Should I see a Physio for my Neck Pain?
Why do I have Neck Pain?
Have you awoken with your head permanently stuck to one side? Do you have to turn your full body every time someone talks to you? Are your friend’s making fun of you and talking from both sides of you to watch you turn into a tennis match? Well, you might be suffering from the old neck pain.
The reasons for neck pain are damn diverse in terms of both structural and symptomatic presentations that range from acute to chronic, as well as mild through to severe pain/discomfort. Given there is much crossover with common symptoms for different root causes, the purpose of this blog is first to help you recognise what type of neck pain you are having, secondly, why you might be experiencing it, and lastly know what treatment and support via a neck pain physio is available to help you be rid of it.
Neck pain is a prevalent issue that affects people of all ages and lifestyles. Whether it's caused by poor posture, muscle strain, injury, or underlying medical conditions, neck pain can significantly hinder daily activities and overall well-being. Fortunately, physiotherapy offers a safe, relaxed, effective, and non-invasive approach to treating neck pain.
It’s best to see a Physio as soon as you have neck pain. Even though it may be acute and not improve drastically, a Physio will be able to give guidance on what to do and what not to do with your neck pain. This will speed up your recovery from your pain and also prevent it from coming back again.
Understanding Neck Pain
The neck, or cervical spine, is a complex structure comprising bones, muscles, ligaments, and nerves. Daily activities such as prolonged computer use, improper lifting techniques, or sleeping in an awkward position can strain these structures, leading to neck pain and discomfort. In some cases, neck pain may be a symptom of an underlying medical condition, such as cervical disc herniation, osteoarthritis, or cervical spondylosis.
What are the five most common reasons for neck pain?
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This type of pain often pops up every now and then and is often referred to as a ‘spasm.’ It can fluctuate in intensity, and while it might not be too bothersome, it can get to the point where it limits what you can do either at work or in the gym. Typically, neck pain will coincide with reduced range (ie. stiffness) and this can be on one or both sides. Some of the causes for this can be poor posture (neck and head poked forward), spending too much time in one position (such as at a desk or on a computer) or in contrast doing repeated movements. Overactive muscles in the area also increase the likelihood of a spasm (often a sign of poor control or weakness in these muscles).
Wry neck, also known as torticollis, is a condition characterised by the sudden involuntary contraction of neck muscles, causing the head to tilt to one side. While neck pain physiotherapy exercises can be beneficial for managing wry neck, it's crucial to consult a healthcare professional or physiotherapist first to get a proper diagnosis and personalised treatment plan. The exercises for neck pain listed below are general recommendations and should be performed under the guidance of a qualified healthcare professional:
The Best Exercises to try if you have Wry Neck
Range of Motion Exercises:
Gently rotate your head to the unaffected side as far as is comfortable. Hold for a few seconds, then return to the starting position.
Repeat the rotation to the affected side, gradually stretching the contracted muscles.
Perform the exercise in both directions for several repetitions, aiming to improve the range of motion.
Neck Isometrics:
Sit or stand with your back straight.
Place your hand on the side of your head, attempting to tilt your head towards your shoulder.
Use your hand to provide resistance, but don't actually move your head.
Hold the isometric contraction for 5-10 seconds, then relax.
Repeat on the other side.
These will tend to help if you have acute neck pain. Although acute neck pain can be difficult to
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This responds very differently from an acute wry neck. You might experience symptoms alongside pain including tingling and/or numbness which may be more widespread. Therefore, you might feel pain referring into the shoulder, arm, or face as well either on one or both sides. This is because specific areas are connected by certain nerve branches and pathways and is one way to decipher where the root cause of pain is stemming from. Some reasons for this might be osteoarthritis, disc protrusion or previous trauma (car accident, impact sports, severe neck injury).
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Slightly different to a discogenic wry neck in that the disc is preserved, and rather there is an irritation or compression of the nerve root where it exits between two consecutive vertebrae. It then branches into multiple nerve pathways to supply sensation to specific areas in either or both upper limbs. Reasons for this can be stenosis (narrowing of the space between the vertebra) or in active populations excessive use of the muscles surrounding the neck (particularly overhead exercises) can then mimic or bring about a muscle spasm.
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More of a deep, sharp, or aching pain in presentation over either side of the neck vertebrae. Neck range will likely be restricted in the direction where you are having the pain. For example, if you have right sided neck pain that feels close to your vertebra, you will likely feel pain and stiffness is worse when bringing your right ear towards your shoulder or turning to look over the right shoulder.
