Muscle pain - neck pain - thumb flexion

Patients with neck pain and discomfort may complain of pain in the thumb region with difficulties in moving the painful thumb muscles.

Pain at the base of the thumb may be due to arthritis at the joint between the wrist bone and the knuckle bone known as the carpometacarpal joint. Arthritis at this joint is very common. Arthritic pain of this joint at the base of the thumb is made worse when there is nerve related pain and spasm in the muscles that cross the carpometacarpal joint (joint between the thumb wrist bone and the thumb knuckle bone).
Treatment of thumb pain must involve treating all muscles that participate in moving the thumb in all its many capable movements of flexion, extension, abduction, adduction and opposition.

The many complex movements of the thumb are essential in producing fine manipulation such as writing, picking up small objects, turning the key, stitching, knitting cutting up food, turning the doorknob, etc.

Thumb flexion consists of moving the thumb along the plane of the palm.

Muscles responsible for performing this motion include:

- flexor pollicis brevis (superficial head supplied by the median nerve and the deep head supplied by the ulnar nerve). This muscle is supplied by the C8 and T1 nerve roots.

- extensor pollicis longus supplied by the radial nerve (C7, C8).
When the flexor pollicis brevis is not functioning, the supplementary action of the extensor pollicis longus muscle together with that of the flexor pollicis longus supplied by the anterior interosseous branch of the median nerve by causing simultaneous flexion of the tip of the thumb will be able to flex the thumb along the plane of the palm.

© 2007 copyright all rights reserved http://www.stopmusclepain.com Muscle pain - neck pain - thumb flexion

Muscle pain - neck pain - thumb adduction

Patients with nerve related muscle pain leading to neck pain/discomfort often complain of pain in the region of the thumb.

Thumb pain can be due to pain and spasm in muscles that perform movements of the thumb.

If the thumb is held at right angles to the plane of the palm with the palm facing up, adduction is the movement of the thumb down toward the plane of the palm.
Muscles that perform adduction of the thumb are:

- adductor pollicis supplied by the ulnar nerve (C8, T1)

This adduction movement has to be assisted by the following muscles:

- extensor pollicis longus supplied by the posterior interosseous nerve of the radial nerve (C7, C8)

- opponens pollicis supplied by the median nerve (C8, T1)

- flexor pollicis longus supplied by the anterior interosseous branch of the median nerve (C8, T1)

- flexor pollicis brevis supplied by the median nerve to the superficial head and the ulnar nerve to the deep head. Both the superficial and deep heads of the flexor pollicis brevis is supplied by the C8 and T1 nerve roots.

© 2007 copyright all rights reserved http://www.stopmusclepain.com Muscle pain| neck pain| thumb adduction

Muscle pain - neck pain - wrist palmar flexion

Patients with neck pain may present with muscle pain and pain in the wrist area. They may have difficulty with making a fist and picking the wrist up so that the front (palm aspect) of the wrist is toward the face. This may be related to pain, spasm or tightness of the muscles that perform this movement.

Although it is the wrist flexors that seemingly have a problem, it is usually the tightness of the wrist dorsiflexors that initiate muscle pain in the wrist flexors. In treating problems with the wrist flexors, the entire upper limb evaluation should be done including the neck for muscle strength and range of motion.

Treatments must first begin with the large and powerful muscles that must perform lengthening contractions to stabilize the joints of the shoulder, elbow and wrist.

The main muscles that perform wrist flexion (palmar flexion) are:

- flexor carpi radialis supplied by the median nerve (C6, C7)

- flexor carpi ulnaris supplied by the ulnar nerve (C8, T1)

- abductor pollicis longus supplied by the radial nerve (C7, C8)

- flexor digitorum superficialis supplied by the median nerve (C8, T1)

- flexor digitorum profundus supplied by the ulnar nerve (C8, T1)

- palmaris longus supplied by the median nerve (C6, C7)

© 2007 copyright all rights reserved http://www.stopmusclepain.com muscle pain - neck pain - wrist palmar flexion

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In my office I show patients these simple, effective stretches all the time. They will help stretch your neck muscles keeping your neck loose and mobile. This will relieve your neck pain and muscle tension.

Every segment of your spine has motion but when things get stiff and immobile inflammation builds up putting more pressure on the nerves. Strained or irritated muscles can also pull the neck spine out of its normal alignment putting unwanted pressure on nerves. This, of course causes neck pain and other unwanted problems like headaches and tingling into the arms and hands.

Stretch #1 - Lateral Head Tilts. Start by sitting up straight or standing. Slowly tilt one ear toward that same shoulder. Tilt head until you feel a good stretch. Next, hold the stretch for 15 seconds. Then slowly bring head back to straight. Repeat one more times and then do the same to the opposite side.

