The neck sustains cumulative microtrauma if it is held in a hyperextended position or when the cyclist uses overinflated tires. Multiple jarring motions are absorbed by the cervical tissues, which results in severe pain and an inability to hold the neck in an extended position.7
Dry needling acupuncture therapy is very effective in treating this injury, but the trigger points and the injured joints must be identified carefully. The practitioner must not ignore the trigger points in the shoulder and lower back.
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