Neck Pain And Cervical Pain Treatment
Dr. Sanjay Arora

Cranio-Sacral TMJ Specialist, BDS, MDS ( Endodontist), Occlusion Specialist, Craniodontist, Neuro Muscular TMJ Specialist, Epigeneticist, Master Ceramist,
Location: New Delhi, India

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Neck Pain And Cervical Pain

Also referred as CERVICAL PAIN or CERVICALGIA. It is a very common problem affecting almost two-thirds of the population at some or the other point in lifetime. Women are more commonly affected by neck pain.

Causes Of Neck Pain

TMJD (Temporomandibular Joint Disorder)

Neck Pain And Cervical Pain Treatment In Delhi, India.

  • Most common cause for neck pain.
  • It’s an Infratemporal fossa catastrophe, occurring due to inward disc (medial) displacement of the Jaw Joint or TMJ.
  • This happens due to abnormal teeth grinding, which causes a tilt in the jaw joint leading to abnormal residual forces in the jaw joint.
  • Inside or on the inside of joint exists major structures travelling from and to the brain like nerves and blood vessels. This leads to compression of these structures. A cascade of events is now trigge red.
  • The first nerve to be encountered, at a distance of just 0.5 cm or an ants length is the accessory nerve or the number 11 cranial nerve. The job of this nerve is to maintain the head on shoulders at the “COG” or the center of gravity.
  • Irritation of this nerve alters the muscle function and hence the head position, thereby ultimately resulting in cervical or neck pain.

Compression on nerves

Abnormal growth in the vertebrae (BONE OSTEOPHYTE) or prolapsed disc may cause compression on the nerves coming out from the spinal cord thereby resulting in pain.

Muscle strains

Poor body and neck posture, like hunching for long hours over a steering wheel, mobile phones, lap tops and other electronic gadgets often results in muscle strains. Even reading in bed or gritting your teeth can strain neck muscles causing neck pain.


Whiplash injuries occurring as a result of accidents may cause jerking of head in backward and then forward direction and thus over-stretching of the soft tissues of the neck thereby causing pain.

Wear and tear of neck Joints

Similar to other joints in the body, with age even neck joints tend to undergo some wear and tear, thereby resulting in osteoarthritis in the neck.


Diseases like meningitis, rheumatoid arthritis, tuberculosis, fibromyalgia or neck cancer, may also result in neck pain.

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Common Symptoms

  • Dull aching in neck region which may become worsened with neck movements or turning of the head.
  • Tenderness
  • Sharp shooting pain
  • fullness
  • Difficulty in swallowing
  • pulsations
  • Swishing sounds in the head and 
  • Dizziness or light-headedness.
  • Arm numbness or tingling(upper extremity paresthesia)
  • Associated headaches, facial pain, shoulder pain, upper back and/or lower back pain.

When To Seek For Medical Attention

  • Patient with neck pain needs to seek medical attention in cases where pain is-
  • Severe
  • Continuo us and persistent
  • Accompanied by pain that radiates down the arms or legs
  • Accompanied by headaches, numbness, tingling or weakness
  • In case of injury-without delaying, you must seek medical attention immediately.


Acute Neck Pain

Home care remedies are often enough to subside acute pain symptoms-

  • Applying heat or ice and
  • Pain relief through usage of over-the-counter pain relievers.
  • If neck pain persists-immediately consult a physician for further detailed examination and evaluation.

Chronic Neck Pain

In cases of long standing neck pain or if the symptoms of neck pain fails to subside with home care remedies, then it is of utmost important to seek medical attention immediately. The various treatment modalities for relieving chronic neck pain are-

  • Physical Therapy: Various forms of physical therapy used in treatment of neck pain are-
  • Ultrasonic,
  • Short wave diathermy,
  • Laser
  • Controlled traction
  • Neck strengthening exercises- In ACUTE neck pain conditions, exercises must be avoided.

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TMJD Treatment

If the underlying cause behind cervical/neck pain is TMJD, then it needs to be treated to get permanent relief from neck pain.

TMJD treatment requires correction of TMJ residual pressures through the Dental Occlusion correction.TMJD correction is more of a Bio-Engineering problem rather than a Biological problem.It becomes utmost important to confirm it with the aid of various sophisticated and most advanced diagnostic technology(AVAILABLE ONLY AT Zental Tmj & Body Pain Division  BODY PAIN TREATMENT CENTRE, only SUPERSPECIALIZED DENTAL clinic in INDIA and PERHAPS IN ASIA TOO), like-

Once the diagnosis is confirmed and connection between TMJD and neck pain has been established, various treatment procedures can be done to eliminate back aches from the roots. It includes-

  • Home care remedies
  • Medicines-pain relievers, muscle relaxants, anti-depressants.
  • Orthotic/splint
  • Orthodontic treatment
  • Veneers, Crown and bridges
  • Botox


Depending upon the symptoms, patient may be prescribed pain relievers, muscle relaxants, nerve medicines and other drugs.

Interventional Therapy

Indicated in cases when patient receives no relief from either physical or pharmacotherapy or both.

Interventional therapy includes-

  • Epidural Injection
  • Cervicalinjection
  • Trigger Point Injection


  • Absolutely safe and effective
  • Produce rapid pain relief in all age groups, provided they are performed by the experts.

Modifications In Life Style

These includes-

  • Practicing good postures while sitting, reading, working, driving etc.
  • Avoiding heavy weights lifting,
  • Avoiding long hours hunching in front of laptop, mobile phones or while driving.
  • Use of pillows.


Considered as the last resort for pain relief. Rarely indicated for neck pain relief. Performed only under specific neck pain condition.

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