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Neck Problems and Injuries
Overview
Most people will have a minor neck problem at one time or another. Our body movements usually don't cause problems. But sometimes symptoms can develop from everyday wear and tear, overuse, or injury. Neck problems and injuries most often occur during sports or recreation activities, work-related tasks, or projects around the home.
Neck pain may feel like a "kink," stiffness, or severe pain. Pain may spread to the shoulders, upper back, or arms. Or it may cause a headache. Neck movement may be limited, usually more to one side than the other. Neck pain means pain anywhere from the area at the base of the skull into the shoulders. The neck includes:
Neck pain may be caused by an injury to one or more of these areas. Or it may have another cause. Home treatment will often help relieve neck pain caused by minor injuries.
Activities that may cause neck pain
Neck pain is often caused by a strain or spasm of the neck muscles or inflammation of the neck joints. Examples of common activities that may cause this type of minor injury include:
- Holding your head in a forward posture or odd position while you work, watch TV, or read.
- Sleeping on a pillow that's too high or too flat or that doesn't support your head, or sleeping on your stomach with your neck twisted or bent.
- Spending long periods of time resting your forehead on your upright fist or arm ("thinker's pose").
- Stress. Tension may make the muscles that run from the back of the head across the back of the shoulder (trapezius muscle) feel tight and painful.
- Work or exercise that uses your upper body and arms.
Sudden (acute) injuries
Minor neck injuries may occur if you trip, fall a short distance, or twist your spine too much. Severe neck injuries may be caused by whiplash in a car crash, a fall from a high place, a direct blow to the back or the top of the head, a sports-related injury, a penetrating injury such as a stab wound, or external pressure applied to the neck, such as strangulation.
Pain from an injury may be sudden and severe. Bruising and swelling may occur soon after the injury. Acute injuries include:
- An injury to the ligaments or muscles in the neck. Examples of this are a sprain or strain. When neck pain is caused by muscle strain, you may have aches and stiffness that spread to your upper arm, shoulder, or upper back. Shooting pain that spreads down the arm into the hand and fingers can be a symptom of a pinched nerve (nerve root compression). Shooting pain is more serious if it occurs in both arms or both hands rather than just one arm or one hand.
- A fracture or dislocation of the spine. This can cause a spinal cord injury that may lead to lifelong paralysis. It's important to use correct first aid to immobilize the injured person and then move the person the right way to reduce the risk of lifelong paralysis. If you think that the spinal cord may be injured, don't try to move the person.
- A torn or ruptured disc. If the tear is large enough, the jellylike material inside the disc may leak out (herniate) and press against a nerve or the spinal cord (central disc herniation). You may have a headache, feel dizzy or sick to your stomach, or have pain in your shoulder or down your arm.
Emergency care is required for a neck injury that causes damage to the spinal cord. Symptoms of a spinal cord injury include loss of movement or feeling, numbness, tingling, trouble controlling the muscles of the arms or legs, and loss of bowel or bladder control.
Conditions that may cause neck problems
Neck problems may not be related to an injury.
- Arthritis or damage to the discs of the neck can cause a pinched nerve. Neck pain caused by a pinched nerve most often affects one side of the neck and the arm on that side. Other symptoms may occur, such as numbness, tingling, or weakness in the arm or hand.
- Meningitis is a serious viral or bacterial illness. It causes inflammation around the tissues of the brain and spinal cord. Symptoms come on quickly and include a severe headache, a stiff neck, a fever, and sometimes vomiting. The neck stiffness makes it hard or impossible to touch the chin to the chest.
- The flu, which usually is not serious, can cause symptoms similar to meningitis. When neck pain is caused by flu, the neck and the rest of the body tend to ache all over. But there is no severe neck stiffness.
- Neck pain that occurs with chest pain may be caused by a serious problem with the heart, such as a heart attack.
- Stress and tension may make the muscles that run from the back of the head across the back of the shoulder (trapezius muscle) feel tight and painful. You may not be able to move your head without pain.
- Torticollis is caused by severe muscle contraction on one side of the neck. This causes the head to be tilted to one side. The chin is usually rotated toward the opposite side of the neck. Torticollis may be present at birth (congenital) or caused by injury or disease.
