1. Problem List
Pain
Loss of function
Inability to do A.D.L activities.

2. 1 2 Treatment Long term goals Short term goals
Treatment steps need to cover the following: 1 2
Short term
goals
Long term
goals

3. 3-Improve ADL activities
Short term goals
1-Relief of pain
2-Improve function
3-Improve ADL activities

4. Relief of pain Initially, relative rest should be recommended
Soft neck collar
Positioning : Molded cervical pillows.
Rest

5. Cold packs may be used to reduce pain for fifteen minutes.
Heat and cold
Cold packs may be used to reduce pain for fifteen minutes.
Heat packs for twenty minutes.
Contrast bath.

6. Pulsed electromagnetic field
stimulation
Pulsed Electromagnetic Field improves pain and neck stifness.
PEMF is applied for 30 min on 6 consecutive days.

7. Neck pain (Trans regional) ,Referred pain (nerve trunk techniques).
TENS
Transcutaneous Electrical Nerve Stimulation for thirty minutes. (blocking of pain impulses)
Neck pain (Trans regional) ,Referred pain (nerve trunk techniques).

8. Deep transverse friction
Massage
Manual massage of posterior cervical muscles from C7 to occiput
Cervical traction technique.

9. Restoratio of Range,Flexibility,And Strengh Of Neck Muscles
To improve function
Restoratio of Range,Flexibility,And Strengh Of Neck Muscles
Isometric Exercises to maintain strength
Neck And upper Back Stretching Exercises.
Light aerobic Exercises

10. Proper Stretching Technique
stretch the muscles on both sides of your body evenly .
Avoid over stretching.
All Stretches should be smooth and slow.
Deep, easy and even breathing is the key to relaxation.
It is important to stop stretching when you feel pain or discomfort.

11. Neck Stretching Exercises
Neck assisted flexion
Apply slight pressure to the top of the head with either hand to increase the stretch.
Neck assisted extension

12. Neck Stretching Exercises
Neck assisted lateral flexion.
Apply slight pressure to the side of the head with the same side hand to increase the stretch.
Neck assisted rotation
Apply slight pressure to the side of the head to increase the stretch

13. Neck Isometric Exercises
From a neutral position, gently contract your neck muscles against the resistance provided by your hands in a forward position.  

14. Neck Isometric Exercises
From a neutral position, gently contract your neck muscles against the resistance provided by your hands in a backward and side bending position

15. Aerobic Exercises
Place both the hands on the shoulders. Bring both elbows together in front
*  Slowly push the elbows and the shoulders backwards
*  Hold for counts
*  Breathe normally.

16. Aerobic Exercises
  Place both the hands on the shoulders. Bring both the elbows together in front.
  Slowly raise the elbows and shoulders upwards, trying to touch your ears.
 Hold for fifteen minutes.
Breath normally.

17. Aerobic Exercises
  Slowly rotate the elbows and the shoulders clockwise raising the elbows up over the head and down again
Place both the hands on the shoulders. Bring both the elbows together in front.

18. Aerobic Exercises Repeat the same movement anti-clockwise
 Repeat five times in each direction.

19. Gymnastic ball exercises

20. Gymnastic ball exercises

21. Gymnastic ball exercises

22. Occupational therapist
Long term goals
Coming back to
job/sport activities
Done by
Occupational therapist
Occupational Therapy: The goal of Occupational Therapy is to enable an individual to carry out their activities of daily living, which include those performed at work, home, school and the community, as independently as possible.

23. Advices Good posture should be maintained.
Avoid slouching rounded shoulders
Avoid the neck poke position
Avoid working with the head down for long periods
Ensure that your work ergonomics are correct
Pull your shoulder blades down and in to
improve your shoulder position

24. Postural Awareness

25. Postural Awareness
Bad body mechanics

26. Thank you