～治療細語～
最近遇到一位頸及前臂痛的患者。最初她常覺得手臂肌肉疲倦，約個多月前她開始手肘痛，有網球肘的問題。看了醫生食藥💊沒有幫助，按摩💆🏻伸展前臂也無大分別。捱了一段時間，突然有一朝早起身頸緊又痛動不到，以為是俗稱的「瞓捩頸」，過了數天也一直無改善。我見她時已過了五天，頸及手肘都在痛。當幫她做了頸骨的調整及筋膜放鬆後，她的頸痛差不多完全消失，而手肘痛也好了約七成。而她的頸部也立即能活動自如。
在身體結構上，頸肩及手都互有關連。頸肩姿勢不良會增加軟組織的負荷，引致勞損甚至痛症。而頸椎的神經線是由頸部開始一路伸展至手及手指。如果神經線在頸椎位置受刺激或受壓，會引致痛或麻痺，而位置也可能由頸影響到手臂或手掌。
有時候，我們身體出現痛症或不適的地方未必是問題本源，所以「頭痛醫頭 腳痛醫腳」很多時都沒有理想效果。找有經驗的物理治療師做詳細檢查，找出問題根源才是治本之道。
～Therapy Talk ～
Recently I have met a client with neck & arm pain. She first suffered with "tennis elbow" arm pain for nearly a month. She has consulted doctor with medication given, but no improvement noted. Her arm pain also showed no relief with local massage and ointments. However, one day she wake up with stiff neck and severe pain on neck movement. I saw her few days after. After cervical spine mobilisation, her neck pain was almost completely gone and also 70% of her elbow pain. And her neck movements regained. In this client, it's quite interesting that she started with tennis elbow pain only with no neck pain. Only after a few weeks, she suffered her first episode of neck pain. As she now understood that her neck and arm pain were inter-related, she paid more attention to her posture and found herself easily tensed up her neck & upper trapezius muscle during computer work.
Neck, shoulder and arm are closely related in structure. Poor posture of neck and shoulder can increase the tendency of soft tissue overload and damage, which leads to pain. Nerves come out of the cervical spine in the neck and run into the arm. If these nerves get irritated or compressed in the neck, pain or numbness may radiate to shoulder, arm and hands too. Sometimes the region that shows pain or discomfort may not be the origin of the problem, so local treatment on the pain spot may not work in this case. Detailed checkup by experienced physiotherapists can help you to find out the underlying cause of your problem.
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