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Typically felt as tension or tenderness in the upper portion of the neck and base of skull, which causes a dull ache that can radiate into the back of the head. In some cases, it may coincide with TMJ issues (jaw pain), and typically feels worse with movement, or with pressure over the muscles at the base of the skull.
Photo by Afif Ramdhasuma
How Does a Physio Treat Neck Pain?
Comprehensive Assessment: The first step in physiotherapy treatment for neck pain is a thorough assessment by a qualified physiotherapist. The therapist will evaluate the patient's medical history, posture, range of motion, and perform physical tests to identify the root cause of the pain.
Manual Therapy: Hands-on techniques, such as mobilisation and soft tissue work or massage, are used to improve joint mobility, reduce muscle tension, and alleviate pain. Manual therapy can also help correct any postural imbalances that may contribute to neck pain.
Tailored Treatment Plan: Based on the assessment findings, the physiotherapist will create a personalised treatment plan to address the specific needs and goals of the patient. This plan may include a combination of manual therapies, exercises, and education.
Therapeutic Exercises: Targeted exercises are crucial in strengthening the neck muscles, improving flexibility, and promoting better posture. Patients may be prescribed a range of exercises, including stretching, strengthening, and stabilisation exercises, which can be performed both in the clinic and at home.
Posture Correction: Physiotherapists educate patients on maintaining proper posture during daily activities and provide guidance on ergonomic adjustments at home and work to prevent neck strain.
Pain Management Techniques: Physiotherapy incorporates pain management strategies like heat or cold therapy, electrical stimulation, and ultrasound to reduce inflammation and discomfort.
Education and Lifestyle Modifications: Physiotherapists educate patients about neck care, ergonomics, and lifestyle modifications to minimise the risk of future neck pain episodes.
Don’t be alarmed. Let us look after you. Neck Pain is incredibly common and debilitating. Let a Physiotherapist like those at Evolutio guide you through the pain and help.
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Non-Invasive Approach: Physiotherapy offers a non-surgical and drug-free approach to managing neck pain, making it a safe and gentle option for patients.
Personalised Care: Each patient receives individualized care based on their specific needs and condition, ensuring a targeted and effective treatment plan for ones chronic neck pain.
Improved Range of Motion: Melbourne Physiotherapy helps restore the neck's range of motion, making everyday activities more comfortable and efficient.
Enhanced Strength and Stability: Targeted exercises strengthen the neck muscles, promoting better stability and reducing the risk of future injuries.
Long-Term Relief: By addressing the root cause of the pain, physiotherapy aims to provide long-term relief rather than just temporarily masking the symptoms.
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Accurate Diagnosis:
A physiotherapist can assess your neck pain and determine its underlying causes. Neck pain can stem from various sources, such as poor posture, muscle imbalances, cervical spine issues, or even referred pain from other areas. A proper diagnosis is essential to create an effective treatment plan.
Personalised Treatment: After evaluating your condition, a physiotherapist can develop a personalised treatment plan tailored to your needs. This might involve combining manual techniques, exercises, and other modalities to address your pain, improve mobility, and enhance overall neck function.
Pain Relief: Melbourne Physiotherapists can employ various techniques to alleviate acute and chronic pain. These might include hands-on techniques like manual therapy to release muscle tension and improve joint mobility and modalities like heat, ice, or electrical stimulation.
Posture and Ergonomics: Poor posture and improper ergonomics commonly contribute to neck pain. A physiotherapist can educate you on proper posture and ergonomics for different activities, such as sitting at a desk, using a computer, or lifting heavy objects. Learning these techniques can prevent further strain on your neck.
Strengthening and Stretching Exercises: Physiotherapists can prescribe specific exercises to strengthen weak muscles and stretch tight muscles in the neck and surrounding areas. These exercises can help improve your neck's stability, range of motion, and overall function.
Prevention of Recurrence: By addressing the root causes of your neck pain and providing tools to improve your posture, movement patterns, and muscle balance, a physiotherapist can help reduce the likelihood of your neck pain returning.
Avoiding Medication and Surgery: Physiotherapy offers a non-invasive approach to managing neck pain. By addressing the issue early on, you may be able to prevent the need for medication or surgical intervention.
Education and Self-Management: A physiotherapist can educate you about your condition, helping you understand the factors contributing to your neck pain. They can also guide how to manage your pain through self-care techniques and home exercises.
