Neck pain is a common complaint. Neck muscles can be strained from poor posture — whether it's leaning into your computer at work or hunching over your workbench at home. Wear-and-tear arthritis also is a common cause of neck pain.
Rarely, neck pain can be a symptom of a more serious problem. Seek medical care if your neck pain is accompanied by numbness or loss of strength in your arms or hands or if you're experiencing shooting pain into your shoulder or down your arm.
Give your doctor as many specifics as you can about the location and severity of your pain. Be sure to mention any head or neck movements that make your neck pain better or worse.
During the physical exam, your doctor will check for tenderness, numbness and muscle weakness. He or she will also ask you to move your head as far as it can go forward, backward and side to side.
In some cases, your doctor may order imaging tests to get a better picture of what might be causing your neck pain. Examples include:
X-rays. X-rays can reveal areas in your neck where your nerves or spinal cord may be pinched by bone spurs or a bulging disk.
Computerized tomography (CT) scan. CT scans combine X-ray images taken from many different directions to produce detailed cross-sectional views of the internal structures of your neck.
Magnetic resonance imaging (MRI). MRIs utilize radio waves and a strong magnetic field to create especially detailed images of bones and soft tissues, including the spinal cord and the nerves coming from the spinal cord.
However, many people have X-ray or MRI evidence of structural problems in their neck without experiencing any symptoms. So it can be difficult to determine if your symptoms are actually being caused by what shows up on imaging studies.
If your doctor suspects that your neck pain may be related to a pinched nerve, he or she may suggest electromyography (EMG). This test involves inserting very fine needles through your skin into a muscle to determine whether specific nerves are functioning properly.
Blood tests. Blood tests can sometimes provide evidence of inflammatory or infectious conditions that may be causing your neck pain.
Spinal tap (lumbar puncture). During a spinal tap, a needle is carefully inserted into your spine to obtain a sample of the fluid that surrounds your brain and spinal cord. This test can reveal evidence of meningitis.
The most common types of neck pain usually respond well to home care. If neck pain persists, your doctor may recommend other treatments.
Your doctor may prescribe stronger pain medicine than what you can get over-the-counter. Muscle relaxants or tricyclic antidepressant medications used for pain also may be prescribed.
Neck exercises and stretching. Your doctor may recommend that you work with a physical therapist to learn neck exercises and stretches. A physical therapist can guide you through these exercises and stretches so that you can do them on your own at home. Exercises may improve pain by restoring muscle function, optimizing posture to prevent overload of muscle, and increasing the strength and endurance of your neck muscles.
Traction. Traction uses weights and pulleys to gently stretch your neck and keep it immobilized. This therapy, under supervision of a medical professional and physical therapist, may provide relatively fast relief of some neck pain, especially pain related to nerve root irritation.
Short-term immobilization. A soft collar that supports your neck may help relieve pain by taking pressure off the structures in your neck. If used for more than two weeks, however, a collar may do more harm than good.
Surgical and other procedures
Steroid injections. Your doctor may inject corticosteroid medications near the nerve roots, into the small facet joints in the bones of the cervical spine or into the muscles in your neck to help with pain. Numbing medications, such as lidocaine, also can be injected to relieve your neck pain.
Surgery. Surgery is rarely needed for neck pain. However, it may be an option for relieving nerve root or spinal cord compression.
Self-care measures you can try at home to relieve neck pain include:
Over-the-counter pain relievers. Try over-the-counter pain relievers, such as aspirin, ibuprofen (Advil, Motrin IB, others), naproxen (Aleve) and acetaminophen (Tylenol, others).
Alternate heat and cold. Reduce inflammation by applying cold, such as an ice pack or ice wrapped in a towel, for up to 20 minutes several times a day. Or alternate the cold treatment with heat. Try taking a warm shower or using a heating pad on the low setting. Heat can help relax sore muscles, but it sometimes aggravates inflammation, so use it with caution.
Rest. Lie down from time to time during the day to give your neck a rest from holding up your head. Avoid prolonged rest, since too much inactivity can cause increased stiffness in your neck muscles.
Gentle stretching. Gently move your neck to one side and hold it for 30 seconds. Stretch your neck in as many directions as your pain allows. This may help alleviate some of the pain.
Talk to your doctor if you're interested in trying alternative treatments for your neck pain. Your doctor can discuss the benefits and risks. Alternative treatments include:
Acupuncture. Acupuncture involves the insertion of thin needles into various points on your body. Studies have found that acupuncture may be helpful for many types of pain. But studies in neck pain have been mixed. For best results, you may need to undergo several acupuncture sessions. Acupuncture is generally considered safe when performed by a certified practitioner using sterile needles.
Chiropractic. Given mainly to the spine, a chiropractic adjustment applies a controlled, sudden force to a joint — moving it beyond its normal range of motion. Chiropractic treatments to the neck may slightly increase your risk of stroke.
Massage. During a massage, a trained practitioner manipulates the muscles in your neck with his or her hands. Little scientific evidence exists to support massage in people with neck pain, though it may provide relief when combined with your doctor's recommended treatments.
Transcutaneous electrical nerve stimulation (TENS). Electrodes placed on your skin near the painful areas deliver tiny electrical impulses that may relieve pain.