Roughly 100 Million people suffer from neck pain each year in the United States, accounting for nearly 30% of the population. In New York City alone, anywhere from 2.55 million to 4.25 million residents could be experiencing neck pain annually.
Neck pain can significantly impact daily life, whether caused by poor posture, muscle strain, or underlying conditions. At Prestige Health and Wellness, our dedicated team of chiropractors, physical therapists, massage therapists, occupational therapists, and acupuncturists is here to help. We provide personalized, effective treatments to relieve neck pain and get you back to doing what you love.
What is Neck Pain?
Neck pain is a common condition that often disrupts daily activities. It’s frequently caused by poor posture, like hunching over a desk or workbench, which strains the neck muscles. Another common cause is osteoarthritis, a degenerative joint condition. While most cases of neck pain aren’t serious, some may signal underlying issues. Symptoms such as numbness, weakness, or pain radiating to the arms or shoulders should be assessed by a healthcare provider.
Symptoms of Neck Pain
Neck pain can present itself in different ways, depending on the cause. Common symptoms include:
- Pain or Stiffness: The main symptom is often a dull ache or sharp pain in the neck. The pain may be localized or radiate into the shoulders, upper back, or arms.
- Muscle Tightness: Tension in the neck muscles can lead to stiffness and limited range of motion, making it difficult to turn the head.
- Headaches: Tension or strain in the neck can sometimes cause headaches (cervicogenic headaches), especially in the back of the head.
- Numbness or Tingling: If nerves in the neck are compressed or irritated, it can cause numbness or tingling in the arms or hands.
- Weakness: Nerve compression or muscle strain may lead to weakness in the arms, hands, or shoulders.
If neck pain is accompanied by dizziness, difficulty swallowing, or other severe symptoms, it is important to seek medical attention to identify the underlying cause.
Anatomy of the Neck
The neck consists of several key components that work together to provide stability, protection, and movement:
- Cervical Spine: The cervical spine consists of seven vertebrae (small bones) that start at the base of the skull. These vertebrae form the neck’s structure and protect the spinal cord.
- Spinal Cord: The spinal cord, which runs through the cervical vertebrae in the spinal canal, connects the brain to the rest of the body and carries signals for movement and sensation.
- Nerve Roots: Nerve roots branch out from the spinal canal and exit through small openings in the vertebrae called foramina. These nerves facilitate communication between the brain and the muscles.
- Intervertebral Discs: These gel-like cushions sit between the vertebrae, acting as shock absorbers to reduce the impact on the spine during activities like walking or running.
- Ligaments are strong, flexible bands that hold the vertebrae together, stabilizing the spine and limiting excessive movement.
Key Muscles of the Neck
The neck muscles support the head, allow movement, and maintain posture.
Key muscles include:
- Sternocleidomastoid: This muscle helps with rotation and flexion of the neck and is also involved in turning the head from side to side.
- Trapezius: The trapezius muscle runs down the back of the neck and upper spine. It helps support the weight of the head and aids in neck movement.
- Scalenes: The scalene muscles assist with breathing and the movement of the neck, particularly in side-to-side bending.
- Levator Scapulae: This muscle helps elevate the shoulder blades and plays a role in neck extension and rotation.
What Causes Neck Pain?
Neck pain can result from various factors, including muscle strain, spinal issues, and posture problems. Common causes include:
- Weak and Overused Muscles: Prolonged sitting, poor posture, or repetitive activities such as cycling and swimming can strain neck muscles, causing discomfort, stiffness, and headaches.
- Wear and Tear on the Cervical Spine: Age-related changes, such as flattened discs or bone spurs, can lead to stiffness, reduced mobility, and sometimes pain.
- Spinal Issues: Conditions like spinal stenosis or herniated discs can compress nerve roots, causing radiating pain, tingling, weakness, or numbness in the neck, shoulders, or arms.
- Inflammatory or Musculoskeletal Disorders: Conditions like rheumatoid arthritis or temporomandibular joint (TMJ) disorders may cause referred pain or muscle tension in the neck.
- Non-Specific Neck Pain: Non-specific neck pain is often called chronic neck discomfort without an identifiable cause.
- Poor Posture or holding an awkward posture: Emotional stress and habits like slouching or looking down at screens for prolonged periods can lead to muscle tension and pain.
- Lifting something too heavy can strain the neck muscles, leading to overexertion and discomfort.
Other Causes of Neck Pain
- Upper Back Tension: Tightness in muscles such as the trapezius or levator scapulae, often caused by poor posture or repetitive movements, can contribute to neck stiffness.
- Whiplash Injury: Sudden jolts from rear-end car accidents can strain the neck’s muscles, ligaments, and tendons, causing pain and limited motion.
- Cervical Spondylosis: Age-related degeneration of the cervical spine’s joints and discs may cause stiffness, pain, and nerve compression.
- Herniated Discs: When a spinal disc’s soft center pushes through its outer layer, it may press on nearby nerves, resulting in pain, numbness, or weakness in the neck or arms.
How is Neck Pain Diagnosed?
At Prestige Health and Wellness, we use a thorough approach to diagnose neck pain and identify the root cause for effective treatment:
- Physical Examination: We evaluate posture, alignment, movement, and areas with limited motion.
- Medical History Review: Understanding underlying conditions or past injuries is essential to pinpoint the cause.
