🦃 Happy Thanksgiving! All POA locations, including Urgent Care, will be closed from Thursday, Nov. 27th, through Sunday, Nov 30th.

How Are Neck and Back Pain Related?

Neck and back pain are closely interconnected due to the continuous structure of the spine and the shared nervous system. The spine extends from the base of the skull (forming the neck or the cervical spine) down to the lower back (the lumbar spine). Both regions share common functions and mechanisms, such as support, movement, and spinal cord protection.

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Neck and Back Pain are often related in the following ways:

Referred Pain:

Referred pain (read more), or referring pain, is a scenario where discomfort is felt away from its actual source due to the interconnectedness of nerve pathways. A problem in the neck may cause pain in the back and vice versa.

Postural Strain:

 A poor posture for a long time can cause muscle strain in your neck and back. Bad posture can lead to ongoing discomfort in those areas.

Degenerative Diseases:  

Conditions such as osteoarthritis or degenerative disc disease can affect multiple spine sections, leading to neck and back pain.

Trauma or Injury:

A traumatic event or injury can simultaneously impact multiple spinal regions, leading to neck and back pain.

Nerve Compression: 

Compression or irritation of nerves in one part of the spine can cause pain or symptoms in another part. For example, a herniated disc in the neck might result in pain radiating down to the back.

Furthermore, pain signals from the neck or back can be transmitted through the same nerve pathways, often leading to 'referred pain,' where discomfort is felt in a different area from its source. Thus, a problem in the neck can cause symptoms in the back and vice versa. For instance, poor posture can strain muscles in both regions over time, leading to chronic pain. Understanding this relationship is crucial for effective treatment and recovery.

Common Causes of Neck Pain

Living with relentless neck or shoulder pain can drastically disrupt your everyday life. Understanding the source of your pain can often be a challenge, given the intricate connection between the neck and shoulder via shared nerve pathways. This relationship can result in 'referred pain,' a scenario where the discomfort is felt away from its actual source.

Common causes of neck pain can be:

Common Causes of Back Pain Originating in the Shoulder

Deciphering the Causes of Shoulder Pain Quite often, shoulder pain is a result of an injury to the rotator cuff, a unit of muscles and tendons that stabilizes the shoulder joint. Damage to this area compels other muscles to compensate, which may strain them and result in pain spreading from the shoulder to the neck.

Key symptoms of a rotator cuff tear encompass:

Other causes of shoulder pain can include:

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Treating Neck and Back Pain

The first step in addressing neck or shoulder pain involves obtaining an accurate diagnosis from a specialist. If not treated properly, Ignoring early-stage symptoms can exacerbate pain or permanent nerve damage.

We understand how chronic neck and back pain can significantly disrupt your daily activities, making life challenging. Our team of skilled Orthopedic and Sports Medicine Specialists are here to support you, providing expert care in a compassionate, professional, and understanding environment. We pride ourselves on providing expert medical care in a professional, understanding, and empathetic environment, with numerous locations throughout New Jersey.


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Are you suffering from neck or back pain?

Please contact us! We'd love to help.

If you have neck or back pain, please contact us and schedule an appointment. We have urgent care facilities all over New Jersey for your convenience.


You're not alone in this journey - if you're experiencing any discomfort in your neck or back, we invite you to contact us today. We're committed to helping you regain the quality of life you deserve.

Welcoming Dr. Saleh to Our Team: A Leader in Spine Surgery

Dr. Saleh - Princeton Orthopaedic Associates

We are thrilled to introduce the newest addition to our POA team, Dr. Saleh, a distinguished specialist in the field of spine surgery. Dr. Saleh's impressive educational background, unwavering dedication to patient care, and extensive experience make him an invaluable asset to our practice.

