Neck pain will affect almost two-thirds of people at some time in their lives. If that pain lasts longer than three months, it is considered chronic. Both chiropractic and physical therapy offer conservative approaches for treating this condition. Conservative care is appropriate as long as you do not have pain, numbness or weakness in your arms or hands. If you have those problems, consult with your doctor.
Chiropractic and Chronic Neck Pain
Chiropractic therapy focuses on restriction in joint mobility, especially the joints of the spine. Treatment is primarily the chiropractic adjustment, a manipulation treatment to improve or restore mobility in those joints. Chiropractic therapy offers a drug-free approach, is available without a referral and is usually covered by health insurance plans. Studies have shown the effectiveness of manipulation for neck pain.
Physical Therapy and Chronic Neck Pain
Physical therapy will focus more on muscle balance, strength and flexibility. Treatment may be passive, like heat or cold, muscle stimulation or ultrasound. It will include active therapy like exercise and assistance with activities of daily living. In most states, you will need to see your doctor for a referral to a physical therapist. Research has shown greater effectiveness for active care than for passive.
Other Considerations
Sometimes both of these approaches can be combined in one setting. There are chiropractic centers that use exercise as a part of treatment. Also, some physical therapy centers employ chiropractors to do manipulation. Team approaches increase convenience for you to receive a broader range of care.
Cautions for Neck Pain
Most chronic neck pain is associated with poor posture, depression, neck strain and occupational or sports injuries. However, some neck problems like disc herniation, infection and malignancies can present without symptoms into your arms. If you have worsening pain or if you have symptoms affecting your arms or hands, seek the advice of your doctor.
