Sunday, July 12, 2009

Free Your Neck, and the Rest Will Follow!

Kasey Cox

For nearly the past decade, the following books have been sitting on my shelf: Taking Control of TMJ: Your Total Wellness Program for Recovering from Temporomandibular Joint Pain, Whiplash, Fibromyalgia, and Related Disorders, by Robert O. Uppgaard, D.D.S.; TMJ: The Self-Help Program, by John Taddey, D.D.S.; and Fibromyalgia and Chronic Myofascial Pain, by Devin Starlanyl and Mary Ellen Copeland. As you may have deduced, I suffer from chronic jaw, face, neck and back pain. So, from time to time, when my neck or face is especially troubling me, I get one of these books down, begin reading about exercises and treatment options and muscle insertions, and … zzzzzzzzzz. The next thing I know, I wake up, drooling on the book, with a giant crick in my neck.

While my jaw problems may be a little more unusual, I’m certainly not alone in my complaints about neck, shoulder and back pain. As we spend more time on the computer and phone, our work days taken up by long drives and even longer lists of emails in the inbox, our collective shoulders can handle less weight. (And you thought it was just the economy weighing on you.) The truth is, chronic pain is not just an annoyance: it’s distracting, fatiguing, depressing. If only we could “fix it”, we could live happier, more productive lives, both at work and at home. Like countless advertised products in our society, many books (as well as exercise tapes, doctors, therapists, classes, supplements, and spiritual rituals) promise quick relief. I’ve tried several of them; you may have, too, to varying degrees of success. As for me, I’m still looking for longer-term solutions.

When DiaMedica Press recently sent me a review copy of their new book, The Neck Pain Handbook: Your Guide to Understanding and Treating Neck Pain, by Grant Cooper, M.D. and Alex Visco, M.D., I felt fairly skeptical. I’m pleased to tell you, however, that this slim but efficient volume is NOT just another snorefest, nor is it “Neck Pain for Dummies”. Both of these physicians specialize in spine and musculoskeletal medicine. In their preface, they explain how they decide to co-author this book to address the increasing number of patients coming to them with neck pain, whether occasional nuisance or debilitating presence.

In a mere 126 pages, divided into four main sections, these docs cover learning the basics about the neck – including the nattily-titled chapters “Learn to Appreciate Your Neck” and “When Good Necks Go Bad” – how to care for your neck, when it’s time to see a doctor, and various treatments available. They advocate a more conservative approach first, including waiting before getting an MRI, unless you have one or more of the “red-flag” symptoms they list, which might indicate a much more serious ailment, such as cancer, rheumatoid arthritis, multiple sclerosis, or severely impinged nerves. Drs. Cooper and Visco list some of those red-flag symptoms not to scare people, but in order that the reader, too, may determine when it’s time to insist on more attention from the doctor.

Otherwise, the chapters on taking care of your neck include such keywords as posture, computer work station, stretching and strengthening exercises, Thera-Bands, movement, posture, exercise, walking, and posture. The drawings of key neck muscles and joints, as well as photos of people sitting at their desks, talking on the phone, or doing the recommended exercises are helpful. Discussions about trigger points, injections, X-rays, and the efficacy of oral medications and/or supplements add to the text without bogging the reader down in too much medical jargon.

The author’s bottom line, and conclusion to the book, gives me a lot of hope – the reminder that neck pain is usually very responsive to treatment, over time and with the correct diagnosis, AND the reminder that above all, I must respect my neck. Forget the current rude saying, “Talk to the hand.” My new mantra is “respect the neck.” Or, “free your neck, and the rest will follow.”

Hobo says he enjoys sticking his neck out for his friends, family, and fans. If you’d like to stick your nose, or your neck, into Hobo’s old business, check out his archived articles at his blog, http://frommyshelf.blogspot.com. Stop by the store this summer when Hobo’s around, and he’ll tell you exactly where he likes his neck scratched. Look for Hobo’s new line of fashion neckties, available at Garrison’s Men’s Shop this fall!

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