Treatment
Treatment for a neck problem or injury may include first aid, physical therapy, manipulative therapy (such as chiropractic or osteopathic), and medicine. In some cases, surgery is needed. Treatment depends on:
- The location and type of injury, and how bad it is.
- Your age, health condition, and activities (such as work, sports, or hobbies).
Health Tools
Health Tools help you make wise health decisions or take action to improve your health.
Check Your Symptoms
The medical assessment of symptoms is based on the body parts you have.
- If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
- If your symptoms aren’t related to those organs, you can choose the gender you identify with.
- If you have some organs of both sexes, you may need to go through this triage tool twice (once as "male" and once as "female"). This will make sure that the tool asks the right questions for you.
Many things can affect how your body responds to a symptom and what kind of care you may need. These include:
- Your age. Babies and older adults tend to get sicker quicker.
- Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
- Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
- Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
- Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.
Try Home Treatment
You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.
- Try home treatment to relieve the symptoms.
- Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.
Pain in children under 3 years
It can be hard to tell how much pain a baby or toddler is in.
- Severe pain (8 to 10): The pain is so bad that the baby cannot sleep, cannot get comfortable, and cries constantly no matter what you do. The baby may kick, make fists, or grimace.
- Moderate pain (5 to 7): The baby is very fussy, clings to you a lot, and may have trouble sleeping but responds when you try to comfort him or her.
- Mild pain (1 to 4): The baby is a little fussy and clings to you a little but responds when you try to comfort him or her.
Pain in children 3 years and older
- Severe pain (8 to 10): The pain is so bad that the child can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain. No one can tolerate severe pain for more than a few hours.
- Moderate pain (5 to 7): The pain is bad enough to disrupt the child's normal activities and sleep, but the child can tolerate it for hours or days.
- Mild pain (1 to 4): The child notices and may complain of the pain, but it is not bad enough to disrupt his or her sleep or activities.
Symptoms of difficulty breathing can range from mild to severe. For example:
- You may feel a little out of breath but still be able to talk (mild difficulty breathing), or you may be so out of breath that you cannot talk at all (severe difficulty breathing).
- It may be getting hard to breathe with activity (mild difficulty breathing), or you may have to work very hard to breathe even when you’re at rest (severe difficulty breathing).
Severe trouble breathing means:
- You cannot talk at all.
- You have to work very hard to breathe.
- You feel like you can't get enough air.
- You do not feel alert or cannot think clearly.
Moderate trouble breathing means:
- It's hard to talk in full sentences.
- It's hard to breathe with activity.
Mild trouble breathing means:
- You feel a little out of breath but can still talk.
- It's becoming hard to breathe with activity.
Severe trouble breathing means:
- The child cannot eat or talk because he or she is breathing so hard.
- The child's nostrils are flaring and the belly is moving in and out with every breath.
- The child seems to be tiring out.
- The child seems very sleepy or confused.
Moderate trouble breathing means:
- The child is breathing a lot faster than usual.
- The child has to take breaks from eating or talking to breathe.
- The nostrils flare or the belly moves in and out at times when the child breathes.
Mild trouble breathing means:
- The child is breathing a little faster than usual.
- The child seems a little out of breath but can still eat or talk.
Pain in adults and older children
- Severe pain (8 to 10): The pain is so bad that you can't stand it for more than a few hours, can't sleep, and can't do anything else except focus on the pain.
- Moderate pain (5 to 7): The pain is bad enough to disrupt your normal activities and your sleep, but you can tolerate it for hours or days. Moderate can also mean pain that comes and goes even if it's severe when it's there.
- Mild pain (1 to 4): You notice the pain, but it is not bad enough to disrupt your sleep or activities.
Major trauma is any event that can cause very serious injury, such as:
- A fall from more than 10 ft (3.1 m)[more than 5 ft (1.5 m) for children under 2 years and adults over 65].
- A car crash in which any vehicle involved was going more than 20 miles (32 km) per hour.
- Any event that causes severe bleeding that you cannot control.
- Any event forceful enough to badly break a large bone (like an arm bone or leg bone).
