Coat Hanger Pain: Neck Muscles Pain and Tightness from Autonomic Dysfunction

Coat Hanger Pain: Neck Muscles Pain and Tightness from Autonomic Dysfunction


Morning. This is Dr. Nemechek and this is the first
of our new video blogs. I’d like to talk about coat hanger pain. This is a very,
very common issue with people with autonomic dysfunction. One of the things
that happens with autonomic dysfunction is if this is your head people have
trouble pushing blood upwards against gravity into their head and scalp
muscles and the neck muscles. And so if you have low blood pressure into the
brain, people are tired and they can’t focus, they can’t concentrate, it makes
you anxious. This is actually a fundamental part of the patients we see
who have ADD. Once you fix that their cognition issues and so forth go away. But you also don’t get enough pressure and oxygen into the scalp and neck
muscles and this is a very, very common cause of headaches, migraine headaches as
well as neck pain and tightness. Now this neck pain we call coat hanger pain
because of the shape of the muscles on the neck and shoulder region
obviously are like a coat hanger. And the difference between…so coat hanger pain is really – you can have just mild tension, you know people this is where
they carry their stress so to speak. It can be mild to very, very severe and
disabling. And the the issue here is how do you differentiate this from other
kinds of neck pain? Because some people might really have a a herniated disc, or
a pinched nerve, or a facet – an inflamed facet up there. And one of the the very
simple ways to, you know, determine coat hanger pain from a real anatomical
mechanical source of pain, is what happens when you’re active. Because if
you’re having trouble generating blood pressure up to your head, the blood pools
in your legs alright. So the more you move your legs the more pressure you get
in the head and neck and the less neck pain you have. So with coat hanger pain
the more active you are the less neck pain you get. Which is typically very
different than if you have a pinched nerve okay or a herniated disc. Those
patients generally get worse with movement not better okay. They like to
sit still because if they’re moving around they’re grinding the vertebrae
around, maybe pinching the nerve even more and so forth, aggravating things
with movement. Coat hanger pain gets better with activity. So recently I saw a
gentleman he said he could play golf for 18 holes and have no pain. Yet if he took
his 45-minute drive home after playing golf, sitting still in the car, his blood
pressure drops he’d have a horrible neck pain by the time he got home alright. So
this is due to autonomic dysfunction. Typically you know you would always want
to make sure your blood panels are fine because maybe severe anemia or some
other things could mimic this, but once you have your basic normal blood panels
this is almost always a autonomic problem and it’s called coat hanger pain.
And you would want to focus on the restoring the nervous system rather than
maybe some injections, you know chiropractic treatment or
surgery that’s unnecessary, because they really, they might give you a little bit
of relief at the moment but they aren’t really fixing the source of the problem.
So coat hanger pain. Think about it. Gets better with activity worse when
you’re sitting or standing still. Bye.

4 Replies to “Coat Hanger Pain: Neck Muscles Pain and Tightness from Autonomic Dysfunction”

  1. What kind of doctors do I need to see to diagnose this? I have Klippel-Feil, Syringomyelia, scoliosis and Spina Bifida Occulta. Been having vertigo, shaking, dizziness, the bones in my neck are pressing on my spinal cord in the cervical area and pressing on my esophagus

  2. son of a bitch you mean I been dealing with this for 15 years and theirs a name for my sickness and im not crazy. I been to every kind of dr. in my town and they all tell me I need to be on an antidepressant cause its all in my head.

  3. I was diagnosed with POTS and intracranial hypotension and deal with coat hanger pain constantly. How do I make the pain subside for the long run? Surgery, meds, I just need help. I'm miserable…

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