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Your neck (cervical spine) is made up of vertebrae that extend from the skull to the upper torso. Cervical disks absorb shock between the bones. The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness.
Many people experience neck pain or stiffness in the neck occasionally. In many cases, it is due to poor posture, normal wear and tear, or overuse. Sometimes, neck pain is caused by injury from a fall, contact sports, or whiplash.
Most of the time, neck pain is not a serious condition and can be relieved within a few days. In some cases, neck pain can indicate serious injury or illness and require a doctor’s care. If neck pain continues more than a week, is severe, or is accompanied by other symptoms, seek medical attention immediately.
Neck pain or stiffness can happen for a variety of reasons.
This is usually due to activities and behaviors such as:
The neck is particularly vulnerable to injury, especially in falls, car accidents, and sports, where the muscles and ligaments of the neck are forced to move outside their normal range. If the neck is dislocated or fractured, the spinal cord may also be damaged. Neck injury caused by a sudden jerking of the head is commonly called “whiplash.”
Diseases and Conditions
Arthritis causes pain, swelling of the joints, and bone spurs. When these occur in the neck area, neck pain can result.
Osteoporosis weakens bones and can result in small fractures.
Fibromyalgia is a condition that causes muscle pain throughout the body.
As you age, the cervical disks can degenerate (spondylosis), narrowing the space between the vertebrae and adding stress to the joints. When a disk protrudes, it may add pressure to the spinal cord or nerve roots. This is called a herniated cervical disk, also known as a ruptured disk or slipped disk.
Spinal stenosis occurs when the spinal column narrows and causes pressure on the spinal cord. This can be due to long-term inflammation caused by arthritis or other reasons.
Symptoms of heart attack include:
If your neck hurts and you have other symptoms of heart attack, call 911 immediately.
Meningitis is an inflammation of the thin tissue that surrounds the brain and spinal cord. Stiff neck is usually accompanied by fever and severe headache. Meningitis can be deadly and is a medical emergency. If you have symptoms of meningitis, seek help immediately.
In rare instances, neck stiffness or pain is caused by congenital abnormalities, in addition to infections, abscesses, tumors, or cancer of the spine.
If you have minor neck pain or stiffness, take these simple steps to relieve it:
If symptoms persist for more than a week, consult with your doctor. You should also see a doctor if you have:
If you’ve been in an accident or fall and your neck hurts, seek medical care immediately.
You doctor will perform a physical exam and take your complete medical history. Be prepared to provide specifics about your symptoms, prescription and over-the-counter medications and supplements, and recent injuries or accidents, even if they don’t seem related.
Treatment for neck pain will depend on the diagnosis. Tests to determine the cause of neck pain may include:
Depending on the results of these tests, your doctor may refer you to a specialist. Treatment for neck pain may include:
Alternative therapies include acupuncture, chiropractic, massage, and transcutaneous electrical nerve stimulation (TENS). Make sure you are dealing with a licensed professional when using these methods.
Written by: Ann Pietrangelo
Medically reviewed by George Krucik, MD
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