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Neck pain may arise due to muscular tightness in both the neck and upper back, or pinching of the nerves emanating from the cervical vertebrae. Joint disruption in the neck creates pain, as does joint disruption in the upper back. The head is supported by the lower neck and upper back, and it is these areas that commonly cause neck pain.
Heavy-headedness is the feeling of faintness, dizziness, or feeling of floating, wooziness. [1] [2] [3] Individuals may feel as though their head is heavy; also feel as though the room is moving/spinning also known as vertigo. Some causes of heavy-headedness can be tough to get rid of and can last a long period of time, however most can be treated.
Atlantoaxial instability is a common asymptomatic finding in rheumatoid arthritis patients. [3] However, it can lead to cervical myelopathy. [4] Patients with atlantoaxial instability can experience neck pain and headaches in the back of the head (occipital headaches).
Inflammatory arthritis can sometimes cause symptoms in parts of the body other than the joints, like the eyes, heart, or lungs. As arthritis progresses, joint damage can get worse.
Instability of the cervical spine can cause endangerment of patients and their neurological integrity. [28] Correction and decompression cervical spinal surgeries significantly increase quality of life and reduce symptoms. Post-surgery, 93 to 100 percent of patients report reduced cervicocranial syndrome symptoms such as neck pain. [29] [30]
Vertigo may be associated with rheumatoid arthritis via the following associations that can cause vertigo: Ménière's disease [41] [42] "Biologic disease-modifying antirheumatic drugs" [43] This may not happen in the absence of infection. [44] Atlanto-axial joint instability can cause symptoms including vertigo and sudden death. [45]
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