Neck sprain

Introduction A sprained neck is generally called a "slowing pillow." Because of the wind and cold invading the back of the item, the blood stasis and qi stagnation, the meridian is not comfortable; or the neck is not properly placed when sleeping; or the head is violently twisted and other causes of neck pain, called neck sprain. In daily life, people sometimes wake up and feel the neck pain and discomfort. The head is skewed to the pain side and cannot move freely. This is a common soft tissue injury of "sanding pillow", which is called "neck sprain" clinically. The neck, like the waist and the waist, is a vulnerable part.

Cause

The cause of a sprain is often due to a misplaced neck or a cold. For example, suddenly lifting heavy objects, making the head position is not correct when doing the rolling action, the pillow is too high during sleep, the head and neck are too oblique when sleeping, or the shoulder and neck are exposed to the cold, sitting in the window and squinting the car outside the car and in the car Long-distance rides in the cool breeze, etc., are the most common causes of sprains in the neck.

an examination

Related inspection

Cervical activity check neck test

After a sprained neck, the neck feels painful and the head is unable to move freely. The heavy part has slight swelling, pain and tenderness, and may be accompanied by dizziness, mental disorder, loss of appetite, irritability and other symptoms of general malaise. Because of the different muscles in the sprained area, the parts of the pain are also different. When the thoracic mastoid muscle sprains, it can cause thoracic traction pain. When the neck is long and the back muscles are sprained, the bow can cause traction pain in the back of the spine. When the trapezius muscle is sprained, the shoulder traction pain can be caused, and the activity of the part is obviously restricted. Work and sleep, diet and other daily life. Neck sprain is a lighter injury in soft tissue injury, and the course of disease is short. Generally, the principle of self-recovery treatment within 3 to 6 days is Shujin, pain relief, and spasm.

Differential diagnosis

Differential diagnosis of cervical sprain:

1, head and neck activity is limited: one of the symptoms of cervical spondylosis, head, neck, shoulders, back, arms sore, neck and neck stiffness, limited mobility.

2, neck stiffness: neck stiffness refers to neck muscle tension, bloating, hard, sputum (cramp) and other phenomena, neck movement is not flexible. Common in fatigue, cervical spondylosis. Neck stiffness is a persistent over-contraction of the muscles, which not only reduces the blood supply to the neck muscles, but also causes the accumulation of metabolites such as lactic acid, which causes muscle ischemic pain. Back pain and head pain may be tension headaches caused by head or cervical lesions.

3, can not turn the neck: can not turn the neck is the clinical manifestations of the atresia syndrome. The atresia syndrome, also known as the atresia syndrome, is the efferent state, which is caused by the basal lesion of the pons. Mainly seen in the cerebral vasculopathy, mostly bilateral occlusion of the basilar artery pons, resulting in bilateral infarction at the base of the pons.

4, the neck is stiff: neck, shoulder and occipital pain, accompanied by the corresponding tender point and neck is stiff, is the clinical features of cervical cervical spondylosis.

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