Educational Excellence

Dr. Saleh's journey to becoming a spine surgeon began with his academic prowess. He obtained his Medical Degree from the prestigious New York University Grossman School of Medicine. Complementing this achievement, he earned a Bachelor of Science in Biomedical Education from City College of New York's Sophie Davis School. This solid educational foundation has propelled him to the forefront of the medical field.

Clinical Expertise

Following his education, Dr. Saleh completed an Orthopaedic Surgery Residency at NYU Langone Health, where he honed his surgical skills and medical knowledge. His commitment to excellence led him to a Spine Surgery Fellowship at the renowned Rothman Orthopaedic Institute/Thomas Jefferson University. With this intensive training, he has become a recognized authority in spine surgery, providing patients with exceptional care and outcomes.

Professional Affiliations

Dr. Saleh's dedication to staying at the cutting edge of his field is evident in his membership in esteemed medical organizations, including the National Association of Spine Surgeons and the American Academy of Orthopaedic Surgeons. These affiliations reflect his commitment to ongoing education and the implementation of the latest advancements in spine surgery techniques.

Awards and Certifications

Recognized for his outstanding contributions, Dr. Saleh has received several prestigious awards throughout his career. These include the Executive Chief Resident title during his NYU Langone Orthopaedic Surgery Residency, the Nate Bondi Memorial Award, and the Award for Outstanding Research in Orthopaedic Surgery from New York University Grossman School of Medicine. His dedication to research and innovation is further underscored by his extensive list of peer-reviewed publications.

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Your Path to Better Spine Health

We are excited to have Dr. Saleh as part of our team, and we invite you to schedule a consultation with him to discuss your spine health. Whether you're seeking treatment for a spinal condition, exploring surgical options, or simply looking for guidance on maintaining a healthy spine, Dr. Saleh's expertise and compassionate care will ensure you receive the highest quality treatment.

You can learn more about Dr. Saleh here. Don't hesitate to contact our office today to schedule your appointment with Dr. Saleh. We look forward to helping you on your journey to a healthier, pain-free spine.

Orthopaedic physicians often deal with what we call "referred pain." Referred pain' is a common yet often misunderstood. Referred pain is a type of pain perceived at a location different from its source. While primary pain is felt directly where it originates, referred pain can seemingly mislead the sufferers about the actual location of their issue.

This referred pain becomes particularly relevant in orthopaedics when diagnosing orthopaedic conditions. A classic example is the pain experienced during a heart attack, often felt in the left arm or jaw, despite the issue originating in the heart. Understanding referred pain is crucial in distinguishing symptoms and reaching accurate diagnoses, thereby informing appropriate treatment plans.

Various conditions can cause referred pain, including inflammation, neck pain, back pain, and general illness. For example, pain from a heart attack might be felt in the left arm, while gallbladder issues can cause pain in the right shoulder. Symptoms of referred pain can include aching, burning, or tingling sensations, and the location of the pain can make diagnosis more challenging.

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Referred pain is a type of pain that is felt in an area of the body that is different from its actual source. Unlike normal pain, which is felt directly at the site of injury or inflammation, referred pain seems to be located in a seemingly unrelated area. This phenomenon occurs because certain nerves in the body transmit signals from multiple body parts to the brain, causing the brain to misinterpret the origin of the pain.

Let's put it in simpler terms - if you hit your elbow and you feel pain there, that's primary pain. But, if you experience discomfort elsewhere, such as in your fingers, that's referred pain. The nerves convey the pain message like a telephone line, sometimes confusing the brain about the pain's origin.

What You Should Know About Referred Pain:

  1. Referred pain and primary pain are not mutually exclusive. A single injury can cause both types of pain simultaneously.
  2. Pain location doesn't always indicate the source of the issue.
  3. Referred pain can often originate in the neck and back and is often caused by nerve entrapment or inflammation of the neck or lower back, or lower spine.

Tips for Treating Referred Pain:

And as a patient, knowledge about referred pain can guide you toward appropriate help and self-care strategies, bringing you one step closer to relief.

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