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Neck and Back Pain

When you feel pain, it is really a reaction to signals transmitted throughout your body. These signals are sent from the pain source, such as a sore back, through the nerves in the spinal cord, and up to the brain, where they are perceived as pain.

There are two different types of pain. The origin of some pain is neuropathic, while other pain is nociceptive. This is important to know because different treatments work better for each type of pain.

Neuropathic pain is caused by damage to nerve tissue. It is often felt as a burning or stabbing pain. One example of neuropathic pain is a pinched nerve.

Nociceptive pain is caused by an injury or disease outside the nervous system. It is often an ongoing dull ache or pressure, rather than the sharper, trauma-like pain that is characteristic of neuropathic pain. One example of nociceptive pain is arthritis pain.

Some people experience mixed pain, which is a combination of neuropathic and nociceptive pain.

Chronic neck or back pain is commonly described as deep, aching, dull or burning pain in one area of the back or traveling down the legs. Patients may experience numbness, tingling, burning or a pins-and-needles type sensation in the legs. Regular daily activities may prove difficult or impossible for the chronic back pain patient. They may find it difficult or unbearable to work, for example, even when the job does not require manual labor. Chronic back pain tends to last a long time and is not relieved by standard types of medical management. It may result from a previous injury (that's healed) or it may have an ongoing cause, such as nerve damage or arthritis.

Acute neck or back pain is commonly described as a very sharp pain or a dull ache, usually felt deep in the lower part of the back, and can be more severe in one area, such as the right side, left side, center or the lower part of the back. Acute pain can be intermittent, but is usually constant, only ranging in severity.