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According to a study conducted in England, one-third of women complain of low back pain. Many clothes and accessories, from high heels to tight jeans, are among the usual suspects for back pain. But while all women admit that they sometimes feel pain because of their clothes, they don't pay attention to how healthy they are. In the research of the British Chiropractic Association (IKB), it is stated that clothes and accessories that are preferred due to fashion concerns but are not suitable for the human body trigger back and waist disorders. While 73 percent of the 2,000 women participating in the IDB survey stated that they had low back pain, 28 percent said that they were aware that their clothes changed their posture, but they did not take this into account when choosing their clothes. It is not right to wear high heels for a long time The effect of high-heeled shoes, which cause stretching of the muscles in the leg and calf area and change the natural posture of the body, on low back pain has been discussed for a long time. However, Tim Hutchful from IDB states that tight jeans and heavy jewelry can also be harmful to health, and points out that this type of clothing can disrupt the body's natural posture and cause health problems in the long run. IKB advises women to stay away from clothes and accessories that restrict normal movements in order to avoid back and waist pain, especially not to wear high-heeled and backless shoes for long hours. It is stated that wearing different types of clothes every day and emptying the unnecessary objects in the arm bag frequently reduce the harmful effects.

The main feature of herniated disc surgery performed with microsurgery is that it is performed using a microscope. In microsurgical back surgery, a small bone section on the nerve is removed and the hernia under the nerve is removed. This procedure is performed with microsurgery, also called microdiscectomy. It is generally a more effective method for leg pain than low back pain. Microsurgical back surgery is performed under general anesthesia. The patient is placed prone. The waist is slightly bent. By determining the appropriate disc distance to the middle of the waist, 3 cm. A skin incision is made. The lumbar muscles are separated from the bone and stripped. By removing some bone, an area is opened where the surgeon can work. A microscope is brought to the surgical area. The microscope helps us to enlarge the surgical field. After the ligament, which we call the yellow flavum, is removed, the nerve root is pulled to the side towards the midline. The part pressing on the nerve is found and removed with surgical instruments. It is sufficient to reduce the pressure on the nerve. After a good surgery, the level of pain is greatly reduced. The recovery process in the loss of strength may take some time. Dr. Tamer Tekin

Facebook's old slogan of "move fast and break things" remains valid in the digital world and inspires giants. The fact that Google, which is among the largest companies in the world, works with a large health system and finally acquired Fitbit, got the chance to access the data of millions of patients, created great controversy. Some of the Silicon Valley companies have entered the healthcare industry the way they know best: data collection and analysis. Amazon sells software that can read medical records and make recommendations that could improve treatment. In addition, there are innovation development studies related to health and wellness initiatives through Amazon's smart voice assistant Alexa. IBM's artificial intelligence program Watson is used in the making of new drugs, patient appointments, oncology and genome research. Following the same path as Amazon, Google is developing its artificial intelligence-based applications to help treat diabetes and detect cancer. Microsoft also uses its cloud platform service Azure to control healthcare costs and monitor patient risk status. Apple, on the other hand, has been collecting health data for a long time with its health app and Apple Watch. Apple continues to collaborate with leading academia and research institutions in the healthcare industry. Project Nightingale defense from Google Google, whose reliability has been questioned by data breach scandals in previous years, came to the fore when it collected detailed health record information from millions of US citizens without permission as part of a study called Project Nightingale. According to the report published by the Wall Street Journal, while patient records were collected in 21 states in the USA, neither patients nor doctors were informed. According to Rob Copeland, reporter of the Wall Street Journal, with Project Nightingale, many personal data such as patients' laboratory results, doctor's diagnoses, hospitalization records, patient name, date of birth were obtained unannounced by 150 Google employees. Data can be saved! The leading US newspaper, The New York Times, endorsed the Wall Street Journal's report, stating that "dozens of Googlers" may have access to sensitive patient data, and they are concerned that some Googlers may have downloaded some of that data. Google announced that the agreement with the healthcare provider complies with standards for sharing highly sensitive health records with Google staff. A Google spokesperson stated that the project complies with the Federal Health Law and the sole purpose of the agreement is to serve the healthcare provider. The goal may be to design new software According to what is written in the media and spoken on social media, it is highly likely that Google will collect this data for a new artificial intelligence software. In a fierce competition with Apple and Amazon in the field of health, Google made purchases in the position of health manager to oversee many health initiatives in 2018. Aiming to create an artificial intelligence assistant for nurses and doctors, Google also announced that they are using DeepMind's health unit. In 2017, Google signed a contract with the University of Chicago Medical Center to develop machine learning tools that can accurately predict medical events. Google, which has also been accused of improper access to hundreds of thousands of health records through this center, stated that one