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You have been diagnosed with neck pain. Your symptoms may be caused by muscle strains or
spasms, arthritis in your spine, a bulging disc, or narrowed openings for your spinal nerves or
spinal cord.
Pain Relief
You can use one or more of these methods to help reduce neck pain:
Apply heat or ice to the painful area. Use ice for the first 48 to 72 hours, then use heat.
To prevent injuring your skin, do not fall asleep with a heating pad or ice bag in place.
Try sleeping on a firm mattress with a pillow that supports your neck. You may want to
get a special neck pillow. You can find them at some pharmacies or retail stores.
Ask your health care provider about using a soft neck collar to relieve discomfort.
Using a collar for longer can make your neck muscles weaker. Take it off from time to
time to allow the muscles to get stronger.
Activity Changes
To help relieve neck pain, you may have to reduce your activities. However, doctors do not
recommend bed rest. You should try to stay as active as you can without making the pain worse.
These tips can help you stay active with neck pain.
Stop normal physical activity for only the first few days. This helps calm your symptoms
and reduce swelling (inflammation) in the area of the pain.
Do not do activities that involve heavy lifting or twisting of your neck or back for the
first 6 weeks after the pain begins.
If you are unable to move your head around very easily, you may need to avoid driving.
After 2 to 3 weeks, slowly begin to exercise again. Your health care provider may refer you to a
physical therapist. Your physical therapist can teach you which exercises are right for you and
when to start.
You may need to stop or ease back on the following exercises during recovery, unless your
doctor or physical therapist says it is OK:
Jogging
Contact sports
Racquet sports
Golf
Dancing
Weight lifting
Sit-ups
Stretching and strength training: Follow the instructions of your doctor or physical
therapist.
Aerobic exercise: This may involve walking, riding a stationary bicycle, or swimming.
These activities can help improve blood flow to your muscles and promote healing. They
also strengthen muscles in your stomach, neck, and back.
Stretching and strengthening exercises are important in the long run. Keep in mind that starting
these exercises too soon after an injury can make your pain worse. Strengthening the muscles in
your upper back can ease the stress on your neck.
Your physical therapist can help you determine when to begin neck stretching and strengthening
exercises and how to do them.
Use a headset when on the telephone, especially if answering or using the phone is a
main part of your job.
When reading or typing from documents at your desk, place them in a holder at eye level.
When sitting, make sure that your chair has a straight back with an adjustable seat and
back, armrests, and a swivel seat.
Avoid standing for long periods. If you must stand for your work, place a stool by your
feet. Alternate resting each foot on the stool.
Do not wear high heels. Wear shoes that have cushioned soles when walking.
If you drive long-distance, stop and walk around every hour. Do not lift heavy objects
just after a long ride.
Managing chronic pain means finding ways to make your pain tolerable so you can live your life.
Unwanted feelings, such as frustration, resentment, and stress, are often a result of chronic pain.
These feelings and emotions can worsen your neck pain.
Ask your health care provider about prescribing medicines to help you manage your chronic
pain. Some with ongoing neck pain take narcotics to control the pain. It is best if only one health
care provider is prescribing your narcotic pain medicines.
If you have chronic neck pain, ask your health care provider about a referral to a:
Physical medicine and rehabilitation specialist (can help people regain body functions
they lost due to medical conditions or injury)
Neurosurgeon
Your neck pain was caused by a fall, blow, or injury, if you cannot move your arm or
hand, have someone call 911
The pain gets worse when you lie down or wakes you up at night
References
Alexander EP. History, physical examination, and differential diagnosis of neck pain. Phys Med
Rehabil Clin N Am. Aug 2011;22(3):383-93, vii. PMID: 21824581
www.ncbi.nlm.nih.gov/pubmed/21824581.
Cheng JS, McGirt MJ, Degin C. Neck pain. In: Firestein GS, Budd RC, Gabriel SE, et al., eds.
Kelly's Textbook of Rheumotology. 9th ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 45.
Devereaux MW. Neck pain. Med Clin North Am. 2009;93:273-84. PMID: 19272509
www.ncbi.nlm.nih.gov/pubmed/19272509.
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