Whether it’s caused by poor posture, stress, or an injury, neck pain can interfere with daily life, making even simple tasks uncomfortable. The good news is that most cases of neck pain are entirely treatable and can be resolved with the right approach.
As an experienced chiropractor, I’ve seen firsthand how targeted care and lifestyle adjustments can eliminate neck pain and prevent it from returning.
In this article, we’ll explore the common causes of neck pain, effective stretches and exercises, and the best therapies to get you back to living pain-free.
Please be aware that this blog is intended for educational purposes for you to have a better understanding of how the body works. The symptoms discussed here are very common but in some cases they can be the signs of something much more serious. If you are experiencing any symptoms, it should be evaluated by a healthcare professional before starting any type of treatment or rehabilitation program.
Types and Causes of Neck Pain
Understanding the cause of your neck pain is essential to finding the right treatment and achieving lasting relief. Here are the most common types and causes of neck pain:
1. Headaches from Neck Tension
What it is:
Tension headaches often originate from tightness in the neck and upper shoulders, caused by stress, poor posture, or prolonged screen time.
How it happens:
Overused or strained muscles in the neck and shoulders can create trigger points that radiate pain to the base of the skull.This tension restricts blood flow and irritates nerves, leading to dull, aching pain or pressure in the head.
Symptoms:
- Pain at the base of the skull, often spreading to the forehead or behind the eyes.
- A feeling of tightness or pressure around the head.
2. Vertigo From Neck Pain
What it is:
Cervicogenic Vertigo is a sensation of dizziness or spinning that can sometimes stem from degeneration in the cervical spine (neck).
How it happens:
Conditions like arthritis or cervical spondylosis can lead to joint degeneration and inflammation.This can affect nearby nerves causing abnormal signalling to the brain, disrupting balance and causing vertigo.
Symptoms:
- Episodes of dizziness or spinning, especially with certain head movements.
- Possible neck pain or stiffness accompanying the vertigo.
3. Radiating Pain from a Herniated Disc
What it is:
Radiation can be painful, tingling, burning or completely numb, it typically radiates into the shoulders, arms, or hands/fingers.
How it happens:
Discs act as cushions between the vertebrae. When a disc becomes damaged or herniated, it can press on nearby nerves.This compression can happen from an injury like a fall or car accident, or simply develop from repetitive positions of the neck during work, sleep or exercise.
Symptoms:
- Sharp or shooting pain in the neck, shoulder, arm, or hand.
- Numbness or tingling in the fingers or along the affected nerve.
4. Local Strains and Sprains
What it is:
Strains and sprains are injuries to the muscles, ligaments, or tendons in the neck, often caused by sudden movements or overuse, like a whiplash. It's not uncommon for these to develop simply from sleeping in an abnormal position.
How it happens:
- A strain occurs when muscles or tendons are overstretched or torn, often from poor posture, heavy lifting, or sports.
- A sprain involves the ligaments and can result from abrupt neck movements, such as whiplash.
Symptoms:
- Localized pain and tenderness in the neck.
- Stiffness or difficulty turning the head.
Neck pain can result from one or a combination of these causes, and the symptoms often overlap. Addressing the root of the issue is key to finding relief.
In the next section, we’ll explore effective stretches, exercises, and therapies to alleviate neck pain and restore comfort.
Best Stretches for Neck Pain
As a chiropractor I have seen thousands of cases of neck pain and most of the time stretching is only a short term fix, but it can still be very beneficial for relieving pain during your rehab process.
Here are three of the best stretches to relieve tension and reduce discomfort:
1. Cervical Extension Stretch
Why it helps:
This stretch targets the front of the neck, often tight from poor posture or prolonged screen time, while strengthening the stabilizing muscles at the back of the neck.
How to do it:
- Sit with a bath towel rolled up and resting on your shoulders.
- Slowly tilt your head backward, looking up toward the ceiling allowing the base of your skull to rest on the towel.
- Hold the position for 3-5 minutes, feeling a gentle stretch in the front of your neck.
- Return to the starting position slowly.
Pro tip: Move slowly and avoid overextending your neck. Stop if you feel dizziness or discomfort.
2. Lateral Neck Flexion Stretch
Why it helps:
This stretch relieves tension in the sides of the neck, targeting muscles like the upper trapezius and scalenes, which often become tight from stress or repetitive movements.
How to do it:
- Sit tall with your shoulders relaxed.
- Gently tilt your head toward one shoulder, bringing your ear closer to it.
