Neck Pain

Do you wake up in the morning with an achey neck that then keeps reminding you that its there every time you drive or turn too fast? We can worry about them for you so you don't have to.

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Symptoms

Neck pain can come on with many things; it can be neck pain that comes on when you first wake up,or it only niggles and aches at you when you're driving and needs to change lanes. Sometimes neck pain can fester into headaches or even cause shoulder pain. Other times neck pain can come with shooting sensations down the arm that's when we call it radicular pain. These are some things you can see with neck pain.

  • Headaches that manifest as a band around the head
  • Pain with neck movements that causes shooting pain down the arm
  • Feeling of "instability" putting weight on an arm
  • Acheyness when you wake up

Generally someone with neck pain will know what they are experiencing and don't need the check list of symptoms. However there are some important signs to note with neck pain. If you get pain with any of these signs you need to seek advice from a GP. Some of the signs are nerve pain down both hands, difficulty with tasks like buttoning a shirt, blurry vision or nausea, dizziness, difficulty swallowing or any changes in your vision.

How we treat it

There are many approaches for neck pain. Some of the first things we do is see if there are any ways we can treat posture or make changes to daily activities to help with the neck symptoms. If you're getting neurological pain one of the main approaches is to try and relieve the pain; this is done with manual therapy which includes soft tissue release and mobilizations. Sometimes if the patient responds well to dry needling it could also be used to help with pain management. Another adjunct that could help especially for symptomatic headaches is taping around the neck and shoulders.

Over all the main result of a physio session for neck pain will be exercises that help strengthen your neck and the surrounding muscles to maintain resilience and strength in all affected areas. As with other physiotherapy conditions treating the neck comes in three phases; pain relief, rehabilitation and resilience. The number of sessions you will need with us depends on where you are in the process. If you're at step one you can expect to see us 1x weekly or 1x every 4-5 days. Following that the sessions will decrease in frequency till you're independent and can manage well on your own or till the problem you're having is resolved.

How physiotherapy works

What to expect

During the first session you will be asked about how and when the neck pain came on and what triggers it. The history of the pain helps us understand what is going on and how to help you improve. There are no scans necessary, however if you do have any done you can bring them along, we can help answer any questions you may have about them and it can also be part of the puzzle.

Following the history, we will go through an assessment where the physio will look at how your neck and shoulders are moving. Since those two joints are close in proximity sometimes they have to be treated together.

Once we have an idea of what is going on you and your physio will have a discussion about what the best course of treatment may be. You should expect to go home with some exercises or stretches to do. However, the physio will always work within your abilities.

Frequently asked questions

What is whiplash?

Whiplash is a term that is used to describe a sudden over stretch in the muscles of the neck and upper back. This generally happen as a result of a car accident. However, whiplash can happen for many sudden movements, where the neck is stretched suddenly beyond its capacity.

What causes a crick in the neck and how do you fix it?

A "crick" in the neck is a term used to describe a transient muscle spasm that might be due to sleep or prolonged sitting. Generally a good way to alleviate it is by applying heat and gently moving the neck in all directions. This can help the body relax the muscles that have tightened up and restore natural movement again. If it persists for longer than two to four days you might need to get additional help.

Why is my neck stiff?

There could be many causes for "stiffness" in the neck. Generally conditions like osteoarthritis can cause the joint spaces in the neck to become narrower and thus making the neck feel stiffer. In other cases it could be because of prolonged static posture; no matter how good your posture is, the best posture is one where you allow a lot of change in movement. With that being said, if you have had long term "stiffness" in the neck that come on in the morning when you wake up and last longer than 30-40mins without easing, you should consult a GP or a medical practitioner.

How long does neck pain take to go away?

Healing time generally depends on the type of pain and how long its been going on for. A good rule to consider is that if its pain that has been going on for years it will take longer to manage it. However, if the pain is due to an acute injury depending on the structures involved it could take between 4-8 weeks to improve.

Related reading

Neck Pain? Get it assessed properly

An assessment confirms what's going on and gives you a clear plan from the first session. Receipts provided for insurance claims.

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