Non-Surgical Treatments for Cervical Spinal Pain: What Are Your Options?

The cervical spine—the uppermost portion of the spine consisting of seven vertebrae—supports the head’s weight, provides neck mobility, and safeguards the spinal cord. However, due to its structure and function, it is susceptible to various issues, leading to discomfort, stiffness, or chronic pain.

Many individuals experiencing cervical pain consider non-surgical treatments to manage their condition. It offers a safe and effective path to pain management without the risks associated with surgery. Consulting with a pain specialist in Sydney can help patients determine the best non-surgical options for their specific situation.

This guide highlights some of the most common non-surgical treatments for cervical spine pain. But before that, let’s learn what causes cervical spinal pain.

Common Causes of Cervical Spinal Pain

Several conditions can lead to cervical spinal pain. Here’s a look at some of the most common causes:

  • Degenerative Disc Disease: Age-related wear and tear of the spinal discs in the neck can cause pain as the discs lose their ability to cushion the vertebrae effectively.
  • Herniated Discs: When the soft inner core of a spinal disc pushes through the tougher outer layer, it can press against nearby nerves, leading to neck pain and radiating discomfort.
  • Muscle Strain and Ligament Sprain: Poor posture, repetitive movements, or sudden neck trauma can lead to strain or sprain, causing localised or radiating pain.
  • Spinal Stenosis: This condition arises when the spinal canal narrows, compressing the nerves and leading to neck pain, tingling, or even weakness in the arms and shoulders.
  • Osteoarthritis and Other Conditions: Age-related neck osteoarthritis can lead to joint cartilage degeneration, causing pain and restricted movement.

Symptoms to Look Out For: When to Seek Medical Help

While occasional neck discomfort might not warrant immediate attention, certain symptoms should prompt a visit to a chronic pain clinic in Sydney. These include:

  • Persistent pain lasting more than a few weeks
  • Pain radiating to the shoulders, arms, or hands
  • Tingling, numbness, or weakness in the upper extremities
  • Limited range of motion in the neck
  • Headaches, especially if they originate from the neck

Seeking professional help early can ensure appropriate chronic pain management, allowing patients to explore non-surgical options before considering more invasive treatments.

The Advantages of Non-Surgical Treatments

Non-surgical treatments for cervical spinal pain are generally considered safer, often effective, and less disruptive than surgical interventions. Since surgery carries risks, including infection, long recovery periods, and the possibility of unsuccessful outcomes, non-surgical options are often preferred initially.

Many non-surgical treatments have shown high effectiveness in alleviating cervical pain. With options ranging from physical therapy to radiofrequency spine procedures, patients can find tailored solutions that target their specific conditions. Pain specialists frequently recommend these approaches due to their proven success in reducing pain and improving quality of life.

Non-surgical treatments have minimal risks compared to surgery. Options such as injections, nerve blocks, and radiofrequency ablation are minimally invasive, providing pain relief without the extensive side effects or complications associated with surgical procedures.

Pain Management Techniques 

Non-surgical pain management strategies are diverse, allowing a chronic pain clinic in Sydney to offer multiple options to suit individual needs:

  • Injections: Corticosteroid injections can be administered to reduce inflammation in the cervical spine, relieving pain for weeks or months.
  • Nerve Blocks: By injecting an anesthetic near specific nerves, nerve blocks temporarily halt pain signals, providing immediate relief for patients with nerve-related neck pain.
  • Radiofrequency Ablation: Radiofrequency spine treatments use the heat generated by radio waves to target and desensitise pain-causing nerves, offering long-term relief for many patients with chronic neck pain.
  • Spinal Cord Stimulation: This technique involves a device that delivers mild electrical signals to the spinal cord, altering pain signals before they reach the brain. Spinal cord stimulation can be an effective choice for patients with severe or persistent cervical pain.

Physical Therapy for Cervical Spinal Pain

Physical therapy is a cornerstone of non-surgical cervical pain management. A tailored physical therapy regimen can help to improve neck strength, enhance flexibility, and reduce pain.

Physical therapy addresses pain by strengthening the muscles surrounding the cervical spine, improving stability, and relieving pressure on affected areas. Regularly practising targeted exercises can help alleviate pain while reducing the likelihood of future injury.

