Mechanical Neck Pain is also called Axial Neck Pain

Mechanical or axial neck pain is neck pain that does not radiate into the arms or upper extremities. The pain is located in the neck, base of the skull or occipital area and the back of the shoulders.

Many time, mechanical neck pain is associated with headaches that may radiate into the base of the skull, side of the head (temporal) or around the eyes (periorbital). These headaches are called cervicogenic or neck related headaches.

Mechanical neck pain may have different symptoms; it may be one side or both sides of the neck, cause headaches, stiffness and may lead to restricted motion in on or all directions in the range of neck motion.

Neck Pain and TMJ

The temporomandibular joint (TMJ) has been linked to different parts of the body, particularly the neck. Some suggest that posture training may be a positive impact on the muscles because a proper posture can play a relevant role in the relationship between the temporomandibular joint and the rest of the body. It appears that an intimate functional relationship exists between the jaw (mandibular) and the head and neck systems. Patients with temporomandibular disorders often report symptoms of neck pain. Furthermore, some studies have investigated the relationship between neck symptoms noting that mouth opening is always accompanied by head and neck extension and mouth closing by head and neck flexion. These studies suggest that functional jaw movements use mandibular, head, and neck movements involving the temporomandibular joint, the atlanto-occipital joints between the head and neck, and the lower joints of the neck. The studies have noted the contribution of the upper part of the neck, particularly the atlanto-occipital joint, for proper positioning of the TMJ.

Causes of Neck Pain

There are many causes of neck pain. While most are related to posture and muscle strain, there are some areas of concern that one should be aware.

Initially, the history can shed some light on neck pain and it's causes. A patient's occupation, posture habits, onset of pain, charcter of pain and stress at work and home should be noted. Associated symptoms, such as gait or bladder dysfunction should be noted as certain symptom groups can indicate particular disease processes.

Acute pain (recent onset) with limited motion may, especially in a younger person, is likely to follow trauma or a persistant new activity. Neck muscles are usually tender.

Middle age persons with neck pain may present persisting or recurring pain, which is sometimes associated by tingling in the arms or fingers and may even display chest pain from an affected C6 nerve root, sometimes called cervical angina. These symptoms, without a history of trauma, is suggestive of degenerative disc disease, sometimes called arthritis or cervical spondylosis.