of its machine learning goals is to “anticipate the needs of patients”. They can legally Ascension, the second-largest healthcare organization in the United States, made a press release following the publication of the WSJ article, clarifying its partnerships with Google, stating that their goal is to “optimize the health and well-being of individuals and communities and deliver a comprehensive portfolio of digital capabilities.” While Ascension announced that all work on its relationship with Google is HIPAA compliant and has a solid data security, Google published a blog post explaining that the name of the health project is "Nightingale" after the scandalous news reflected in the press. The fact that the American Health Insurance Portability and Accountability Act (HIPPA) allows hospitals to share patients' data with business partners on the condition that they help provide healthcare suggests that what Google is doing isn't really a scandal. It is predicted that there will be more information sharing due to the efforts of companies such as Google, Amazon, Apple and Microsoft to rise in the field of health. Time will tell what kind of system sharing will create. Digital giants find their own way Big data collected by multinational technology companies; traceability or social profiling allows to learn about the habits of users or their social duties. Investments made for the health industry, the stars of the technology world in the health sector

Do not get out of bed suddenly Those with low back pain can do certain exercises to warm up their back muscles before getting out of bed. When getting out of bed, you should turn sideways and let your legs hang first and then get up. Sudden movements should be avoided. When you go to sleep at night, your muscles cool down. That's why he feels the need to cover himself with something. Therefore, when you get up in the morning, muscle spasm can be experienced with a momentary waking up because the muscles are cold. For this reason, it is necessary to first warm up the muscles with simple movements, then turn sideways and hang the legs first and then get out of bed by lifting the body. Avoid weight gain and don't smoke Do not gain excess weight, if any, lose it. Especially the weight taken from the belly area increases the amount of load on the waist. Also, large breasts cause back pain. Reducing very large breasts will relieve back pain. Since smoking clogs the thin veins around the discs in the spine, it makes it difficult for the disc to feed. For this reason, lumbar hernia is more common in smokers, and it increases, if any. Get up every 20 minutes, take a few steps While sitting, the pressure between the discs in the spine increases depending on the sitting style. Leaning forward or sitting sideways increases the pressure between the discs. Therefore, it is necessary to get up every 20 minutes and reduce the pressure between the discs. Since there are no veins in the disc, it is fed from the surrounding tissues. When we sit, there is no fluid exchange inside the disc. But when we move, the disc is fed. For this reason, degenerative hernias occur in those who sit for a long time. Support your waist When we sit upright and support the waist, the amount of load on the discs decreases. When we bend to the side or forward, the pressure between the discs increases and causes low back pain. Supporters vary according to the person, they should be in a way to fill the waist pit and elastic ones should be preferred. Do not bend from your waist while taking something from the ground. Leaning forward, the amount of load on the waist increases in relation to weight and height. 60 percent of the body weight is from the waist up and 40 percent is from the waist down. When we bend forward, the load on the waist increases with the increase in bending according to the laws of physics. For example, a 70-pound person is 42 kilos from the waist up and 28 kilos from the waist down. By leaning forward, the amount of load on the waist increases 4-5 times. This puts an excessive load on the waist. Sleep in a comfortable position. If you're comfortable on your back, sleep on your back, if you're comfortable on your face, sleep on your face. The position you are comfortable in is the best position for you. Those with a large waist pit generally cannot lie on their back, so they lie on their side or face down. When you lie on your back, the waist is bridged until the morning, so the person wakes up with low back pain. Bend knees when lifting something off the ground Bend your knees to lift something off the ground. Keep the item you are lifting close to your body. The longer you keep it away, the greater the load on your waist. When you lean forward, your body weight will increase, so the load on your waist will also increase. Therefore, when taking something from the ground, it is necessary to get help from the knees without leaning forward or to the side. Those with low back pain should avoid lifting heavy objects anyway. If they have to, they should keep it close to them. If you will be carrying suitcases, you should prefer the ones with wheels. If you are using a backpack, it should have double straps so that the weight does not get on one side. Walk on flat road, avoid running Walking has many benefits such as increasing the condition and losing weight, and it also has benefits on the nutrition of the disc in the spine. When you walk, one foot is always on the ground, so there is an exchange of substances with the surrounding tissues in the disc. It contributes to the nutrition of the disc. Since both legs can be in the air while running, when the feet fall, there is a pressure on the discs. As the vertebrae exert pressure on each other, herniated disc also increases. Take advantage of the buoyancy of water When a 100 kg person enters the water, he/she weighs between 3 and 5 kilograms depending on the muscle-fat condition. Therefore, swimming strengthens the muscles and does not put any weight on the waist. Thus, the muscles are strengthened without burdening the waist. Do posture exercises The spine is a whole, if there is deformity in any part of it, it will inevitably affect the waist. For example, excessive hunching makes a hole in the waist and causes low back pain. Therefore, it is important to do posture exercises.

