Neck Pain

Determining the relationship between Cervical Lordosis and Neck Complaints
PUBLISHED: J Manipulative Physiol Ther. 2005 Mar-Apr;28(3):187-93. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/15855907
AUTHORS: McAviney J, Schulz D, Bock R, Harrison DE, Holland B.
RESULTS: Patients with lordosis of 20 degrees or less were more likely to have cervicogenic symptoms.
The association between cervical pain and lordosis of 0 degrees or less was significant.
Patients with cervical pain had less lordosis and this was consistent over all age ranges.
CONCLUSION: We found a statistically significant association between cervical pain and lordosis < 20 degrees and a “clinically normal” range for cervical lordosis of 31 degrees to 40 degrees.
Maintenance of a lordosis in the range of 31 degrees to 40 degrees could be a clinical goal for chiropractic treatment.

Decreased Vertebral Artery Haemodynamics in Patients with Loss of Cervical Lordosis
Published: Med Sci Monit. 2016 Feb 15;22:495-500. Referenced in Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/26876295
Authors: Bulut MD, Alpayci M, Şenköy E, Bora A, Yazmalar L, Yavuz A1, Gülşen İ.
BACKGROUND: Because loss of cervical lordosis leads to disrupted biomechanics, the natural lordotic curvature is considered to be an ideal posture for the cervical spine. The vertebral arteries proceed in the transverse foramen of each cervical vertebra.
CONCLUSIONS: The present study revealed a significant association between loss of cervical lordosis and decreased vertebral artery hemodynamics, including diameter, flow volume, and peak systolic velocity.

And…. This Is Why We Check Kids
Scoliosis and Postural Screening Assessment
Is it Time To Have Your Child’s Spine and Posture Checked?
These are the results of a spinal, postural and scoliosis assessment of one of the children we assessed during the holiday period.
Back in the day scoliosis and growth checks where done by doctors and nurses who visited schools to screen children. It was a valuable service provided by the government to screen all primary age children for genetic, growth or developmental disorders.
But who is performing this service now?

Congratulations To Ilja
It is not just about the pain you are in; it is the impact it has on your life.
One of our fantastic patients, Ilja placed first in a recent golf tournament. Braving some terrible conditions he won first place in +3 par competition. Still a fair bit of work to do but happy with how he played.
The smiling chap above is a long way from the severely stressed patient that first attended the Practice with chronic neck pain and disability.
It is not just about the pain you are in; it is the impact it has on your life. You become the limitations of your injury as opposed to living a life you want to live.

Increase in Cerebral Blood Flow indicated by increased Cerebral Arterial area and pixel intensity on brain magnetic resonance angiogram following correction of Cervical Lordosis.
PUBLISHED: Brain Circ. 2019 Jan-Mar;5(1):19-26. doi: 10.4103/bc.bc_25_18. Epub 2019 Mar 27. Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/31001596
AUTHORS: Katz EA1, Katz SB1, Fedorchuk CA2, Lightstone DF2, Banach CJ1, Podoll JD3.
RESULTS: Pixel intensity increased 23.0%-225.9%, and a Student’s t-test determined that the increase was significant (P < 0.001). Regression analysis of the change in pixel intensity versus the cervical lordosis showed that as the deviation from a normal cervical lordosis increases, percentage change in pixel intensity on MRA decreases.
CONCLUSION: These results indicate that correction of cervical lordosis may be associated with an immediate increase in cerebral blood flow.

Cervical Spine Sagittal Alignment and clinical outcome after Anterior Cervical Discectomy and Fusion
PUBLISHED: Am J Orthop (Belle Mead NJ). 2012 Jun;41(6):E81-4. Referenced Pub Med: https://www.ncbi.nlm.nih.gov/pubmed/22837996
AUTHORS: Gum JL1, Glassman SD, Douglas LR, Carreon LY.
RESULTS: Receiver operating characteristic curve analysis showed that a postoperative cervical lordosis of at least 6° predicted achievement of MCID for NDI (8 point change in NDI).
This suggests that maintenance or restoration of overall cervical lordosis is important in achieving a successful result after Anterior Cervical Discectomy and Fusion (ACDF).

Is the Daily Grind giving You a Headache?
Headaches are becoming increasingly common and we are often guilty of taking some painkillers and ignoring the problem. Headaches can take different forms such as migraines or tension headaches, and these can greatly impact quality of life.
Headaches can be caused by various reasons, including but not limited to, poor posture, stress, sleeping patterns and poor nutrition.