Symptoms of serious illness may include:
- A severe headache.
- A stiff neck.
- Mental changes, such as feeling confused or much less alert.
- Extreme fatigue (to the point where it's hard for you to function).
- Shaking chills.
Symptoms of a heart attack may include:
- Chest pain or pressure, or a strange feeling in the chest.
- Sweating.
- Shortness of breath.
- Nausea or vomiting.
- Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
- Lightheadedness or sudden weakness.
- A fast or irregular heartbeat.
For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms, like shortness of breath, nausea, and back or jaw pain.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Seek Care Now
Based on your answers, you may need care right away. The problem is likely to get worse without medical care.
- Call your doctor now to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care in the next hour.
- You do not need to call an ambulance unless:
- You cannot travel safely either by driving yourself or by having someone else drive you.
- You are in an area where heavy traffic or other problems may slow you down.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
Do not move the person unless there is an immediate threat to the person's life, such as a fire. If you have to move the person, keep the head and neck supported and in a straight line at all times. If the person has had a diving accident and is still in the water, float the person face up in the water.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Seek Care Today
Based on your answers, you may need care soon. The problem probably will not get better without medical care.
- Call your doctor today to discuss the symptoms and arrange for care.
- If you cannot reach your doctor or you don't have one, seek care today.
- If it is evening, watch the symptoms and seek care in the morning.
- If the symptoms get worse, seek care sooner.
Make an Appointment
Based on your answers, the problem may not improve without medical care.
- Make an appointment to see your doctor in the next 1 to 2 weeks.
- If appropriate, try home treatment while you are waiting for the appointment.
- If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.
Call 911 Now
Based on your answers, you need emergency care.
Call 911 or other emergency services now.
After you call 911, the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.
Sometimes people don't want to call 911. They may think that their symptoms aren't serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.
Self-Care
First aid for possible spinal injury
The possibility of a spinal injury must be considered anytime an accident involves the head, face, neck, or back. Permanent paralysis may be avoided if the injured person is kept from moving (immobilized) and is transported correctly.
Do not move the person.
If you think the person may have a spinal injury, do not move them unless there is an immediate threat to their life, such as a fire. If there is immediate danger, keep the person's head and neck supported and in a straight line while you move them to a safe place.
Do not remove the person from the water if they were in a diving accident. Float the person face up in the water until help arrives.
Call emergency services.
Call 911 or other emergency services to transport the injured person if you think they may have a spinal injury. This will reduce the risk of more injury to the spinal cord.
Caring for a minor neck problem or injury
Try the following tips to help relieve minor neck pain, swelling, and stiffness.
- Try using heat or ice.
- Use a heating pad on a low or medium setting for 15 to 20 minutes every 2 to 3 hours. Try a warm shower in place of one session. You can also buy single-use heat wraps that last up to 8 hours.
- You can also use an ice pack for 10 to 15 minutes every 2 to 3 hours.
- Do your normal daily activities.
Keep doing your usual daily activities unless you have severe neck and back pain. Make changes to or avoid any activity that makes your pain worse.
- Rub the area.
Gently massage or rub the area to help relieve pain and to encourage blood flow. Don't massage the affected area if it causes pain.
- Watch your posture.
Avoid slouching or a head-forward posture.
- Use a neck pillow.
When you sleep, place a small support pillow under your neck, not under your head.
- Do neck exercises.
When the pain starts to get better, do exercises such as neck stretch to the side, neck stretch to the diagonal, and dorsal glide stretch. Don't do any exercises that cause pain.
- Try a massage.
If tension is adding to your neck pain, massage may help.
- Don't smoke or use other tobacco products.
Smoking slows healing because it decreases blood supply and delays tissue repair.
When to call for help during self-care
Call a doctor if any of the following occur during self-care at home:
- New or worse weakness or numbness in arms.
- Neck pain does not improve, or it gets worse.
- Symptoms occur more often or are more severe.
Learn more
Preparing For Your Appointment
You can help your doctor diagnose and treat your condition by being prepared for your appointment.
Credits
Current as of: July 31, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
Current as of: July 31, 2024
Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.
