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Choose physio for recurrent or chronic neck pain Many people, after having one episode of neck pain, will have another episode of neck pain some months or years later. The evidence suggests that this may occur over their lifetime or for a good part of a lifetime. About one-third of people with chronic or recurrent neck pain also report symptoms as light-headedness or a dizzy feeling, some unsteadiness with balance and, occasionally, visual symptoms. What causes recurrent or chronic neck pain? There are many possible reasons why neck pain becomes recurrent or chronic in nature. One common reason is a build up of repeated minor strain caused by poor or prolonged sitting postures at work. This situation may worsen by prolonged ‘head-down’ postures at home, such as texting or playing games on the phone or other electronic devices. People in occupations involving sustained neck postures or working or lifting in awkward positions are prone to repeated minor strains and pain. Postural or position-induced pain occurs across the scope of occupations (for example, people who work at a desk, tradesmen, drivers and professionals). Other causes of neck pain include disc degeneration, disc bulge, disc rupture, disc herniation and osteoarthritis of the small joints in the neck. Osteoarthritis can occur in any age group, but is more common in the middle-aged to older population. Arthritis may be secondary to injury or over-loading of the neck, but it also appears that some people have a genetic predisposition to developing osteoarthritis. The degeneration and osteoarthritis can in some—especially in late middle-age to older people—advance to such a stage that it narrows the canals through which the nerves or spinal cord run. When this advances to a symptomatic state, it is called cervical radiculopathy and central canal stenosis respectively. How effective are treatment methods used by physiotherapists for recurrent or chronic neck pain? A well planned physiotherapy protocol with deep heating modalities can actually heal your pain from inside out. Cervical Spondylitis, Cervical Disc Bulge, and all other pain in neck has complete relief by physiotherapy.