There are many people who measure how many steps they take a day through smartphones, pedometers or mobile phone apps and feel good when they reach their 10,000 steps goal. There is no shortage of arguments that these step counters are not always accurate. However, it is agreed that they give a rough idea of ​​how active the person is. If you want to know exactly how many steps you take per day, remember that some programs have an upper limit of 10 thousand steps. How did the idea of ​​10 thousand steps come about? You might think that this figure is based on years of research. However, there is no such comprehensive study. The idea of ​​10,000 steps goes back to a campaign by a company that marketed a pedometer (pedometer) ahead of the 1964 Tokyo Olympics. The fact that this goal has been achieved so far shows that the campaign has been successful. When comparing the health benefits of 5 thousand to 10 thousand steps in the studies conducted since then, it was naturally concluded that more steps are more beneficial. However, the steps between these two numbers were not studied until recently. Professor I-Min Lee of Harvard Medical School and his team conducted a study on 16,000 women in their 70s to examine the relationship between the number of steps taken per day and the likelihood of death from any cause. Each woman in the group walked around with a device that measured how much they moved during their waking hours for a week. Afterwards, the team observed for a while. About 4 years and 3 months later, 504 of the women had died. The magic number for over 70 is 7500 steps The average number of steps the survivors took per day was around 5,500. Women who took 4,000 steps a day were much more likely to survive than those who took 2,700 steps. It was quite surprising that the difference of 1300 steps was so effective in terms of longevity. When this reasoning is carried out, it can be concluded that "the more steps taken, the better". But this turned out to be true up to a certain point. After 7,500 steps, it didn't make any difference in terms of prolonging life. One of the weaknesses of this research, however, was that it couldn't give a definitive idea as to the number of steps they took before their illness was responsible for the 504 deaths. Those who were able to walk outside the house participated in the study. Participants self-rated their health status. Perhaps some said they were good enough to walk, but not well enough to walk much anyway. So maybe they didn't realize they weren't well, they took fewer steps than usual. But it was seen that 7,500 steps were sufficient for this age group. Of course, there is also the possibility that walking more may provide extra protection against certain diseases. Those who have taken a large number of steps may already be active people throughout their lives and may be living longer because of this. So it's not easy to determine exactly what kind of health benefits just the extra steps bring. psychological factor There is also the question of optimal step counting from a psychological point of view. The 10,000 steps goal is seen as a lofty goal to achieve every day, and may drive some people to not take action. It's frustrating to see you fail to reach that goal several days in a row. Therefore, setting the target a little lower may be more motivating psychologically. But even then, a constant focus on step counting can interfere with the enjoyment of walking. Jordan Active, a psychologist at Duke University in the USA, found that people who counted their steps walked more, but enjoyed walking less, leading them to see it as a job. These people's level of happiness at the end of the walk was lower than those of people whose steps were not counted. Counting steps can be counterproductive, even for the most 'fit' people. While they are able to walk more, they may prefer to stop when they reach the goal of 10,000 steps. So what should we conclude from all this? If step counting motivates you, count the steps you take, but keep in mind that the 10,000 step goal is nothing special. Set your own goal.