Stretch #2 - Head Half Circles. Half circles with your neck and head with your head tilted forward and then with your head tilted back. Similar to if you do full head circles rolling your head around to each side, the half circles are much easier to do and are safer. Start by bending your chin down slightly and roll your chin to one shoulder and then the other. Do 5-10 rolls to each side. Next, extend your head back slightly and roll one ear to that shoulder and then roll head toward other shoulder. Again, do 5-10 rolls to each side.

Stretch #3 - Modified Head Tilt. This is a more advanced version of stretch number one. When performing the lateral head tilt neck stretch, reach up with the arm on the side you are tilting towards and apply mild pressure to the head pulling it or stretching it slightly further. For example, if you are tilting your neck and head to the right, use your right hand to pull your head laterally toward your right shoulder.

With all of these stretches you can easily do them whenever you have a free moment, when you feel your neck stiffening up, or when you first awake in the morning. You can really do these stretches as many times as you like. For more stretching information and pictures of the stretches visit Arc4life's neck exercises and stretches page.

When doing any stretch if you experience more pain, or irritation, simply stop that stretch. With the neck roll stretch, you can do full neck rolls as well. The reason I like half rolls better is because it is slightly easier on the neck.

Of course, if pain or the problems seem to persist or do not improve see your primary doctor or chiropractor.

Some things to avoid that prevent stiff neck are: sleeping on your stomach, and prolonged strenuous positions, such as working on the computer with poor posture for long periods.

Some additional things to do along with a stretching regimen are: see a chiropractor for neck adjustments or manipulations, try neck traction, and use a good neck pillow while sleeping.

Upper back pain stretches can prove very effective in alleviating symptoms and improving muscles strength and flexibility in sufferers of this type of pain. There are many people that suffer from aches and pains in the upper region of the back, and this is often caused by weak muscles and muscle strains, although it can also be caused by injuries that have been sustained.

Anyone that experiences this type of pain, which does not subside in the space of several days, should seek advice from a healthcare professional such as their doctor, as leaving any back problem that persists rather than subsiding can result in the pain becoming chronic and becoming a long term problem.
When you visit a doctor or another healthcare professional about your pain you may find that you are given specific stretches and exercises to do in order to help ease the problem and alleviate the discomfort and pain that can stem from problems with the upper back.

Easing the strain with stretches

Effective upper back pain stretches can really help when it comes to easing the strain and discomfort, and doing these stretches can benefit you in a number of ways. Stretching is a simple and effective way of improving the pains and aching, and some of the ways in which it can help to alleviate the symptoms include:

Stretching the muscles of the upper back Strengthening the back and muscles Increasing flexibility of the muscles in the upper part of the back Reducing strain and tension in the upper region of the back Increasing blood flow to the region to aid movement and flexibility

By doing stretches you can improve the way that you feel in yourself simply by relieving the tension and strain in your back, as well as easing the pain and boosting flexibility and movement.

There are different types of stretches that you can do to ease the pain and discomfort in the upper part of the back, as well as to improve mobility and muscle strength, and these can be done alone or with the help of props such as a Swiss ball for extra support.

Summary of the benefits of stretching the upper back

In summary, doing stretches to help with upper back problems can benefit you in a number of ways, from increasing strength and movement to easing pain and discomfort. If you go to see a healthcare professional he or she may have recommendations with regards to which stretches to do for maximum benefits, and you will also find that if you are doing exercises to alleviate pain and discomfort then this can be greatly helped by starting with some gentle upper back pain stretches.

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How does this dreaded "hunchback" form? This condition actually stems from poor neck and upper back posture. What happens is your upper back starts shifting up and back. So that "hunch", is actually bone.

This phenomenon happens because the neck spine shifts forward. They call this forward head posture or forward head carriage.

The whole spine works together. When one section is shifted or misaligned, it causes problems elsewhere. So as the neck spine shifts forward and looses it's normal alignment and curvature, the upper back spine starts pushing up and back increasing it's curve.

What is the concern if you have a slight "hunching" of the upper back?. First off, it doesn't look good and it will get worse, looking worse. But more important; if you have it, you know for a fact that your neck and upper back are out of alignment. This is extremely important because research show that any spinal misalignments eventually puts pressure on nerves. Any pressure on nerves means the body is not working at it's best. This not only predisposes you for neck pain, back pain, and headaches, but can cause something even worse.

So how do you correct this "bone" that's popping out? Answer - we simply need to correct the posture and spine alignment. With this particular problem, the best way is with a good neck neck pillow and neck traction device.

A good neck pillow is one that gives the proper neck support when you sleep. The Cervical Linear Traction Neck Pillow supports your neck while improving alignment.

A true neck traction devise will help bring the head and neck back and improve the neck curve even more quickly.

Restoring the normal neck curvature and improving forward head posture will then restore upper back posture and alignment. The upper back spine that was protruding or "hunching" up and back will move back down and forward.

Not only will this neck pillow and neck traction devise correct that ugly "hunch back", it will prevent it from ever occurring to begin with!