Neck pain: symptoms and relief

Neck pain can affect every part of daily life, from driving and working on a computer to getting a good night’s sleep. It’s one of the most common causes of disability worldwide, affecting up to one in five adults at any time, especially women and people in desk-based or repetitive jobs1. While the discomfort can be frustrating, most people recover well with movement-based care and education, not surgery.

What are the symptoms of neck pain?

  • Aching or stiffness in the neck or shoulders
  • Pain that worsens with certain movements or long postures
  • Headaches that start from the neck (cervicogenic headaches)
  • Pain, tingling, or numbness that spreads into the arm or hand
  • Dizziness or lightheadedness after a whiplash injury (your neck bending forcibly forward and then backward, or vice versa, like in a car accident)
  • Trouble sleeping or concentrating due to ongoing discomfort

What causes neck pain?

Neck pain can come from irritated joints, muscles, or nerves in the neck. It’s often linked to posture, stress, or sudden movement, rather than a serious problem. Common causes and risk factors include:

  • Sitting or standing in one position for long periods (e.g., computer work, driving)
  • Poor posture or weak neck and shoulder muscles
  • Previous neck injuries or whiplash
  • Stress, low physical activity, or poor sleep
  • Age-related changes like arthritis(cartilage and bone wear) or disc wear (usually not dangerous)
  • Rarely, nerve compression causing arm and/or hand pain, weakness or numbness (cervical radiculopathy)

Most people improve with active rehabilitation and healthy movement habits2.

When should I see a doctor?

You should seek medical care if you experience any red flag symptoms.

How is neck pain treated?

Most people recover without surgery. Active care, not rest, is the key to getting better. Typical recovery includes:

  • Education & activity: Stay gently active and avoid bed rest. Learning about posture, stress, and pacing can ease pain and prevent flare-ups.
  • Exercise-based rehab: Strengthening and stretching the neck and upper back improve movement and endurance. Bending and shoulder blade exercises are especially helpful3.
  • Manual therapy: Hands-on treatments can temporarily reduce stiffness when paired with exercise.
  • Medications: Over-the-counter pain relievers like NSAIDs (like ibuprofen or naproxen) can help short term; opioids are not recommended for routine care4.
  • Injections: For nerve-related neck and arm pain, injections may give short-term relief but are rarely needed5.
  • Surgery: Reserved for cases with worsening nerve symptoms, nerve compression, or pain that doesn’t improve after 6–12 weeks of guided care6.

With regular exercise and reassurance, most people see major improvement within weeks and return to full activity in 2–3 months3.

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Footnotes

1

Blanpied PR, et al. Neck Pain: Revision 2017—Clinical Practice Guidelines. J Orthop Sports Phys Ther. 2017;47(7):A1–A83. doi:10.2519/jospt.2017.0302.

2

GBD 2023 Collaborators. Global Burden of Neck Pain 1990–2020. Lancet Rheumatol. 2023.

3

Gross A, et al. Exercise for Mechanical Neck Disorders. Cochrane Database Syst Rev. 2015.

4

Cui D, et al. Randomized-Controlled Trial: Digital Care Program vs Conventional Physiotherapy for Chronic Low Back Pain. NPJ Digit Med. 2023;6:121.

5

Abdi S, et al. Epidural Steroids for Cervical and Lumbar Radicular Pain: Systematic Review of RCTs. Neurology. 2021.

6

ACR Appropriateness Criteria®. Cervical Pain or Cervical Radiculopathy (2024 update). J Am Coll Radiol. 2025.

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