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Neck pain

 
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Anonymous
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PostPosted: Mon Feb 06, 2006 1:37 pm GMT +0000    Post subject: Neck pain Reply with quote

Hi Doc,

I ride a single speed off-road and am having pain after my ride in my neck and a slight shooting pain down my upper shoulder blades when I turn my neck to either side. The pain is not when riding but typically the day after (I can feel it tightening up after the ride) and will last a good 3/4 days. I'm guessing my yanking on the bars is the course (although I don't pull that hard) and a new fork with a longer steerer tube is the solution? My bars are very low and I already have a high degree stem and riser bars in a bid to get the bars higher.

Am I steering in the right direction? Any advice on curbing the pain?

Many thanks,

Nik.
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Anonymous
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PostPosted: Mon Feb 06, 2006 4:15 pm GMT +0000    Post subject: Reply with quote

P.S. I've been riding this bike for the last 2 years with no trouble.
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The Bike Doc
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Joined: 08 May 2003
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Location: Corpus Christi and Warda, Texas

PostPosted: Tue Feb 07, 2006 7:05 am GMT +0000    Post subject: Reply with quote

Dirtboy:

You are describing symptoms consistent with nerve impingement (a pinched nerve). The source of the impingement will need to be sorted out. It could be due to a local muscle spasm pulling the cervicle vertebra slightly out of alignment, a disc that is herniating, a bone spur or arthritic changes may be developing that could be compressing on the nerve. An evaluation by an orthopedic doctor is in order to make sure it is not the latter issues. If it is not and the impingement is due to a local muscle spasm then a Physical Therapy with massage, heat, local ultrasound and possibly a Chiropractic or Osteopathic mannipulation may benefit. I do not jump to mannipulations up front until a herniated disc or arthitic changes have been ruled out as these could be potentially worsened with mannipulations. What goes against muscle spasms is that you have been riding your single speed for the last 2 years without prior trouble. Unless you have suddenly cranked up the miles and intensity, I am not as prone to jump to the conclusion it is a muscle spasm. Regardless of the cause the higher bar set up will offer some benefit.

Thanks,

Thanks,
_________________
Paul K. Nolan, MD
AKA: The Bike Doc
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Anonymous
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PostPosted: Tue Feb 07, 2006 7:32 am GMT +0000    Post subject: Reply with quote

Many thanks for the explanation. The only thing I have changed is commuting to work 5 days a week instead of 3 days. But I have been doing this since the beginning of November and did not factor it in.

I'll get with an orthopedic doctor. Thanks again.
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