- Use your hand to apply light pressure to deepen the stretch, if comfortable.
- Hold for 20–30 seconds, then switch sides.
- Repeat 2–3 times per side.
Pro tip: Keep your shoulders down and avoid twisting your neck during the stretch.
3. Pectoralis (Chest) Stretch
Why it helps:
Tight chest muscles pull the shoulders forward, contributing to poor posture and neck strain. Stretching the pectorals helps open up the chest and promotes better alignment.
How to do it:
- Stand in a doorway with your arms bent at 90 degrees and your hands placed on the doorframe.
- Step one foot forward and gently press your chest through the doorway until you feel a stretch across your chest and shoulders.
- Hold for 20–30 seconds, then release.
- Repeat 2–3 times.
Pro tip: Adjust the height of your arms on the doorframe to target different parts of the chest muscles.
Stretching Tips for Neck Pain Relief
Perform these stretches gently and avoid pushing into pain. Combine stretches with strengthening exercises for better results.These stretches, when done regularly, can help reduce neck tension, improve posture, and promote long-term relief.
In the next section, we’ll discuss strengthening exercises to support the neck and prevent future pain.
Strengthening Exercises for the Neck
Strengthening the neck and surrounding muscles is essential for long-term pain relief and prevention. Stronger muscles provide better support for the cervical spine, reduce strain, and improve posture. Here are some effective exercises to strengthen the neck and upper back:
1. Resisted Neck Extension
Why it helps:
This exercise can counteract the effects of staring at screens for several hours per day. It can strengthen the muscles at the back of the neck, improving posture and reducing strain caused by forward head posture.
How to do it:
- Sit or stand with your back straight and place your hands behind your head.
- Gently press your head backward into your hands, resisting the motion with your hands as you look up to the ceiling.
- Repeat 8–10 times.
Pro tip: Keep your neck neutral and avoid tilting your head during the exercise. You can also perform this exercise with resistance bands.
2. Resisted Lateral Flexion
Why it helps:
Strengthens the side neck muscles, improving stability and reducing stiffness.
How to do it:
- Sit or stand tall and place one hand against the side of your head.
- Press your head gently into your hand, resisting the motion with your hand as your ear moves closer to your shoulder.
- Repeat 8–10 times per side.
- Pro tip: Keep your shoulders relaxed throughout the exercise.
3. Resisted Neck Rotation
Why it helps:
Strengthens the muscles involved in turning the head, enhancing neck mobility and reducing pain.
How to do it:
- Place your hand against the side of your head, near your temple.
- Gently press your head into your hand as you rotate to each side.
- Repeat 8–10 times per side.
- Pro tip: Perform the exercise slowly to avoid strain.
4. Flys for the Rhomboids and Lower Trapezius
Why it helps:
Strengthens the muscles between the shoulder blades, improving posture and reducing neck strain.
How to do it:
- Standing up with resistance bands or cables.
- With your arms slightly bent, raise them outward to shoulder height, squeezing your shoulder blades together.
- Slowly lower your arms back to the starting position.
- Perform 2–3 sets of 10–12 repetitions.
Pro tip: Use light weights, very light weight. This will help you to focus on proper form, target the correct muscles and avoid straining your neck.
5. Rows for Muscles Between The Shoulder Blades
Why it helps:
Strengthens the rhomboids and lower trapezius, which help stabilize the shoulder blades and support proper neck posture.
How to do it:
- Use a resistance band or cable machine.
- Sit or stand tall and grip the handles or band, arms extended in front of you.
- Pull the handles toward your chest, squeezing your shoulder blades together.
- Slowly return to the starting position.
- Perform 2–3 sets of 10–12 repetitions.
Pro tip: Use light weights, very light weight. This will help you to focus on proper form, target the correct muscles and avoid straining your neck.
6. Lat Pulldown for the Middle Back
Why it helps:
Targets the latissimus dorsi and lower trapezius, supporting the upper back and improving alignment.
How to do it:
- Sit at a lat pulldown machine and grip the bar slightly wider than shoulder-width.
- Pull the bar down to your chest, keeping your back straight and shoulders down.
- Slowly return the bar to the starting position.
- Perform 2–3 sets of 10–12 repetitions.
Pro tip: Avoid leaning back excessively and engage your core to maintain proper form.
Strengthening Tips for Neck Health
Perform these exercises 2–3 times per week to build and maintain strength. Rehabilitative exercised get the best results when done with light resistance or bodyweight exercises. Combine strengthening exercises with stretches and ergonomic adjustments for comprehensive neck pain relief and prevention.
