Neck Pain

Affects 2/3 of the population at some stage….

Neck Pain: Causes, Recovery, and Evidence-Based Care

Neck pain is one of the most common reasons people seek physiotherapy. Whether your pain is the result of a sudden injury or has developed gradually due to your work environment, understanding the cause is the first step toward long-term relief.

Why Does Neck Pain Occur?

Neck pain generally stems from two primary sources:

  • Acute Trauma or Injury: This most commonly includes whiplash (often from vehicle accidents) or compression injuries from falls or sports.

  • Repetitive Strain & Posture: Pain can also develop through repetitive tasks, poor workplace ergonomics, or "postural dysfunction." This is often a result of muscle imbalances where certain muscles become overworked while others become underactive.

Understanding the Structures Involved

The neck is a complex system of joints, discs, and nerves. Pain may involve:

  • Cervical Discs and Joints: Leading to stiffness and localised aching.

  • Nerve Structures: Irritation here can cause symptoms such as pain, pins and needles, or numbness travelling into the arm or hand.

  • Muscle Imbalance: Global neck pain often occurs when the deep stabilising muscles aren't supporting the spine correctly, causing larger muscle groups to tighten in compensation.

Evidence-Based Treatment

Modern physiotherapy has moved away from prolonged rest. Current clinical practice guidelines emphasise that staying active and maintaining movement is the most effective way to recover.

Phase 1: Symptom Relief

Initially, treatment may involve "hands-on" techniques to reduce pain and restore movement. This often includes:

  • Soft tissue massage and joint mobilisation.

  • Taping to support the area and improve postural awareness.

  • Guided movement to reduce protective muscle guarding.

Phase 2: Targeted Exercise & Strengthening

A significant amount of chronic neck pain is linked to strength imbalances. Research confirms that guided exercise is the "gold standard" for long-term recovery.

  • Deep Neck Flexor Training: Strengthening the "core" muscles of the neck to support the cervical spine.

  • Scapular Stabilisation: Improving how your shoulder blades support your neck and upper back.

Phase 3: The "Early Return" Principle

The latest whiplash treatment guidelines encourage an early return to normal activities. Evidence suggests that resting for too long or using rigid collars can actually delay healing. Your physiotherapist will help you build the confidence to move safely, ensuring you get back to your usual routine as soon as possible.

How Physiotherapy Can Help

  • Personalised Assessment: Identifying whether your pain is structural, postural, or nerve-related.

  • Workplace Practices: Providing practical advice to optimise your workstation and prevent strain.

  • Long-term Prevention: Providing you with the tools and exercise programs to ensure the pain doesn't return.

Book online

.