding of the surgical options.

Spine Decompression Surgery:

Depending on the underlying reasons behind the conditions above, surgical decompression can be used to help relieve the pain. Surgical decompression of the spine can take the form of a discectomy, laminectomy, or a foraminotomy.

Spinal discectomy:

Discectomy is the removal of all or part of the affected disk. Spine discectomy can be done in several ways:

Microdiscectomy:

It is a minimally invasive way discectomy procedures that implement the bones, joints, ligaments or muscles of the spine are not touched so much faster healing and recovery.

Lumbar discectomy:

Lumbar discectomy, as the name suggests, is done to address the condition of the lumbar spine or lower back. It can also be part of a larger operation that also includes a laminectomy, foraminotomy, or spinal fusion (fusing vertebrae together to stop movement of the painful joints).

Discectomy cervix:

Cervical discectomy is performed to treat conditions of the cervical spine or neck area of ​​the spine. This is most often done with laminectomy, foraminotomy, or fusion.

Spinal laminectomy:

Laminectomy is the removal of a small portion of the curvature of the spine to increase the size of the spinal canal to relieve pressure on the spinal cord and nerves pinched. Laminectomy is most commonly performed to treat spinal stenosis. This is usually done in conjunction with diskectomy, foraminotomy, and spinal fusion. Laminectomy may be performed using conventional open or minimally invasive methods.

Spinal foraminotomy:

A foraminotomy is the removal of bone and other tissues to expand openings for the nerve roots to exit the spinal cord. Foraminotomy, which is performed at each level (region) of the spine, taking pressure off the nerves in the spinal column and allow it to move more easily. This procedure is usually performed as a minimally invasive procedure.

Spinal decompression surgery successful in reducing pressure and pain in 80% to 90% of patients. When your back pain get the better of you, decompression surgery can greatly help improve your quality of life.

Need Consultation for Spine Decompression Surgery?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.


Neck Pain Causes: Causes Neck Pain

January 15th, 2013

NECK PAIN is often ignored by the most people. Neck pain is not taken seriously can cause more serious health problems. Often the question arises why my neck hurt?

Our neck itself consists of the bones and soft parts, such as muscles, ligaments and nerves. Spine of the neck has the function of supporting the movement and weight of the head. Unlike other parts of the spine, the neck is not covered by other bones that are prone to injuries that cause pain and limit movement. Neck pain can be lost in certain circumstances on its own, but most need a diagnosis and further medical care.

Neck pain can be caused by abnormalities in the soft tissues, such as muscles, ligaments and nerves, as well as the bones and joints of the spine. The most common causes of neck pain are soft tissue abnormalities due to a small but prolonged injury. Although rare, it can also be caused by infections, tumors and congenital abnormalities of the spine. Currently, the most common cause is a disease neck degeneration due to aging and excessive activity. In some people, the problem vertebrae of the neck causing pain in the upper back, shoulders and arms.

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Neck Pain Causes: Causes Neck Pain

Common Neck Pain Causes (Causes Neck Pain):

  • Rheumatoid Arthritis: Rheumatoid arthritis can damage joints and cause stiffness in the neck, usually occur in the upper neck.
  • Cervical Degeneration Intervetebral Disc (Spondylosis). Disc degeneration usually occurs at the age of 40 years or more. Disk can stand and put pressure on the spinal cord when the edge of the disc weakens.
  • Injury. Motor vehicle accident or wreck diving, sports and falls can cause injury to the neck. The use of motor vehicle seat belt can help to prevent or minimise neck injury. Automobile collision may result in hyperextension (backward movement of the neck beyond normal limits) or hyperflexion (neck movement to advance beyond limit of normal). In general, the soft tissue injury, more severe neck injuries with a fracture or dislocation of the cervical spine can damage the spinal cord and cause paralysis.

When should you seek treatment?

If neck pain arises after a severe injury that occurred as motor vehicle accidents, diving accidents or falls, should immediately go to hospital for medical treatment. Medical treatment should be done if the neck pain spreads to the arms and legs, while numbness or numbness in an arm or leg without neck pain should also be evaluated. If there is no history of injury, you should also seek medical care when neck pain was continuous, severe, with pain spreading to the arm or leg, accompanied by headaches, numbness, tingling, or weakness.

Need Consultation for Neck Pain?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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Neck Pain Symptoms

January 11th, 2013

Neck Pain is type of pain can come from areas near the neck, such as the jaw, head and shoulders. Instead, the problem in the neck can also cause other parts of the body experiencing pain, such as the upper back, shoulders or arms. If the nerve is also involved in the neck pain symptoms, it will feel invulnerable (numbness), tingling, or weakness in the arms or legs.

Neck Pain Symptoms

Neck Pain Symptoms

Symptoms associated with Neck pain (Neck Pain Symptoms):

  • Cervical disc bulge-discs are tucked in the neck can cause neck pain is prolonged with a constant stiffness around the neck and shoulder muscles. This pain can radiate to the shoulder and / or arm. Depending on the degree of protrusion, the vertebrae can be narrowed to a variety of levels-provide a sense of numbness and weakness in the hand.
  • Cervicogenic headache-specific headaches associated with neck pain. They arise spontaneously, sometimes so strong that awakens the patient from sleep. The pain often feels snappy with each duration lasts from several minutes to several hours. It can be accompanied by numbness in the shoulder or hand.
  • Miofasial Pain. Often, these patients have a lot of trigger points weaker on their shoulders, neck and upper back, between the scapula and cause their weak arm. This type of pain can be eliminated with a massage or acupressure for short periods of time. This pain may be triggered by stress.
  • Fibromyalgia-general muscle pain involving the neck, lower back, shoulders, buttocks, and limbs. There are frequently involvement of severe fatigue, abdominal pain, or psychological pressure. Patients may experience stiffness of the joints in the hands, feet, and neck in the morning
  • Rheumatoid arthritis-systemic disorder involving inflammatory conditions poly arthritis, involves the hands and feet or neck pain.
  • Effects of stress-If someone is rushing to meet deadlines, without knowing it, the neck muscles tighten and shorten the neck, causing the neck joint stress. Studies have shown that stress reduces a person’s breathing, reducing oxygenation to a number of specific muscles.

Do you have Neck Pain Symptoms? Need Consultation?  Please contact us by calling (65) 64762106 or Schedule an Appointment here on our website. Our professional orthopedic specialist, Dr. Kevin Yip, has more than 20 years experience. Be assured that you will be receiving professional treatments that suit your needs. Consultations are covered by most insurance.

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