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Definition

Chronic neck pain is pain in the neck over a long period of time. It can last more than 3 months. The pain can range from mild to severe.

Nerve Pain in Neck
Neck pain
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Causes

A number of problems can cause chronic neck pain, such as problems with the muscles, nerves, or bones.

Risk Factors

Here are some factors that may increase your risk:

Symptoms

You may have neck stiffness. Pain may be worse when moving your neck. The pain can be any type of pain, such as burning, sharp, dull, and tingling. The pain may spread to other parts of the body such as the head, shoulders, and arms.

Muscles of the Neck
Neck Muscles
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Diagnosis

You will be asked about your symptoms and health history. A physical exam will be done. You may be referred to a specialist. Orthopedists help people with their bones and joints. A neurologist or neurosurgeon helps people with their nerves and spinal cord.

Pictures of your spine may be needed. This can be done with:

Your nerves and muscles may need to be tested. This can be done using electromyography (EMG).

Treatment

Talk with your doctor about the best plan for you. Here are some options:

Activity and Exercise

You may be able to lower your pain by staying active and exercising. Your doctor may also refer you to a physical therapist. A therapist may work on strength exercises and stretching.

Medications

There are many kinds of medicine that may be used to help your neck pain.

  • Nonsteroidal anti-inflammatory drugs (NSAIDs)—to treat the pain and reduce inflammation
  • Acetaminophen—to treat pain
  • Certain antidepressant medicines—sometimes used for neck pain
  • Certain antiseizure medicines
  • Corticosteroid injection —to treat the pain and reduce inflammation caused by disc disease

Other Treatments

Here are some other ways to treat neck pain:

  • Low-level laser therapy— a light source is directed on the painful area
  • Electrotherapy treatments, such as repetitive magnetic stimulation, and nerve and muscle stimulation
  • Chiropractic care
  • Acupuncture
  • Intermittent traction (pulling on the neck)
  • Massage

Surgery

Most cases of neck pain are treated medically. In some cases, surgery is needed. The type of surgery will depend on the cause of pain. For example, if you have a herniated disc in your neck, surgery will remove the damaged part of the disc .

Prevention

To help reduce your chance of neck pain:

  • Maintain good posture.
  • Take breaks from activities that do not involve movement, such as driving or working at a desk.
  • Do not sleep with too many pillows.
  • Get plenty of exercise.
  • Make sure your desk chair and keyboard are at proper heights.
  • Do not cradle a phone in your neck.

RESOURCES

Family Doctor—American Academy of Family Physicians  http://www.familydoctor.org 

Ortho Info—American Academy of Orthopaedic Surgeons  http://orthoinfo.org 

CANADIAN RESOURCES

The Canadian Orthopaedic Association  http://www.coa-aco.org 

When it Hurts to Move—Canadian Orthopaedic Foundation  http://whenithurtstomove.org 

References

Binder A. Neck pain. Am Fam Physician. 2005;71(11):117-118.

Cervical radicular pain and radiculopathy. EBSCO DynaMed Plus website. Available at:  https://www.dynamed.com/topics/dmp~AN~T116531/Cervical-radicular-pain-and-radiculopathy  . Updated April 20, 2018. Accessed June 11, 2018.

Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc.2015;90(2):284-299.

Langevin P, Lowcock J, Weber J, et al. Botulinum toxin intramuscular injections for neck pain: a systematic review and metaanalysis. J Rheumatol. 2011;38(2):203-214.

Misailidou V, Malliou P, Beneka A, Karagiannidis A, Godolias G. Assessment of patients with neck pain: a review of definitions, selection criteria, and measurement tools. J Chiropr Med. 2010;9(2):49-59.

Neck pain. American Academy of Family Physicians website. Available at: http://familydoctor.org/familydoctor/en/health-tools/search-by-symptom/neck-pain.html. Accessed June 11, 2018.

Neck pain. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00231. Updated December 2013. Accessed June 11, 2018.

12/17/2010 DynaMed Plus Systematic Literature Surveillance  https://www.dynamed.com/topics/dmp~AN~T116531/Cervical-radicular-pain-and-radiculopathy  : Andersen LL, Christensen KB, Holtermann A, et al. Effect of physical exercise interventions on musculoskeletal pain in all body regions among office workers: a one-year randomized controlled trial. Man Ther. 2010;15(1):100-104.

11/11/2013 DynaMed Plus Systematic Literature Surveillance  https://www.dynamed.com/topics/dmp~AN~T116531/Cervical-radicular-pain-and-radiculopathy  : Kroeling P, Gross A, Graham N, et al. Electrotherapy for neck pain. Cochrane Database Syst Rev. 2013;8:CD004251.

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