Neck Pain

If you’re experiencing neck pain, it may be caused by a specific spinal problem that can be diagnosed and treated, such as arthritis, nerve compression, infection, fracture, or a tumor or other growth. However, most neck pain is defined as nonspecific, which means that it isn’t caused by any specific pathology. Read on to learn more about treatment options for nonspecific neck pain.

Neck Pain treatment NYC

Common causes for nonspecific neck pain include strain on the neck (for example, bending it for a long period of time or sleeping on an unfamiliar pillow) as well as age related wear and tear. Usually, neck pain is defined as nonspecific unless it is combined with pain traveling down the arm or weakness in the hands. If you do have either of those symptoms, however, your doctor will recommend imaging tests to determine the cause of your pain.

While nonspecific neck pain has no cure, it typically resolves itself after a few days. You can help alleviate some of the pain with home remedies, such as stretching, rest, and over the counter anti-inflammatory medications. Your doctor can recommend exercises that may help. Applying heat or ice might also be helpful.

Another recommendation is to attempt to identify the triggers of your neck pain–for example, stress, a certain type of physical activity, or sleeping on a certain pillow–and avoiding those triggers. If you find that your pain manifests at the end of the work day, adjust your chair and workstation to provide ergonomic relief. Daily activity, even if it is as minor as taking a walk, can often help improve your overall well-being and help alleviate pain symptoms. In general, doctors avoid prescribing medications for neck pain unless it persists for longer than a few days and is not resolved with over the counter medications combined with self care strategies.

One of the most common causes of specific neck pain is a whiplash injury, typically associated with a car accident. If you’re involved in a collision, see your doctor right away if you have neck pain so that they can rule out a broken bone and recommend the treatment that will best resolve your pain. Routine treatments for whiplash are usually very similar to those for nonspecific neck pain.

If your neck pain is combined with headaches, it’s important to determine what triggers these headaches so that your doctor can help you treat the cause rather than the symptoms. Common causes include certain foods, stress, lack of sleep, tension, and poor posture. Headaches can also be related to a stiff neck, in which case your doctor can recommend exercises that may be beneficial.


In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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