For example, the first under-eye area is affected in allergies and eczema on the face. Again, no matter how oily your skin is, the under-eyes are always prone to dryness and wrinkles. Intense stress and sleep disorders are among the causes of dark circles and bags under the eyes. In insomnia and intense work tempo, the skin becomes paler, the veins under the eyes become more prominent. As the age progresses, the collagen fibers, that is, the connective tissue, become thinner, and the under-eye skin becomes transparent and the existing darkening increases. stay home but stay young We need to consume at least 2 liters of water a day to protect the health and beauty of the skin these days when we spend a long time at home by following the call to "Stay at Home". The main problem of most of the skin that looks dull, dull and unhealthy from the outside is that they lose their moisture and therefore dry out. We should not deprive our body of such a resource that makes up 70 percent of our body. These days, it should be our aim to make daily water consumption regular and not to go below 2 liters of water daily no matter what. THE NEWEST METHOD These days, when we continue to stay at home, the methods that we can apply at home in the care and protection of our eye area come to the fore. Wrinkles, dryness, bruises and bags under the eyes and around the eyes accelerate with the damage of the subcutaneous connective tissue in this area over time. The applications made to increase the resistance of this area should pass the skin barrier and act under the skin. Unfortunately, many creams cannot penetrate the skin barrier. Newly developed technologies, methods that you can do at home or as fast as injections without needles, have become easily accessible in our country. The patches produced with the patented microchannel tape technology applied around the eyes pass the skin barrier and deliver the active ingredients and hyaluronic acid to the lower tissues, thanks to the microchannels placed in a band such as a band-aid. These active ingredients dissolve with the body's natural moisture and start working immediately. The most important of the active ingredients is a molecule that has a botox-like effect and reduces fine lines and wrinkles. Due to the sensitivity and thinness of this area under the eyes, these active ingredients, which we cannot apply by injection methods most of the time, pass the skin barrier and target the subcutaneous tissue with the help of microchannels thanks to this technology. Thus, the moisture of the under-eye skin increases, the depth of wrinkles and fine lines decrease, free radicals are removed from the environment and the skin begins to look smoother and more vigorous. Instead of applying cream every day, you can restructure your under-eye skin with a tape containing cone-shaped micro-needles that you will stick under your eyes only once a week. Massage with chamomile tea: Keep the chamomile tea bag brewed for a minute or two in the freezer for 1 hour. Massage the cooling bag of chamomile tea under and around the eyes for 20 minutes. Thanks to the bisabolol in its content, it will contribute to the increase of subcutaneous blood and lymphatic circulation and the improvement of vascular permeability, and it will be good for bruises and bags under the eyes. Apply cold: Applying cold compress will reduce puffiness under the eyes and narrow the enlarged capillaries under the eyes and reduce the purple color. A few ice cubes wrapped in a clean towel are applied to the eye. If ice is not available, a clean towel is moistened with cold water and applied under the eyes for 20 minutes. Increase quality sleep time: Sleeping for enough time and night will help reduce the appearance of dark circles and bruises under the eyes. Lack of sleep causes skin pallor in the person. This makes dark circles under the eyes even more pronounced. It is necessary to sleep for seven or eight hours to prevent dark circles from becoming evident. Keep the head elevated while sleeping: The bags and dark circles under the eyes caused by insufficient sleep also depend on the way the person sleeps. Lifting the head higher with a pillow during sleep prevents the accumulation of fluid that causes bags under the eyes. In this way, the formation of under-eye bags and dark circles is prevented. Under-eye bruises are not just a cosmetic problem, they are actually a health problem. It should not be forgotten that bruises and darkness under the eyes can be a sign of some diseases. This condition, which we often encounter genetically, may sometimes occur due to conditions such as metabolic diseases, kidney diseases, and iron deficiency. In addition, dark circles under the eyes can be a sign that the person is allergic.

