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Self help resources - Neck

Please self-refer to be assessed by a Physiotherapist if you:

  • Have had recent trauma to your neck and have significant pain or loss of movement
  • Constant day & night neck pain (or pain referring to the head from your neck) that you cannot settle
  • You are off-sick and struggling to return to work due to your pain
  • You are experiencing persistent pins and needles or numbness radiating down one or both of your arms
  • You have other symptoms such as dizziness, problems speaking or swallowing, drop attacks (black-outs), nausea, visual disturbances or facial numbness
  • Your symptoms are worsening and are not improving despite following advice below over the course of six weeks

What can I do to help?

Neck pain is common but most cases are not caused by a serious problem.   The vast majority of cases of neck pain get better on their own within a few weeks.  Simple self-help measures will often help to ease symptoms.  If you are struggling with your pain, the following initial advice should help you to get started:

Pain relief:  Basic painkillers (like paracetamol) or non-steroidal anti-inflammatory drugs or gels, (such as ibuprofen) are cheap and easily available over the counter without the need for prescription.  These can be very effective as they lessen your discomfort and importantly allow you to keep your neck moving.  However, please check the labels for instructions/safe usage and any possible reasons why you should not use them.  If you are currently taking any form of medication it is advisable to consult your GP or pharmacist before taking additional pain relief.

Relaxation:  Tense muscles caused by anxiety and stress can increase the amount of discomfort you feel.  You may find controlled breathing exercises and relaxation/mindfulness helpful.

Heat or Ice: Heat is often useful for easing pain using a hot water bottle or wheat pack.  Use for 15-20 minutes at a time and repeat several times a day as necessary.  However, if you have had a recent injury or flare up you may find it more therapeutic to use an ice pack to reduce your pain/irritation.  A packet of frozen peas wrapped in a tea-towel works well.  Leave in place for up to 15 minutes at a time.  Again, this can be repeated several times a day if found helpful. 

Sleep:  Changing the number or position of pillows may be helpful.  There is no one ‘correct’ position; choose whatever position given you most comfort.

Rest vs. activity: It is usually best to carry out your normal activities, but try not to overdo it.   Let pain be your guide; short-lasting/temporary discomfort is fine but worsening or constant 24/7 pain indicates you are likely doing too much and need to take things a little easier.  You need to pace yourself to start with and try to do a bit more each few days. 

A short period of rest may be helpful but for no more than one to two days after an injury.   As soon as possible start some gentle stretches and neck movements.   It is best to avoid neck collars as this leads to your neck becoming stiffer and sorer.  Do not drive until you have sufficient movement to be safe to do so.

Exercise

Exercise can be an extremely beneficial treatment for your neck pain as it can gradually build the tolerance and load-capacity of your tissues and help ease stiffness and soreness.  

Repeat the following exercises several times a day.  A small increase in pain is OK; you just need to work within your own tolerable pain levels.  If you feel you have done too much and it is not tolerable, do not worry, do smaller movements next time and then gradually build up again.  Aim to gradually increase the range of movement as your pain allows.  It may take a few weeks before you start to see significant improvement. 

If your neck does not start to improve over the next 6 weeks, or gets worse despite the exercises, then you can self-refer yourself to see a Physiotherapist for an assessment.

Exercise 1 – Neck Retractions

Draw your chin in gently to make a double chin keeping your eyes looking straight ahead and feel the stretch in your neck. 

Repeat 5-10 times

Exercise 2 – Neck Rotations

Turn your head to look over your shoulder to achieve a stretching feeling.  Hold for 5 seconds.   Avoid movements that elicit a painful pinching feeling that you find irritable.

Repeat 5-10 times

Exercise 3 – Side Bends

Take your ear towards your shoulder whilst looking straight ahead.   Hold for 5 seconds.  Avoid movements that elicit a painful pinching feeling that you find irritable. 

Repeat 5-10 times

Exercise 4 – Shoulder Rolls

Roll your shoulders slowly taking them up, back and down as far as you can

Repeat 5-10 times

Exercise 5 - Weighted Shoulder Shrugs

Hold light but meaningful weights in both hands and shrug your shoulders up as high as possible.  Hold for 5 seconds then lower

Repeat 10 times (1-2 sets) as tolerated, aiming for slight discomfort/fatigue

Exercise 6 – Looking under your armpit*

*If you happen to be experiencing pain or pins & needles down one arm without recent trauma to your neck/arm you may find the following exercise helpful.  If therapeutic, then keep repeating little and often to lessen your symptoms for a while each time.  After a while you should find the symptoms gradually lessen.

Stop if you find it worsens your symptoms.  If your symptoms are worsening or not responding after 1-2 weeks then refer yourself for an assessment.

Tilt your head forwards and turn towards your painful side.  Also tilt you head away from the painful side at the same time.  The motion is as if looking behind you under the armpit of your painful side.  Oscillate gentle into a stretching feeling 5-10 times as tolerated.

For example; if you have left arm pain or pins and needles then perform the movement as shown below:

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