Neck pain, also called cervical pain, is a very common condition in medicine. The pain can be due to several factors as simple as staying in one position for too long, strain in the neck, or whiplash. It can also be due to more serious causes such as from a herniated disc, pinched nerve, degenerative disc diseases, and other peripheral or central nervous system problems.
The cervical vertebrae are composed of 7 bones. Break any of these and you’ll have very high chances of death. Within these bones are the spinal cord, canal, nerves, and discs. These are what make the neck along with the muscles, blood vessels, lymph nodes, esophagus, larynx, trachea, thyroid gland, and parathyroid gland.
Pain in the neck is commonly described as a dull ache that can be worsened by movement. In some cases, patients also report numbness, tingling, fullness, tenderness, pulsations, difficulty swallowing, swelling, sharp stabbing pain, even dizziness and lightheadedness. Neck pain can be just what it is or it can be a sign of a more serious condition. To be sure of its origin, a proper diagnosis is required.
To diagnose the cause of the pain, history is very important. The physician will routinely ask for the location of the pain, its origin, intensity, duration, nature, radiation, when it was first felt and so on and so forth. Positions that help lessen and also aggravate pain are also detailed. Patients will also be asked if they’ve had any spinal or neck injuries and if treatments and surgeries were made. In addition, physical assessment of the neck, both at rest and in motion, is done as a routine. Further examination is done if nervous system involvement is suspected. X-ray, CAT scan, MRI, myelogram, electromyography, bone scan, nerve conduction velocity test may be done if physician deems necessary.
Treatment for moderate to severe pain in the neck requires an analgesic more powerful than your regular over-the-counter pain relievers. Tramadol hydrochloride as prescribed by a doctor is a very effective treatment for such pain. This drug is much like morphine, that it has an affinity with the same kind of receptors, only more selective with the mu-opioid receptors.Aside from this action, it also increases the release of serotonin and inhibits the reuptake of norepinephrine from the blood. These characteristics make this drug less likely to be abused compared to narcotics and is ideal for home use.
Tramadol is a wonderful drug for alleviating pain in the neck, among others. It can be taken with less chances of dependence. You need not also worry about abuse since there have been no evidence for this. Tolerance may occur if you don’t follow the proper titration and if taken long-term. Withdrawal symptoms may present themselves if stopped abruptly. It is then recommended to consult the doctor prior to stopping the therapy and to do it gradually. This drug should not be taken by a person who has been addicted to drugs and alcohol. If drunk, patients are advised against taking the medicine to prevent serious side effects. Caution must also be exercised when doing activities that require alertness and concentration while on the drug.