Strengthening your neck and upper back muscles not only alleviates existing pain but also helps prevent future discomfort by promoting better posture and spinal support.
In the next section, we’ll discuss therapies that complement these exercises for even better results.
Best Therapies for Neck Pain
When it comes to treating neck pain, finding the right therapy is essential for long-term relief and prevention. Among the available options, chiropractic care stands out as the best first point of contact for spinal-related conditions.
Let’s explore why chiropractic care and other therapies are so effective for managing neck pain.
1. Chiropractic Care: The Best Place to Start
Chiropractors are highly trained to diagnose and treat conditions related to the spine, including neck pain. They use a combination of techniques to address the root cause of your discomfort rather than just the symptoms.
What a chiropractor can do for neck pain:
Spinal Adjustments:
Chiropractors perform gentle adjustments to realign the cervical spine, relieve pressure on nerves, and restore proper joint function. These adjustments often provide immediate pain relief and improve mobility.
Rehabilitation Exercises:
A chiropractor will teach you targeted exercises to strengthen the muscles supporting your neck and upper back, helping to prevent future pain and improve posture.
Holistic Care:
Many chiropractors incorporate a holistic approach, offering advice on posture, ergonomics, stress management, and lifestyle changes to support overall neck health.
Why it’s the best starting point:
Chiropractors focus on non-invasive, drug-free solutions, making it a safe and effective option for most patients. They also take a comprehensive approach, addressing not just the pain but the underlying causes to ensure lasting relief. They can also offer referrals when more invasive procedures like surgery are necessary
2. Orthopedic Care:
Best for Severe Cases Requiring Surgery or Medication
Orthopedic doctors are specialists in diagnosing and treating musculoskeletal conditions, including complex or severe neck pain. While not typically the first step for most cases, orthopedic care is essential for situations where surgical intervention or pain medication is necessary to manage the condition effectively.
What an Orthopedic Doctor Can Do for Neck Pain.
Surgical Interventions:
For severe cases, orthopedic surgeons perform procedures like spinal fusion, disc replacement, or laminectomy to address structural issues that cannot be resolved through conservative treatments.
Pain Management:
Orthopedic care often includes prescription medications or corticosteroid injections to manage pain and inflammation, particularly for conditions like advanced arthritis or pinched nerves.
Post-Surgical Rehabilitation:
Orthopedic doctors coordinate with physical therapists to develop recovery plans, ensuring patients regain mobility and strength after surgery.Why Orthopedic Care is Better for Severe Cases
Complex Injuries or Conditions:
Orthopedic care is best suited for traumatic injuries (e.g., fractures, whiplash) or chronic conditions (e.g., severe arthritis, degenerative disc disease) that do not respond to non-invasive treatments.
Surgical Expertise:
When the cervical spine requires structural correction, orthopedic surgeons have the training and experience to perform these procedures.
Pain Management:
In cases where pain is debilitating, orthopedic care provides access to stronger pain relief options and medical interventions.
Orthopedic Care as a Secondary Option
For less severe neck pain, starting with non-invasive options like chiropractic care or massage is often more appropriate. These therapies focus on addressing the root cause of the pain without the need for surgery or medication. However, if conservative treatments fail to provide relief, or the condition is severe, orthopedic care is the logical next step.
3. Massage Therapy
Massage therapy is an excellent complement to chiropractic care and physical therapy. By targeting tight muscles in the neck, shoulders, and upper back, massage can reduce pain, improve circulation, and promote relaxation.
Benefits of massage therapy:
- Relieves tension and reduces trigger points.
- Improves blood flow to tight or overworked muscles.
- Reduces stress, which often contributes to neck pain.
- Popular techniques for neck pain include deep tissue massage, trigger point therapy, and myofascial release.
Proper Posture & The Importance of the S-Curve in Your Spine
The natural S-curve of the spine is essential for maintaining balance, reducing strain, and supporting proper posture. This curve consists of three key sections: the cervical (neck), thoracic (upper back), and lumbar (lower back) regions. Together, they form an S-shape that evenly distributes weight and absorbs shock as you move, sit, or stand.
The Ideal Sitting Position
To maintain this natural S-curve while sitting:
- Lower Back (Lumbar Curve): Your lower back should have a slight inward arch. Use a lumbar support cushion or the backrest of your chair to maintain this curve.
- Chest Out: Sit upright with your chest slightly lifted to prevent slouching and collapsing forward.Shoulders Back: Relax your shoulders and gently pull them back to avoid rounding.
