Neck pain is one of the commonest musculoskeletal complaints to visit a doctor’s office. The causes of neck pain are varied and can range from a simple strain to cervical spondylosis, which is degeneration of the cervical spine. Sometimes, neck pain can also be due to a whiplash injury because of a road traffic accident.
The investigations which we will order for the patients will depend on the clinical presentation.
In young and healthy patients who present with neck pain of a few days’ duration, usually no further investigations are required if the clinical examination is unremarkable. The clinical diagnosis is usually that of a neck strain, which tends to improve with time.
In patients who are involved in traumatic events like a fall from height, X- rays and CT scans are usually ordered to look out for any possible fractures or dislocations.
An MRI scan of the cervical is ordered if the patient complains of shooting pain down the arms or unsteady gait to look out for any spinal cord and nerve compression (Figure A). Such a clinical phenomenon is usually known as cervical radiculopathy or cervical myelopathy.
In elderly patients with cervical spondylosis, there will be a loss of intervertebral disc height and the presence of osteophytes (Figure B).
Figure A. An MRI scan showing significant spinal cord compression in the neck.
Figure B. A CT scan showing osteophytes in a cervical spine.
Your doctor will assess your posture, movement, and strength to evaluate how your spine and muscles are functioning.
An X-ray helps detect signs of fractures, degenerative changes, or issues in the bones of the spine.
An MRI provides detailed images of soft tissues like discs, muscles, and nerves, helping identify conditions such as herniated discs or nerve compression.
A CT scan allows us to visualize the bones more clearly.
In most cases of neck pain, it can be treated initially with a course of physiotherapy and painkillers. Most patients tend to improve with conservative management.
In patients who present with weakness in their upper limbs or unsteady gait due to compression of their spinal cord or nerves, surgery should be considered. The goal of the surgery is to relieve the neurological compression and bring about stability of cervical spine (Figure C).
Figure C. A patient who has undergone a laminectomy and spinal fusion surgery.
There are a variety of pain treatment options available, ranging from non-surgical methods to surgery, depending on the severity of your condition.
In some cases, surgery may be necessary if other treatments have not provided sufficient relief or if you are suffering from conditions such as a herniated disc, spinal stenosis, or severe nerve compression. Surgical options might include:
We work closely with trusted insurance partners to make your treatment seamless. Contact us, and we’ll guide you through the process at every step of the way.
Dr. Marcus Ling is a Senior Consultant Orthopaedic Surgeon with a special focus on minimally invasive and motion-preserving spinal surgery. A dedicated clinician and educator, he has led advancements in spinal care while mentoring future surgeons. Known for his compassionate approach, he prioritises patient well-being, ensuring expert, personalised treatment for every individual. Dr. Ling is also one of the few surgeons that can perform awake spinal fusion without the need for general anaesthesia. This approach minimises downtime, allowing patients to be discharged within 24 hours of surgery when possible.
Reach out to our team today to explore your treatment options, schedule an appointment and start your journey towards enhanced health and mobility.
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