Disc prostheses are artificial prostheses used in neck hernia surgery in order to maintain the current disc height and provide movement in this segment, after the cervical disc, which causes complaints and presses on the nerve, is removed in patients diagnosed with neck hernia, Although the disc prosthesis varies according to the producing company; The area of ​​this implant that comes into contact with the bones of the spine, that is, the surface that comes into contact with the endplates, contains cobalt chromium and polyethylene. In the middle and bottom of the prosthesis, a round convex surface articulates with an upper convex surface and overlaps each other. In addition, titanium sprinkled on the surface increases the sliding resistance on the bone surface, while increasing the contact with the bone surface. And it accelerates ossification, that is, fusion, in this region. The ball-and-socket designed implant allows potential disc-like movements between the cervical spine. It resists bending forces. The disc prosthesis easily allows 20 degrees anterior-back and 20-degree lateral bending motion. Front back length 12-18 mm., side length 15-19 mm., height 5.6.7 mm. It's in size. It is MR compatible but creates artifacts in images like other metal prostheses. Terms of Use It can be used in patients with cervical disc herniation, C3-C7 anterior discectomy. Contraindications Active systemic infection in the area where the implant will be applied Osteoporosis ( T score < -2.5 Presence of instability Sensitivity or allergy to implant materials Severe spondylosis and greater than 50% loss in disc height Dr. Tamer Tekin

Cervical disc herniation compresses the nerves in your neck, causing pain and other symptoms. Especially genetically weak muscles, working at a desk for long hours and a life without exercise can cause neck hernia. Now, what is neck hernia? Symptoms, causes and treatment. WHAT IS A HERNIA OF THE NECK (CERVICAL DISC HERNIA)? The neck is made up of many different anatomical structures, including muscles, bones, ligaments, and joints. Each of these structures has nerve endings. The tissue between the bones in your neck is called intervertebral discs. There are 7 vertebrae in our neck and 5 discs between them. The discs consist of a soft gel-like center and a hard outer coating. The intervertebral disc forms a joint between each bone in the spine that allows them to move. When the outer lining surrounding a disc ruptures, the soft center punctures a hole, creating a herniated disc in the neck. This is called neck hernia. HERNIA SYMPTOMS – Pain in the neck - Pain in the neck, shoulder and back – Restriction in neck movements – muscle spasm - Numbness, numbness in the arms and hands – Thinning in the arms – dizziness – tinnitus – Concentration disorder - Decreased muscle strength in arms and hands Neck hernia is most commonly seen between the 5th and 6th vertebrae, and less frequently between the 6th and 7th vertebrae. This is because these vertebrae are very mobile and more exposed to stress. CAUSES OF HERNIA Past trauma, keeping the neck in a bad position at the desk or in front of the computer for a long time, degeneration in the bone structure and aging in the disc, rheumatic diseases can cause neck hernia. HERNIA TREATMENT The diagnosis of neck hernia begins with a complete physical examination of the neck, arms, and lower extremities. Your doctor will examine your neck for flexibility, range of motion, and signs that your nerve roots or spinal cord are affected by a herniated disc. He or she may then ask you for an X-ray or magnetic resonance imaging (MRI).

Neck hernia is a disease that usually occurs at the age of 30 and above. Neck hernia; Nerve contractions that come with stress, as well as with forcing and heavy lifting, also cause neck hernia. Neck hernia symptoms are not understood only by pain in the neck. Neck hernia, which has many causes such as sitting at a desk for a long time, sitting at a computer, making a wrong move and damaging your muscles; If left untreated, it can lead to serious problems such as paralysis. Therefore, it is important to be informed about neck hernia symptoms and to consult a doctor as soon as neck hernia symptoms are observed. What is neck hernia? Neck hernia; It is a disease caused by the displacement of the cartilage between the neck vertebrae towards the spinal canal. It puts pressure on the nerves that extend to the spinal cord and arm. Discs that provide movement of the neck between the vertebrae; While preventing the two bone tissues from coming into contact with each other, it also reduces the load on the spine, that is, the bones. The neck of the spine consists of seven bones called the cervical vertebrae. Between the vertebrae, there are “discs” that provide the movements of the neck. The discs, thanks to the water and collagen structure they contain, reduce the load on the spine, that is, the bones. It also prevents the two bone tissues from coming into contact with each other. In cases where the neck is not adequately protected, the disc tissue loses its water and becomes hard, creating neck hernia. In other words, degenerated disc tissue means the beginning of neck hernia. With the deterioration of the soft structure in the discs or the natural structure of the bones, the pressure on the nerves going to the arm or spinal cord causes the symptoms of neck hernia in patients. A detailed neurological examination is required