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Old 05-16-2010, 06:44 PM   #1
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Phillydude2011 HB User
neck crepitus

hello this is my first post. I was googling and found this website and wondering if anyone had any ideas about a case I saw a few weeks ago.

23 year old male, hs football player, runs daily to stay in shape, no hx of trauma, no past medical history. Coming in for cracking and popping in the neck on movement. no pain, tightness, etc, only cracking on movement. He came in to the office because He didnt wear his music player the other day while running and began to notice there is a click in his neck when he runs. One Click for every hard step. Doesnt claim to have done anything to his neck.

Any Ideas for the click in the neck?

 
Old 01-06-2012, 12:03 AM   #2
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griffin4 HB User
Re: neck crepitus

Quote:
Originally Posted by Phillydude2011 View Post
hello this is my first post. I was googling and found this website and wondering if anyone had any ideas about a case I saw a few weeks ago.

23 year old male, hs football player, runs daily to stay in shape, no hx of trauma, no past medical history. Coming in for cracking and popping in the neck on movement. no pain, tightness, etc, only cracking on movement. He came in to the office because He didnt wear his music player the other day while running and began to notice there is a click in his neck when he runs. One Click for every hard step. Doesnt claim to have done anything to his neck.

Any Ideas for the click in the neck?

Hello
I'm looking for advice on this. I developed a sort of jangled neck due to lifting excessively heavy bags of sand. The scans that were done showed that I had developed over time a degeneration in the cervical region (I am 60+ years old, male), but that there was no spinal damage due to the incident. There have been symptoms of tightness and pain in the neck and spasms down the back. Some of the muscles in the neck are locked tight, and others have become weak, I am told. I am seeing some improvement at long last, 10 months after the event, after having found a remedial massage clinic which specialises in necks and backs. However, a crepitus in the neck started after 2 months and increased over the last 6 months to the current stable and undesirable state. There is no pain associated with the crepitus. Apart from the grating at the extremities of the neck flexion, which is tolerable, there is a crunching right in the central part of the movement, both up and down and side to side, which is debilitating psychologically as I can't look up from reading my book without crunchy crunchy ... In fact, I tend to obsess about it, more so than about the other symptoms.

There are two schools of thought amongst my various practitioners. (1) Bones are rubbing together due to the skull being out of place, or the bones being pulled closer together because of the tightness in the muscles. (2) Changes in the state of the muscles, tendons or fascia are causing parts of these tissues to make the noises.

Since the crepitus does not change in the slightest in response to the variations in tightness in the muscles over time, I am inclined to hypothesis (2).

On the other hand, if I repeat a movement that causes the central crepitation, the noise may be less, or absent, the second time. (Although the noise will always return if I try again in a few minutes.) This would seem to indicate that a joint has been separated by the movement, thus allowing some lubricant in, which improves the sliding capability. Also the sound in this central position is crisp and celery-like. This points more to hypothesis (1).

I have experimented with clinical microphones to try and record the sound, to present to practitioners, since none of them, with the exception of my current physio (with a stethoscope), have attempted to listen to them. However my equipment does not seem to be sensitive enough to pick up the crepitus.

Are there any patients or practitioners familiar with this condition and its possible treatment?

Thanks
G

 
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Old 01-08-2012, 06:49 PM   #3
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Location: dallas texas usa
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capatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB Usercapatga HB User
Re: neck crepitus

Quote:
Originally Posted by griffin4 View Post
Hello
I'm looking for advice on this. I developed a sort of jangled neck due to lifting excessively heavy bags of sand. The scans that were done showed that I had developed over time a degeneration in the cervical region (I am 60+ years old, male), but that there was no spinal damage due to the incident. There have been symptoms of tightness and pain in the neck and spasms down the back. Some of the muscles in the neck are locked tight, and others have become weak, I am told. I am seeing some improvement at long last, 10 months after the event, after having found a remedial massage clinic which specialises in necks and backs. However, a crepitus in the neck started after 2 months and increased over the last 6 months to the current stable and undesirable state. There is no pain associated with the crepitus. Apart from the grating at the extremities of the neck flexion, which is tolerable, there is a crunching right in the central part of the movement, both up and down and side to side, which is debilitating psychologically as I can't look up from reading my book without crunchy crunchy ... In fact, I tend to obsess about it, more so than about the other symptoms.

There are two schools of thought amongst my various practitioners. (1) Bones are rubbing together due to the skull being out of place, or the bones being pulled closer together because of the tightness in the muscles. (2) Changes in the state of the muscles, tendons or fascia are causing parts of these tissues to make the noises.

Since the crepitus does not change in the slightest in response to the variations in tightness in the muscles over time, I am inclined to hypothesis (2).

On the other hand, if I repeat a movement that causes the central crepitation, the noise may be less, or absent, the second time. (Although the noise will always return if I try again in a few minutes.) This would seem to indicate that a joint has been separated by the movement, thus allowing some lubricant in, which improves the sliding capability. Also the sound in this central position is crisp and celery-like. This points more to hypothesis (1).

I have experimented with clinical microphones to try and record the sound, to present to practitioners, since none of them, with the exception of my current physio (with a stethoscope), have attempted to listen to them. However my equipment does not seem to be sensitive enough to pick up the crepitus.

Are there any patients or practitioners familiar with this condition and its possible treatment?

Thanks
G
I have cervical spinal stenosis , in 2002 I had a 3 level disectomy and fusion on ,my main complaint was the grinding of the sound of bone on bone due to severe disc degeneration (the discs were flattened and there was no cushion)
10 years later and its back on the other discs only this time with pain, surgery is imminent

 
Old 01-08-2012, 10:04 PM   #4
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Join Date: Jan 2012
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griffin4 HB User
Re: neck crepitus

Sorry to hear that capatga.

My MRI report says all sorts of bad things about my cervical spine, but nothing to warrant surgery, luckily for me. But it was borderline enough for the accident to push the muscle system over the top. The tightness in the muscles is most likely pulling facet joints too close together. Who knows ... I am told the noise will improve, so one has to try to be positive!

G

 
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