Description

As we defined in neuropostural syndrome, the pain felt by the patient can be neurological and/or postural:

• Neuropathic pain is related to scarring neuropathy from an anterior cervical scar.
• Muscle pain is linked to a defense mechanism with shortening of the AM and/or AL muscle chains with a compensation reaction respectively of the PM and/or PL muscle chains.
• Median anterior scars (e.g. thyroidectomy) cause a downward tilting movement of the chin with tension and myofascial syndrome of the posterior neck muscles and the right and left sternocleidomastoid muscles. The resulting pain is mainly posterior neck pain and headaches. Dizziness and tinnitus are also possible.

• Lateral anterior scars (e.g. cervical spine surgery) lead to a tilting movement of the chin downwards and to the side with tension and myofascial syndrome of the posterior neck muscles and sternocleidomastoid muscles lateralized on the side of the scar. The resulting symptoms are mainly posterior neck pain and headaches. Dizziness and tinnitus are also possible.

Of course, to these pains of muscular origin can be added neuropathic pain related to scarring neuropathy (above thyroid surgery and cervical spine)

Treatment

Treatment is based on treatment of scarring neuropathy followed by rehabilitation. In general, rehabilitation alone does not provide lasting correction.