to make a definitive diagnosis of neck hernia. Appropriate radiological examinations and, when necessary, nerve electrode examination, that is, EMG, are sufficient. If you feel weak in your hands, your neck and its surroundings hurt, you are most likely to face the symptom of neck hernia. So, what are the symptoms of neck hernia? What are the symptoms of neck hernia? - Pain in the neck, muscle spasm, limitation of neck movements - Pain that can spread from the neck to the arms and sometimes to the chest and back - Numbness in arms and hands - Symptoms such as dizziness, tinnitus, flying flies in the eyes, nausea, poor concentration - Decreased muscle strength in arms and hands - Pain increases excessively especially at night during sleep. What causes neck hernia? Neck hernia; sitting in a place for a long time (such as sitting at a desk, in front of the TV and in the car), unhealthy sitting patterns, heavy lifting, uncontrolled sports, cracking the neck, staying under the air conditioner for a long time, standing with wet hair, genetic factors, sudden and reverse movements It is caused by disc damage in the vertebrae. Who gets neck hernia? Neck hernia; It can be seen depending on structural features, genetic factors and smoking. Doctors, who say that the neck structure is observed to deteriorate in a short time, especially in people who smoke at young ages, state that they encounter neck hernia cases within 5 years after starting to smoke. Neck hernia is a disease that develops later, as well as a genetic disease. If there are cases of neck hernia in the family, the risk of other people having neck hernia is high. These people need to be careful in choosing pillows and choose orthopedic pillows. Neck hernia can also occur due to structural features. People with a long and thin neck are at higher risk than people with a short neck. The reason for this is that people with long and thin necks have weaker muscle structures. Does neck hernia cause headache? Neck hernia, which causes contraction of the neck muscles, may be the cause of your headache. Headaches can generally be caused by insomnia, stress, eye diseases, sinuses or genetic diseases, as well as among the symptoms of neck hernia. In this case, it is recommended by Neurosurgery Specialists to take a warm bath to relieve your pain. How is neck hernia treated? The person who encounters the symptoms of neck hernia should first go to the doctor and see if there is really a neck hernia. After the diagnosis of neck hernia is made, neck hernia treatment is started. How does neck hernia pass? Depending on the condition of the disease, pain relief pills, muscle relaxant cream and home exercise are recommended. If the pain and the weakness felt in the hand have not passed, physical therapy is included in the treatment process. In the event that all these methods do not work, surgery comes into play. Who can undergo neck hernia surgery? The aim of this surgery is to remove the part of the disc that is pressing on the nerve. This is called a discectomy. Today, damaged discs can be surgically removed and replaced with prostheses. However, experts state that prosthesis application is not suitable for every patient.

There are small holes between the spinal bones where the nerve roots come out. These are called neural foramen. Narrowing in the neural foramen may be in the waist or neck. As a result of the narrowing of the neural foramen, the nerve remains under pressure and begins to cause complaints. If it happens in the lower back, pain in the hip and leg, sciatic pain. It causes symptoms such as weakness in the legs and feet. If it is in the neck, numbness, tingling, weakness, pain hitting the arm, gait disturbance and loss of balance may occur in the hands and arms. narrow canal What causes narrowing of the neural foramen? As we age, the spine begins to age. Deterioration of the cartilage between the vertebrae, loss of height, loss of fluid occurs and this is called degeneration. These can occur in rheumatic diseases such as osteoarthritis or in conditions such as trauma, injury, scoliosis, tumor.

1 in 3 people experience neck pain once in their lifetime. It is seen in both those who work at a desk and those who do compelling physical work. It makes it almost impossible to lie down and rest. We're talking about neck pain. Algology Specialist Prof. Dr. Ateş Önal said, “Neck pain, which often negatively affects daily life, can arise from the bone and joint structures of the spine, as well as from soft tissues such as muscles, ligaments and nerves. The most common cause of neck pain is soft tissue strains. Muscle and ligament injuries Muscle and ligament injuries, which are the most common cause of neck pain, are usually caused by excessive stretching of the muscles that support the neck. Lifting heavy, excessive sports, work activity, wrong desk work can cause spasm in the neck muscles. In addition, falling asleep in the wrong position, high pillows and bad travel conditions can also result in stiff neck. Neck pain due to muscle and ligament injuries can often be eliminated with simple treatments. Neck hernia There are 7 vertebral bodies in the neck. Neck hernia occurs when the jelly-like cartilage disc tissue, which acts as a cushion between both neck vertebrae, protrudes towards the nerves that go to the spinal cord and arm. Depending on the size and effectiveness of the press, neck and arm pain, loss of strength in the arm muscles, defect