Neck pain is very common and can affect people of all ages. Around two out of three people will experience neck pain at some point in their lives. It is usually not caused by a serious condition and often improves with time and self-care.
Common causes
- Muscle strain from prolonged postures or overuse
- Injury or trauma, such as whiplash
- Stress and tension, which can cause muscle tightness
- Age related changes (e.g. osteoarthritis)
Symptoms
- Pain or stiffness in the neck
- Headaches or pain into the scalp
- Pain spreading to the shoulders or arms
- Muscle tightness or spasms
- Reduced flexibility (range of motion)
Diagnosis
Your clinician may diagnose Neck Pain based on:
- Your symptoms and medical history & physical examination is the most common way to diagnose neck pain.
- X-Rays and Ultrasound scans often don’t add much information beyond a physical examination, though they may be requested in some instances.
- MRI scans may be used to assess the nerves in the Neck, if the problem is severe enough that surgery may be considered (this is usually for people with arm pain related to the neck.
Self-care and management
1. Stay active
- Avoid prolonged rest—gentle movement helps recovery
- Try to continue with normal activities as much as possible
2. Pain relief
- Use paracetamol or ibuprofen as needed, please consult your doctor or pharmacist
- Use heat packs for muscle tension or stiffness
3. Posture and ergonomics
- Avoid slouching or poking your chin forward for prolonged periods of time, though we’re all allowed to sit like this sometimes!
- Adjust your workstation to ensure it’s comfortable for you if your work is desk based.
4. Gentle exercises
Gently move your neck and shoulders to stretch the joints and muscles as far as you are comfortable to. Avoiding movement can make symptoms worse, so it’s important to keep moving.
When to seek medical advice
Contact your GP or go to A&E if you experience:
- Difficulty walking or with balance. Consider attending your local Emergency Department (A&E) if you notice a change in your walking/co-ordination, especially if this is new and/or worsening.
- Numbness, tingling, or weakness in your arms or hands. Please consult your doctor or self-refer to the local MSK service.
- Severe pain that doesn’t improve – please consult your doctor or self-refer to the local MSK service.
- Changes in vision. Please consider seeing your GP.
- Recent trauma (e.g. car accident) Please consider seeing your GP.
Outlook
- Most neck pain improves within 6 to 8 weeks
- Staying active and doing regular exercises can speed up recovery
- MSK Rehabilitation may be recommended for persistent symptoms. You may be able to self-refer HERE dependent on where you live.