Holistic Approach: Physiotherapy takes a holistic approach to treating neck pain. It considers the physical aspects and psychological and lifestyle factors that might contribute to your discomfort.
Remember that while physiotherapy can be highly effective for many cases of neck pain, it's essential to consult with a qualified healthcare professional, such as a physiotherapist or a physiotherapy doctor, to receive proper assessment and recommendations based on your condition. If your neck pain is severe, accompanied by other symptoms like numbness or tingling, or if it's a result of a recent injury, it's essential to seek medical attention.
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Yes, headaches can indeed be triggered or associated with neck pain. This type of headache is often referred to as a "cervicogenic headache." Cervicogenic headaches originate from issues in the neck, particularly the cervical spine (the upper part of the spine that includes the neck vertebrae). The pain from the neck can refer to the head and cause headache symptoms. Here's how this connection works:
Muscle Tension and Spasm: Muscles in the neck can become tense or go into spasm due to poor posture, overuse, or muscle imbalances. This tension can radiate to the head and cause headache-like pain.
Nerve Irritation: Nerves in the neck can become irritated or compressed, leading to pain that is felt both in the neck and in the head. This can result from issues like herniated discs or spinal stenosis.
Joint Dysfunction: Dysfunction in the joints of the cervical spine can lead to pain that is referred to the head, causing headaches.
Poor Posture: Prolonged poor posture, especially while working at a computer or looking down at a mobile device, can strain the neck muscles and contribute to both neck pain and headaches.
Whiplash or Trauma: Injuries like whiplash, which often result from car accidents or sports injuries, can lead to both neck pain and headaches due to the impact on the neck structures.
Stress: Emotional stress can lead to muscle tension in the neck, shoulders, and upper back, which can contribute to cervicogenic headaches.
It's important to note that not all headaches are related to neck pain, and various types of headaches have different underlying causes.
If you are experiencing persistent headaches, especially if they are accompanied by neck pain or other symptoms, it's advisable to seek medical attention. A healthcare professional, such as a doctor or a physiotherapist, can assess your symptoms, perform a thorough examination, and determine the appropriate course of action for diagnosis and treatment.
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The choice between seeing a physiotherapist or a chiropractor for neck pain depends on various factors, including your preferences, the underlying cause, and the treatment approach you are comfortable with. Here are some points to consider when making your decision:
Physiotherapist:
Holistic Approach: Physiotherapy generally takes a comprehensive approach to treating musculoskeletal issues. Physiotherapists focus on improving overall function, addressing muscle imbalances, and promoting long-term wellness.
Evidence-Based Practice: Physiotherapy is often grounded in evidence-based practices and clinical practice guidelines, with treatment approaches supported by scientific research and clinical trials.
Exercise and Rehabilitation: Physiotherapists often emphasise neck exercises, stretches, and therapeutic movements as part of their treatment plans which are all good for neck pain. They aim to improve strength, flexibility, and mobility while addressing the root causes of pain.
Manual Therapy: Some physiotherapists use joint mobilisation and soft tissue manipulation techniques to address muscle tension and joint dysfunction.
Education: Physiotherapists typically provide instruction on proper posture, ergonomics, and lifestyle modifications to help prevent future pain n.
Chiropractor:
Spinal Manipulation: Chiropractors use spinal adjustments or manipulations, which involve applying controlled force to specific joints to improve alignment and function.
Individual Preferences: Some may prefer chiropractic care because it emphasises hands-on adjustments.
It's important to note that both physiotherapists and chiropractors are trained professionals, and many individuals find relief from neck pain through both approaches. When choosing between the two, consider the following steps:
Assessment: In general, seek an appraisal from a physiotherapist for chronic neck pain, as they will be able to understand the deeper causes of that pain and build a longer-term treatment plan. Sometimes chiropractors can get caught up in treating the pain and don't structure a program that makes the patient independent.
Experience and Qualifications: Research the credentials, experience, and qualifications of the healthcare professionals you're considering. Look for practitioners who are licensed and well-regarded within their respective fields.
Communication: Discuss your preferences, treatment options, and any concerns you might have with the healthcare professionals.
Personal Comfort: Choose the healthcare professional and treatment approach that aligns with your comfort and beliefs.
Ultimately, your best choice will depend on your needs and preferences. If your neck pain is severe, persistent, or accompanied by other symptoms, it's advisable to consult with a medical doctor before pursuing any specific treatment. Based on your medical history and condition, they can guide the most appropriate course of action.