- Palpation: We check for misalignments, tenderness, tightness, inflammation, and changes in muscle tone.
- Advanced Diagnostic Techniques: X-rays, MRIs, orthotics, and biomechanical evaluations can help visualize the spine and structural issues better.
If necessary, specialized tests are performed to rule out specific conditions and create a precise diagnosis, allowing us to develop a personalized treatment plan.
Home Treatment for Neck Pain Relief
For minor neck stiffness or pain, several methods can provide relief. Here are some simple treatments you can try at home to help ease discomfort and promote healing:
- Heating Pad: Helps relax muscles and improve circulation, especially after the first 48 hours post-injury.
- Over-the-counter Medicines (OTC): Medications like acetaminophen or ibuprofen can reduce pain and inflammation.
- Frequent Breaks: Take breaks every hour to reduce strain, stretch, and move around.
- Gentle Stretching: Incorporate neck stretches to relieve pain and improve flexibility.
- Ice Packs: Apply ice for 20 minutes to reduce swelling, particularly in the first 48 hours after an injury.
Best Treatments for Neck Pain in NYC
At Prestige Health and Wellness, we offer a variety of specialized treatments, including chiropractic care, physical therapy, massage therapy, and acupuncture.
Chiropractic Care
- Physical Exam and Medical History Review: Identifying posture issues and past injuries.
- Neurological Exam: Checks reflexes and muscle strength.
- Imaging Tests: X-rays, CT scans, or MRIs may be used to identify structural issues like herniated discs or bone spurs.
- Neck Adjustments: Cervical manipulation to restore mobility and reduce stiffness.
- Personalized Treatment Plan: Tailored plans may include adjustments, massage, and exercises.
Physical Therapy
- Passive Treatments: Ice, heat, ultrasound, and electrotherapy help reduce pain and inflammation.
- Active Treatments: Neck stretches, core strengthening, and back exercises improve flexibility and posture.
- Manual Therapy: Techniques like massage and joint mobilization reduce muscle tension and increase neck mobility.
Massage Therapy
- Swedish Massage: Gentle strokes improve circulation and relieve tension.
- Deep Tissue Massage: Targets chronic pain and tight muscles.
- Trigger Point Therapy: Pressure on muscle knots alleviates tension.
- Myofascial Release: Focuses on fascia tension to improve mobility.
Acupuncture
Acupuncture promotes healing by enhancing energy flow and reducing inflammation. It can also help alleviate neck pain and improve range of motion.
Additional Treatment Options:
- Electric Stimulation: Reduces pain, spasms, and inflammation.
- Kinesio Taping: Supports muscles and joints while allowing full movement.
- Cold Laser Therapy: Stimulates tissue repair and reduces pain.
- Mechanical Traction Decompression: Gently stretches the spine to relieve pressure.
How Can I Prevent Neck Pain?
Preventing neck pain involves lifestyle changes and exercises that support posture and muscle health. Simple habits can reduce strain on the neck and promote overall well-being:
- Practice Good Posture: Align your head over your shoulders and avoid slouching.
- Monitor Screen Height: Position your computer monitor at eye level to avoid neck strain.
- Stay Active: Regular exercise strengthens neck muscles and improves posture.
- Hydration: Drink water to maintain disc health and flexibility.
- Avoid Prolonged Static Positions: Take hourly breaks to stand, stretch, and move around.
Contact Us
If you’re experiencing neck pain, schedule an appointment at one of our four NYC locations: Hudson Yards, the Financial District, Chelsea, or Nomad. Our expert team will work with you to create a personalized treatment plan to help you find relief.
Sources
Cleveland Clinic. (2024, October 22). Herniated disk (slipped or bulging disk). https://my.clevelandclinic.org/health/diseases/12768-herniated-disk
InformedHealth.org. (2022, December 12). Overview: Neck pain. Institute for Quality and Efficiency in Health Care (IQWiG). https://www.ncbi.nlm.nih.gov/books/NBK338120/
Mount Sinai. Neck pain. https://www.mountsinai.org/health-library/symptoms/neck-pain
National Spine Health Foundation. (2020, September 1). Back and neck pain: A burden to overcome. https://spinehealth.org/article/neck-and-back-pain-burden/
Sofianos, D. (2017, November 15). Neck strain: Causes and remedies. Veritas Health. https://www.spine-health.com/conditions/neck-pain/neck-strain-causes-and-remedies
Spinal Arthritis (Arthritis in the Back or Neck). Johns Hopkins Medicine. https://www.hopkinsmedicine.org/health/conditions-and-diseases/spinal-arthritis
Subbarayalu, A. V., & Ameer, M. A. (2017). Relationships among head posture, pain intensity, disability, and deep cervical flexor muscle performance in subjects with postural neck pain. Journal of Taibah University Medical Sciences, 12(6), 541–547. https://doi.org/10.1016/j.jtumed.2017.07.001
What is Cervicogenic Headache. (2016, October 24). American Migraine Foundation. https://americanmigrainefoundation.org/resource-library/cervicogenic-headache/
Cervical Spondylosis (Arthritis of the Neck). (2021, April). Ortho Info AAOS. https://orthoinfo.aaos.org/en/diseases–conditions/cervical-spondylosis-arthritis-of-the-neck/