Physical therapists may recommend exercises like chin tucks, shoulder shrugs, and gentle neck stretches to build strength and improve neck alignment. These exercises target neck and upper back muscles, which support the cervical spine and reduce strain.

Manual Therapy Techniques for Pain Relief

Manual therapy, such as massage and joint mobilisation, can alleviate neck pain by loosening tight muscles and improving joint function. Skilled physical therapists apply these techniques to enhance circulation, reduce stiffness, and relieve discomfort in the cervical region.

Postural alignment is critical for managing and preventing cervical pain. Physical therapists can assess and correct posture, teaching patients how to maintain proper alignment in daily activities. Ergonomics training can also improve work and sleep setups to avoid aggravating neck pain.

Conclusion

Non-surgical treatments for cervical spinal pain offer numerous effective options for those looking to manage discomfort and regain a pain-free life. Consulting a pain specialist in Sydney can provide access to a range of therapies, from injections and nerve blocks to physical therapy and posture training.

Dr. Sally Wride

Originally from England, Sally graduated from St George’s Hospital, University of London in 2004 with a BSc (First Class Hons) in Physiotherapy. Since settling in Australia, Sally has worked in private practice and in the public hospital setting across Sydney.

Sally gained a Masters in Medicine Pain Management from the University of Sydney in 2019 and is a Titled Pain Physiotherapist (as awarded by the Australian Physiotherapy Association).

In addition to private practice, Sally currently works as a Senior Physiotherapist at Westmead Hospital Pain Management Service.

Sally is highly skilled in assessing, diagnosing and treating people who experience chronic pain. She enjoys working with injured workers and CTP claimants. She has a deep understanding of the impact of pain on the whole person and on their functioning in daily life. In partnership with her colleagues, Sally enjoys applying her knowledge and clinical skills to provide a safe space for exploration of the physical and emotional meaning of pain and for recovery of function.

Qualifications and Experience

Education
MSc in Medicine Pain Management (Sydney University) Accreditations

Dr. Baraa Kassim

Dr. Baraa Kassim is a highly skilled rehabilitation and pain management specialist. With experience in treating patients with complex medical conditions, her expertise spans strokes, neurological, orthopedic, musculoskeletal, and geriatric conditions, as well as spasticity management and spinal and brain injury rehabilitation.

Dr. Adam Mir

Dr. Adam is a Fellowship-trained Pain Medicine Specialist with a Fellowship from the Faculty of Pain Medicine (FFPMANZCA) and a Master of Pain Medicine from the University of Sydney. He is dedicated to the comprehensive management of chronic pain across all age groups.

Dr. Adam trained in adult pain medicine at Liverpool Hospital, Nepean Hospital, and the Department of Pain Medicine, and completed additional training in paediatric chronic pain at The Children’s Hospital at Westmead. He currently serves as a Staff Specialist at Westmead and St George Public Hospitals (NSW Health), and is a Visiting Medical Officer (VMO) at Liverpool Public Hospital, St George Private, Sydney Southwest Private, Holroyd Private, Norwest Private, and Nepean Private Hospitals.

He adopts a whole-person, multidisciplinary approach rooted in the socio-psycho-biomedical model, utilising both pharmacologic and interventional techniques. These include:

Dr. Adam is an Authorised Prescriber of Medicinal Cannabis and holds a Diploma in Medicinal Cannabis. He is also certified in Opioid Treatment Programs, including Methadone, Suboxone, and Buprenorphine injections. His areas of interest include opioid dependence management, medicinal cannabis, and interventional pain procedures.

He also completed advanced training in Virtual Reality Therapy for chronic pain and mental health disorders in Barcelona, Spain, and has further qualifications in Focused Psychological Strategies, Cognitive Behavioural Therapy (CBT), and Clinical Hypnosis.

Qualifications:

Languages Spoken: English, Persian (Farsi), Dari

Dr. Alister Ramachandran

Dr. Alister Ramachandran, a dual specialist in Anaesthesia and Pain Medicine, boasts 20+ years of experience. FIPP-certified, he leads Westmead’s pain service, teaches at Sydney University, and is a Faculty of Pain Medicine examiner. His focus remains on delivering evidence-based chronic pain treatment, ensuring comprehensive and effective pain management intervention.

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