in feeling in the hands, numbness and clumsiness can be seen. If there is pressure towards the spinal cord, difficulty in walking, weakness in the legs and urinary complaints can be added to the table. Traumas Traffic accidents are also among the factors that can cause serious injuries to the neck. Especially in cases where the vehicle is hit from behind, the uncontrolled forward and backward swinging of the neck causes serious injuries to the ligaments. For this reason, it is necessary to keep the head restraints behind the vehicle seats open and to wear a seat belt. Since sports such as wrestling and falling from a height can cause similar neck problems, it is necessary to be careful especially when doing sports. Calcification Algology Specialist Prof. Dr. Ateş Önal said, “Calcification in the neck is caused by the wear and tear of the joints. If the damage in the joints and new bone formations on the disc edges prevent the normal movements of the neck, a feeling of stiffness in the neck also arises in addition to the pain. New bone formations growing from the edges of the joints press on the nerve roots during neck movements and cause pain in the shoulders and arms along the nerve spreading area. Nerve damage can also lead to numbness and pins-and-needles and muscle weakness. In very advanced cases, bone protrusions can also compress the spinal cord, causing weakness and loss of sensation in the lower part of the body. rheumatic diseases Diseases such as rheumatoid arthritis and ankylosing spondylitis can cause permanent restriction in neck movements. However, unlike mechanical pain, in these diseases, the pain decreases with movement, while it increases with long-term rest and especially at night. narrowing of the spinal canal It occurs with the narrowing of the spinal cord or the channels through which its nerves pass, and the deterioration of spinal cord nutrition. Especially in elderly patients, numbness in the hands, weakness and clumsiness, difficulty in walking and numbness in the hands and feet can be seen. myofascial pain syndrome Soft tissue pain, which manifests itself with sensitive points in the neck and back muscles, is called myofascial pain syndrome. In the treatment, primarily drugs called medical treatment; If these are insufficient, painful trigger point injections are applied with local anesthetics (LA), LA plus steroid injections and even with dry needle. Thoracic outlet syndrome Compression of the nerves coming out of the neck in the shoulder and armpit area can cause pain and numbness radiating from the neck to the arm. Thoracic outlet syndrome, which is frequently seen among the causes of neck pain, can be treated with surgery. Tumors and other diseases Algology Specialist Prof. Dr. Ateş Önal said, “Neck tumors, spinal cord tumors and bone infections such as tuberculosis and brucellosis can also cause neck and arm pain. However, while pain originating from the shoulder joint can imitate neck and arm pain; Pain in the neck region can also be rarely seen in diseases of the esophagus, trachea, thyroid and lung.

Neck pain can be caused by many reasons, especially in office workers, people who spend a lot of time inactive in front of the computer, people who have the wrong sitting position and various neck diseases. Neck pain can cause a decrease in the quality of life of people. With various diseases such as neck hernia, almost unbearable pain can occur. In general, people with severe neck distress, who suffer a lot, may have difficulty in moving their heads up and down, left or right. In particular, diseases such as neck hernia can cause a great deal of limitation of movement. Causes of Neck Pain Mechanical causes are the most common cause of neck pain in people who experience neck pain. Mechanical reasons are the reasons such as not using the muscles that allow the neck to move correctly, staying in the same position for a long time without moving too much. It is mostly done by sitting at a desk and working with a computer for a long time. There are various methods to prevent neck pain caused by mechanical causes. In some cases, high blood pressure can cause pain in the nape and neck region. However, neck pain that occurs due to increased blood pressure decreases with the button of the tension and then passes. Diseases such as stenosis in the neck canals, neck hernia, can also cause neck pain. Types of Neck Pain Neck pain is divided into 3 classes according to duration. Acute pain lasting less than 4 weeks Subacute pain lasting 4 to 12 weeks Chronic pain lasting 3 months or more Which Department to Go to for Neck Pain A person with neck pain may have a pain that can be relieved with minor exercises and rest in neck pain, which is primarily due to mechanical reasons. However, if there is a persistent pain in the neck despite all rest and exercises, they should apply to physical therapy outpatient clinics or orthopedic outpatient clinics in hospitals. Necessary examinations should be made by a specialist physician and the cause of neck pain should be determined. After the determined factor, the treatment determined by the specialist physician should be applied. Physical therapy and orthopedic outpatient clinics in hospitals are units dealing with neck pain. Apart from these, people with neck pain should apply to neurosurgery if deemed necessary. The cause of the pain in the neck can be nervous. If there is any neural cause, neurosurgery deals with this pain.