What is neck pain?
Neck pain is an umbrella term encompassing many different causes of symptoms of pain or discomfort and restriction of movement within your upper spine.
Neck pain is very common with two out of three people being affected at some point in their lives. You can often manage short spells of neck pain yourself using over the counter painkillers and gentle stretches.
What are the symptoms of neck pain?
The level of pain can vary from person to person, ranging from a niggle to more persistent aching or pain.
What causes neck pain?
There are lots of reasons why people develop neck pain. Sometimes neck pain is related to the soft tissues (eg. a muscle sprain) and clears up in a few days with gentle exercise and over the counter painkillers. Sometimes neck pain is related to changes in the discs and joints in the neck (spondylosis). Things like stress, anxiety and worry can also contribute to neck pain.
Be aware of the position of your neck day to day, and how much you move your neck. The neck is designed to move, and if it’s been stationary for hours whilst you look at a screen, it might start to complain.
How is it diagnosed?
Diagnosis is usually made from the patient’s history and a simple examination without the need for special investigations. A scan may be done if there is uncertainty about the diagnosis, but it is unusual.
Neck pain is rarely a serious problem. However if you experience the following you should see your GP or physiotherapist:
- An increase in clumsiness in both your hands
- Pain, tingling, numbness or weakness down both your arms at the same time
- Changes in the way you are walking, such as tripping, stumbling, falling or loss of control of your feet
- Recent changes to your bladder and bowel function, such as increased urgency or continence
- Changes in the way you are walking, such as tripping
Try to maintain a good posture and stay active. It is perfectly safe to move your neck even when it is painful and this will help to stop structures stiffening up and your muscles becoming weak.
It will make your neck stronger, more flexible and healthier in the long run. Moving your neck little and often is usually the best approach to help you get back to normal.
Sedentary and inactive lifestyles increase the risk of developing pain and can also delay your recovery. Being active for 30 minutes in your day can make a big difference in your overall health and improve your pain.
Pain relief
Painkillers such as paracetamol and ibuprofen or anti-inflammatory gels may be helpful to control the pain and allow you to continue moving.
Discuss this with your GP or pharmacist. Some people also find warmth or heat on the area relieves the symptoms.
Exercise
Exercise might make your neck feel a bit sore at first but it doesn't cause any harm. Start off slowly and gradually increase the amount of exercise you do.
Further management options
If there is no response to the self-management information given within the next few weeks, please seek further advice from your physiotherapist or GP.