Managing Neck Pain

The management of neck pain usually involves a combination of physical therapy, lifestyle changes and medications.

Physical therapy

Exercises to keep the neck moving is important to increase and to maintain the strength and flexibility of the muscles and connective tissues that are responsible for providing support to the neck. These exercises can be painful initially, so it is important to start gradually and slowly introduce the exercises. It is also essential to make sure that the neck is not allowed to become stiff.

Other physical therapy techniques to improve neck pain include:

  • Heat or cold therapy
  • Massage
  • Yoga
  • Pilates


As far as the pain allows, patients should be advised to continue with normal activities as they usually would. Maintain regular movement in the neck. It is important to avoid long periods of inactivity.

Patients should be advised to improve or maintain good posture. In particular, a bent-forward posture while working at a desk or computer is linked to neck pain. For this reason, focusing on sitting upright while working can be beneficial.

The sleeping position is another important factor in causing neck pain and should be addressed in affected patients. It is best to use a single firm and supportive pillow at night.


Medications can offer quick and effective relief of neck pain. Simple analgesic medications such as paracetamol (acetaminophen) or aspirin are commonly recommended and are readily available over-the-counter for easy access by patients.

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, diclofenac or naproxen may be more effective for moderate to severe neck pain. However, they are linked to a higher incidence of side effects, such as stomach ulcers, renal impairment, and worsening of asthma symptoms.

Opioid medications such as codeine or oxycodone can also help to relieve neck pain. These are often used in combination with simple analgesics such as paracetamol. These medications are associated with side effects such as constipation, so patients should be advised to increase their intake of fluids and fibre to prevent this from occurring.

Other medications such as diazepam or amitriptyline are also sometimes recommended for the treatment of neck pain. These drugs are traditionally used for other purposes, such as anxiety or depression. They can also be helpful for neck pain caused by compression of nerves.

In some cases, localized injections may be indicated to help relieve the pain. This may involve a cervical epidural steroid injection, facet joint injection (selective nerve root block), or a trigger point injection.


If you have any problems that you would like to see one of our practitioners about, contact us on 01425 839908 to book your consultation.



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