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Hi, Michelle,

If your friend's symptom came on suddenly, I wonder if it is the way she's sleeping or a change in a chair at work.

Some people deliberately "pop" their neck by holding their head in their hands and pulling it back and forth. (This always gives me the creeps! It just doesn't sound good!)

Our EmpowHer encyclopedia discusses osteoarthritis, which can cause pain and neck popping (so glad your friend is not in pain). It begins a when the cartilage between the vertebrae begins to age and degenerate, leaving less space between the vertebrae:

https://www.empowher.com/media/reference/osteoarthritis#definition

Here's a chiropractor's explanation of joint deterioration in the neck that can cause this popping or cracking sound:

http://en.allexperts.com/q/Neck-Injury-2727/constant-neck-popping.htm

Here is a summary of osteoarthritis from the Merck Manual; however, it also emphasizes that pain is a symptom for most people:

http://www.merck.com/mmhe/sec05/ch066/ch066a.html

The fact that your friend is under a lot of stress does seem to suggest that it may be connected. When we are stressed, our neck, shoulders and lower back tense up to an amazing degree. An archived story in the New York Times emphasizes what heppens to our muscles when we are feeling stress:

''People in tense, sedentary jobs are particularly prone to a chronic shortening of the muscles,'' said Steven Wolf, associate professor in the department of physical and rehabilitative medicine at Emory University School of Medicine in Atlanta.

''Without even realizing it, they hold their bodies in a tense, alert pose day after day,'' said Mr. Wolf, who is both a physical therapist and a neurophysiologist. ''The buildup continues each day as the tensions repeat. As time goes on, their neck and shoulder muscles get shorter and shorter.''

And this talks about the neck's role:

"Headaches and a stiff neck are the most common symptoms of problems in the tension triangle. Tense muscles in the jaw and neck cause headaches by constricting blood flow to the head and scalp. And a stiff neck is usually the product of tightness in the trapezius muscle; the knot that stiffens the neck may actually be in the shoulders or back.

"These muscle tension symptoms can be caused by emotional turmoil. Fear, anger and frustration register in the body's muscles, and the ones in the tension triangle are quite sensitive to these emotions. Researchers have found, for example, that in the first two or three seconds of emotional upset, the muscles around the eyes, mouth and jaw almost always tighten.

"While emotion-bound muscle tension has long been familiar to clinicians, a new wave of muscle tension problems plagues people in the modern office, caused in part by the computer revolution."

Here's the whole story, which also discusses relieving this stress:

http://www.nytimes.com/1986/09/28/magazine/relieving-stress-mind-over-muscle.html?sec=health

The Mayo Clinic has a video of some neck stretches we can do at our desks (it takes the page a moment to load):

http://www.mayoclinic.com/health/neck-stretches/MM00708

And this may be an excellent reason for your friend to start getting regular massages!

September 22, 2009 - 8:49am

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