- Ears Aligned with Shoulders: Your head should be positioned directly over your shoulders, with your ears aligned, to reduce strain on the cervical spine.
If you find yourself correcting your posture regularly but you can’t seem to hold this posture all day, it's likely a muscle issue that should be addressed with the exercises in the article.
I can not stress enough the importance of posture. You will never fully correct neck problems without addressing posture problems. Maintaining this positioning ensures that your spine remains in its natural alignment, reducing stress on your joints and muscles and preventing the common discomforts associated with poor posture.
Diet and Supplementation to Support Musculoskeletal Health
Your diet plays a critical role in managing and preventing musculoskeletal problems. Proper nutrition can reduce inflammation and pain, support muscle recovery, and improve overall spinal health.
Here are some key nutrients and dietary tips to help alleviate neck pain and promote healing:
1. Magnesium for Muscle Relaxation and Headache Relief
Magnesium is essential for muscle relaxation and helps reduce tension that often contributes to neck pain and tension headaches.Sources of magnesium:Leafy greens like spinach and kale.Nuts and seeds such as almonds and pumpkin seeds.SupplementationSupplementation tip: If dietary magnesium is insufficient, consider a high-quality magnesium supplement.
2. Creatine and Amino Acids for Tissue Repair
Creatine and amino acids are vital for repairing damaged muscles, ligaments, and tendons. They provide the building blocks your body needs to recover from strain or injury.Sources of amino acids:Lean proteins like chicken, fish, steak and eggsDairy products, beans, and lentils.
Creatine supplementation: Consider a daily creatine monohydrate supplement to support muscle repair, especially if you’re active or undergoing physical therapy.
3. Proper Hydration for Muscle and Disc Health
Dehydration can lead to stiff muscles and reduce the cushioning effect of the discs in your spine. Staying hydrated supports both muscle function and spinal health.
You might be surprised how great you feel when properly hydrating on a daily basis.
Hydration tips:
Drink at least half your body weight in ounces of water daily (e.g., a 160-pound person should drink about 80 ounces).
Incorporate water-rich foods like cucumbers, watermelon, and oranges into your diet.
The Importance of Eating Unprocessed Foods
Unprocessed, whole foods provide the nutrients your body needs to maintain a healthy spine and muscles while reducing inflammation and supporting overall well-being. Processed foods, like fried and fast foods, are often high in sugar, unhealthy fats, and artificial additives that can exacerbate inflammation and pain while hindering healing.
Benefits of a Whole Foods Diet:
- Reduced Inflammation: Antioxidants and phytonutrients found in fruits, vegetables, and whole grains combat inflammation, which can worsen neck pain.
- Better Muscle and Bone Health: Nutrient-dense foods provide essential vitamins and minerals, such as calcium, magnesium, and protein, needed for strong bones and muscles.
- Sustained Energy: Whole foods offer a steady release of energy, avoiding the blood sugar spikes and crashes associated with processed foods.
What to Include in Your Diet:
Fruits and Vegetables
Rich in vitamins, minerals, and antioxidants to support tissue repair and energy.
Healthy Fats
Avocados, nuts, seeds, and olive oil to support joint and ligament health.Lean Proteins: Promote muscle repair and strength.
Tips to Transition to Unprocessed Foods:
- Replace sugary snacks with fresh fruits.
- Eliminate white bread productsPrepare meals at home to control ingredients and avoid preservatives.
By focusing on unprocessed, nutrient-dense foods and supplementing as needed, you can provide your body with the tools it needs to heal, reduce neck pain, and maintain long-term spinal health. A healthy diet is a cornerstone of a holistic approach to managing neck problems.
Conclusion
Neck Pain Can Be Fixed
Neck pain is a common issue, but the good news is that it can be effectively resolved with the right care and commitment. Your first step should be consulting a chiropractor, who can address the root cause of your discomfort through gentle adjustments, tailored rehabilitation exercises, and holistic advice. In addition to professional care, incorporating the correct exercises and stretches is essential for maintaining a healthy neck.
Strengthening and stretching key muscle groups can prevent future issues, improve posture, and promote mobility. A consistent routine is key to supporting your recovery and keeping pain at bay.
Finally, don’t overlook the role of nutrition in overall health and recovery. A diet rich in unprocessed, nutrient-dense foods, combined with proper hydration and targeted supplementation, provides your body with the resources it needs to heal and thrive.
If you found this article helpful and would like to work with us directly, you can schedule a consultation today.
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Dr. Mike Sebastian
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