A Pain in the Neck

| Posted On Mar 28, 2013 | By:

neck painAs a physical therapist, I know that neck injuries, whether caused by something as severe as an accident or as seemingly innocuous as a simple at-home task, are no laughing matter and can cause neck pain and strain that interferes with your daily routine.

When you injure your neck, the pain can present itself in many ways.  Symptoms may range from a dull ache to a sporadic sharp pain located anywhere from the base of the skull to the shoulders and upper back.  You may also have headaches and excessive muscle tension, a limited range of motion in your neck, and difficulty in swallowing. In more severe cases, you may experience radiating pain, numbness and/or tingling in your fingers or upper extremities.

Neck pain can be caused by numerous movements, from simple everyday activities to injuries to underlying medical conditions, such as:

The duration of the symptoms of neck pain may vary significantly depending on the cause.  If the cause is muscle tension/spasm or facet joint immobility, the symptoms may resolve within a week.  Pain due to poor posture issues can be alleviated or eliminated by maintaining good posture and proper ergonomics or stopping tasks that aggravate neck pain, such as a repetitive overhead arm motion.  For the symptoms caused by degenerative changes, it may take several weeks until you start to feel better. Finally, in the case of severe trauma, symptoms may last several months.


During the acute phase (usually the first 48 hours of injury or onset of the pain)

After the first 48 hours and to address more chronic problems, your doctor and/or a physical therapist may recommend the following:

As you recover from neck pain or strain, you should avoid the following activities like reading or using the computer for a long period of time, overhead lifting or repetitive tasks, sleeping on your stomach, driving long distances, or staying in a prolonged, unsupported position that cause muscle strain, such as watching TV or crocheting.

You should call your doctor immediately if you:

Most of the time, neck pain can be prevented by maintaining good cardiovascular health, improving postural strength and postural awareness, and focusing on using good body mechanics. Improvements can also occur from taking frequent breaks when working at the computer or performing repetitive tasks, using a good pillow that aligns your spine in the center of your body, and using proper protective gear when playing sports, driving, or working.


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About Kyle Coffey, PT, DPT

Kyle Coffey PT, DPT is a registered physical therapist and holds a license from the Commonwealth of Massachusetts. Kyle works at Harvard Vanguard Medical Associates at the Chelmsford location. He obtained his Doctorate of Physical Therapy and a bachelor of science in Exercise Physiology with a minor in nutrition from the University of Massachusetts Lowell. He is a member of the American Physical Therapy Association, both the national and state of Massachusetts chapters, as well as the Orthopedic chapter. His professional interests include orthopedic and sports medicine, functional strengthening, the effects of posture on back pain, and computer ergonomics and work assessment.

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