ยิ่งก้ม ยิ่งเสี่ยงปวดคอเรื้อรัง (Text Neck Syndrome)

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Increasing Neck Bending, Increasing Risk of Chronic Neck Pain (Text Neck Syndrome)

In the wake of COVID-19, global lifestyle shifts have led to increased reliance on smartphones for checking news, shopping, and conducting financial transactions online.

This near-constant engagement has heightened the risk of developing various conditions associated with prolonged smartphone use, including Text Neck Syndrome or neck pain due to herniated cervical disks.

Smartphone Use Among Thais… How Addicted are We?

According to a digital report on Thailand from January 2020 by Hootsuite, a platform specializing in social media management, there are approximately 69.71 million Thais using 93.39 million mobile phone numbers (representing a 134 percent penetration rate based on registered SIM cards). Furthermore, 52 million individuals (75 percent) are internet users, and an equal number regularly engage with social media.

Text Neck SyndromeRisk Factors for Text Neck Syndrome

A study by the Surgical Technology International indicates that smartphone users subject their spines to the strain of bending forward for 1,000 to 1,400 hours annually.

The human head, weighing approximately 4–5 kilograms, shifts its position forward when one looks down at a smartphone. The degree of bending increases the weight the neck has to support, with every 15 degrees of tilt adding up to an additional weight of as much as 27 kilograms. This strain manifests as neck pain and, if left untreated, can lead to chronic neck pain. Some patients may experience neck pain that extends down the arm, numbness, or radiating pain from the neck to the hands, or even weakness in the arms and hands due to cervical nerve compression. These symptoms are primarily due to the increased weight borne by the herniated disk from prolonged head-down posture.

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Bending the head at 30 degrees, the neck bears up to 18 kilograms.
Bending the head at 45 degrees, the neck bears up to 22 kilograms.
Bending the head at 60 degrees, the neck bears up to 27 kilograms.

Preventing Chronic Neck Pain

Preventing cervical disk herniation or Text Neck Syndrome involves adjusting smartphone usage habits, including posture and usage duration. Maintaining as straight a neck posture as possible, avoiding hunching the back, and not rolling the shoulders while using a smartphone are crucial. Regular breaks to change posture, especially during prolonged use, are also recommended.

Treatment for Text Neck Syndrome includes three parts:

1. Physical therapy for symptom management, including muscle relaxation, stretching, strengthening, and posture adjustment to ensure proper alignment.

2.Medications to alleviate inflammation and muscle tension can also effectively reduce neck pain.

3.In cases of severe symptoms leading to bone or cervical disk degeneration, accompanied by spinal cord or nerve root compression, endoscopic or laser surgery may need to be considered.

Currently, cervical spine issues can be addressed through MIS or laparoscopic surgery. This technique involves making a small incision to insert a camera and surgical tools, allowing surgeons to precisely view and operate on the targeted area. MIS is less painful, reduces recovery time, significantly lowers the risk of nerve damage, and enhances the safety and efficacy of the procedure, leading to a quicker patient recovery compared to traditional surgery.

If you’re a frequent user of smartphones and social media, you’re in the high-risk group for Text Neck Syndrome or herniated cervical disk disease. To avoid these issues, consider altering your habits to reduce screen time and maintain proper smartphone usage. Should you experience any related symptoms, it’s advisable to consult a specialist in spinal and nervous system health to ensure accurate diagnosis and treatment, ultimately achieving lasting relief from neck and back pain.

Posterior Cervical Endoscopic Discectomy (PSCD)

Neck pain radiating down the arm is typically caused by nerve compression in the cervical spine. Increasingly, younger individuals are being diagnosed with cervical disc herniation due to daily lifestyle habits such as prolonged computer use, looking down at mobile phones for extended periods, poor posture, and injury from accidents.

Posterior Spinal Lumbar Discectomy (PSLD)

Lower back pain radiating down the leg often stems from nerve compression in the lumbar spine. This condition is common among working adults and the elderly, as well as those with habits that accelerate spinal degeneration—such as prolonged sitting or standing in the same position, improper lifting techniques, spinal injuries from accidents, and high-impact physical activities.

LASER

A herniated disc occurs when an intervertebral disc slips out of its normal position and may press on nearby nerves. This condition commonly affects the lumbar spine, particularly at levels L4-L5 and L5-S1. It typically results from age-related disc degeneration, prolonged sitting, improper lifting techniques, or spinal trauma from accidents.

Full Endo TLIF

Spondylolisthesis is a condition in which one vertebra slips forward out of its normal alignment. This commonly occurs in the lower spine, especially at the L5-S1 level. It is frequently found in older adults due to degenerative disc disease, where the weakening of spinal discs leads to instability and vertebral displacement.

Endoscopic ACDF

Endoscopic ACDF is a surgical procedure used to treat severe cervical disc degeneration or disc herniation in the neck. When the disc becomes too damaged to absorb shock or herniates and compresses the spinal nerves, it can cause radiating pain down the arms and hands, significantly affecting daily life.

Cement Injection

Vertebral fractures or collapses are serious spinal conditions that typically occur due to bone degeneration, accidents, or severe trauma. These injuries can lead to significant pain and impair mobility. They are mostly seen in patients aged 50 and above, especially those with underlying osteoporosis.

Nerve Root Block Injection (SNRB)

Patients suffering from back pain caused by inflammation of the nerve root or foramen—often due to herniated discs or spinal joint inflammation—may experience radiating pain along the nerve pathway, even if the condition is still in its early stages. In such cases, a Selective Nerve Root Block (SNRB) can help reduce inflammation and alleviate pain effectively.