Neck Pain Questions
Articles by Ross Hauser, M.D.
Contact Dr. Hauser or add a comment about this article

Muscle Spasms and a Straightening of the Normal Lordotic Curve of the Neck
Severe muscle spasms and a straightening of the normal lordotic curve of the neck. Patient received 120 chiropractic manipulation to her neck and countless sessions of physical therapy.

The patient's history was interesting in that she appeared to have muscle tension headaches initially. By the time she came to Caring Medical she was assessed as having Overmanipulation Syndrome. This conditions is actually caused by too much chiropractic manipulation. She now had severe ligament laxity in her neck with compensatory muscle spasm, resulting in the 'straight' neck.

The patient received six Prolotherapy sessions over the course of six months. She had a completely recovery of her neck pain. After the Prolotherapy, neck x-rays were taken which showed her lordotic curve had returned. The reason for this is a cessation of the cervical muscle spasms because of the repair in the ligaments that took place with Prolotherapy. Prolotherapy by tightening and repairing the ligaments, the muscles could now relax because the vertebral joints were stable.

Neck Disk Herniation
Q. I have had 3 Prolotherapy sessions to my neck. I am still having a lot of pain and stiffness on both sides and up the back of my head, along with bad headaches over my right eye. I recently had a MRI of my cervical spine, which showed a large bilateral protrusion at C5-6 Level, narrowing the foramina to the uncal vertebrae joints, obliterating the subarachoid space posteriorly and anteriorly. A small central protrusion at C4-5 Level, mildly narrowing the formina. And a annular bulge at C3-4 level, with no narrowing. I was told to have an epidural to help break up the disc. I never heard of this before. I had an epidural in low back several yrs. ago, which didn't help and ended up having a laminectomy. I've been putting up with this neck, headaches and both shoulder, arm, hand, pain and numbness for over 2 years now, which has gotten a lot worse the last few months. Thanks for your input!
 

A. If the disc herniation is obliterating the subarachnoid space this could be serious and I see the surgeon and also the neurologist or physiatrist for an EMG/NCV/SSEP test to see if you have a pinched nerve in your neck or slowing of nerve impulses in your central nervous system. If you do then surgery is probably your best bet. The key in regard to Prolotherapy success is whether or not a nerve is getting compromised. If the answer is ‘no’ then most certainly you should respond to Prolotherapy. If a person has had three Prolotherapy sessions and ‘no response’ and the EMG/NCV of both upper extremities shows a pinched nerve then a consultation with a surgeon should be done.

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