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Why Does My Neck Hurt?

Neck pain can result from various factors, including poor posture, muscle strain, injury, or underlying medical conditions. It can be treated effectively when diagnosed properly. Treatment options may include physical therapy, pain management, exercise, and lifestyle changes to address the root causes of the pain and significantly improve your comfort and quality of life.

If you’re experiencing persistent or severe neck pain, it’s essential to consult a healthcare professional for a proper diagnosis and tailored treatment plan. Here’s a brief look at a neck that’s hurting and what to do about it.

What Can It Mean if Your Neck is Hurting?

If your neck is hurting, you will have discomfort or distress in the cervical region of the spine, encompassing the neck and upper shoulders. The pain may vary in intensity from mild to severe and can be acute or chronic. Neck pain typically stems from various causes, such as muscle tension, poor posture, injury, or degenerative conditions like osteoarthritis.

It may manifest as aching, stiffness, or sharp pain, often limiting neck mobility and causing discomfort in daily activities.

Neck pain is a prevalent issue, frequently linked to everyday activities and minor injuries. However, it can also serve as a warning sign of more serious underlying conditions, especially when accompanied by other symptoms like radiating pain, numbness, weakness, or loss of bladder or bowel control.

In such cases, neck pain may indicate herniated discs, spinal stenosis, or even more severe concerns like infections or tumors. Therefore, it is crucial to assess the severity and persistence of neck pain and seek medical attention when warranted to rule out potentially significant health issues.

Symptoms of a Hurting or Painful Neck

Here are some symptoms of a hurting or painful neck:


Neck pain itself is a primary symptom and can manifest as a dull ache, sharp or shooting pain, or a constant discomfort in the neck area. The intensity of the pain can vary, ranging from mild to severe, and it may be localized or radiate to the shoulders, upper back, or arms.


Neck pain is often accompanied by headaches, especially when the pain originates from muscle tension or misalignment of the cervical spine. These headaches, known as cervicogenic headaches, can be felt at the base of the skull and may extend to the forehead, temples, or behind the eyes.

Muscle Tightness

Many individuals with neck pain experience muscle tightness in the neck and upper shoulder area. This tightness can cause stiffness and restricted movement, making it challenging to turn the head or perform everyday activities.

Limited Range of Motion

Neck pain frequently leads to a reduced range of motion in the neck, making it difficult to tilt the head backward, forward, or from side to side. This limitation can impact one’s ability to perform routine tasks and may contribute to ongoing discomfort.

Common Causes of Neck Pain

Below are some common physical causes of neck pain:

Poor Posture

Prolonged periods of sitting or standing with improper posture, such as slouching or holding the neck in an awkward position, can strain the muscles and ligaments in the neck. This strain can lead to chronic neck pain over time.

Repetitive Motion

Repeatedly performing certain motions or activities that strain the neck, such as continuous typing or using a smartphone, can cause overuse injuries and result in neck pain. This is also called a “repetitive strain injury.”

Pinched Nerves

A pinched nerve in the neck, often caused by herniated discs or bone spurs, can result in radiating neck pain that may extend into the arms and hands. This can lead to significant discomfort and sometimes weakness or numbness.

Worn Joints

As people age, the cartilage in the neck joints can wear down, leading to conditions like osteoarthritis. This degeneration can cause chronic neck pain, inflammation, and reduced mobility.

Teeth Grinding

Bruxism, or teeth grinding, especially during sleep, can lead to neck pain. The constant clenching and grinding can affect the muscles and alignment of the jaw, resulting in referred pain in the neck and shoulders.


Traumatic events like car accidents, falls, or sports injuries can cause acute neck pain. Injuries can result in muscle strains, ligament sprains, or more severe issues like fractures or dislocations, which necessitate immediate medical attention.

Possible Conditions Causing Your Neck to Hurt

Neck pain can also be indicative of more serious conditions like the following.


Chronic neck pain can sometimes be a sign of cervical spondylosis or osteoarthritis in the neck. This condition involves the degeneration of cervical vertebrae and can lead to chronic pain, stiffness, and reduced mobility. It’s essential to differentiate between regular neck pain and arthritis to ensure proper treatment and management.


Fibromyalgia is a chronic pain disorder that can cause widespread musculoskeletal pain, including the neck. It’s characterized by tender points, fatigue, and sleep disturbances. Neck pain in the context of fibromyalgia is typically associated with other symptoms like generalized pain and fatigue.


While rare, neck pain can be a symptom of meningitis, an inflammation of the membranes surrounding the brain and spinal cord. Other signs of meningitis include high fever, severe headaches, and a stiff neck. Meningitis is a medical emergency, and immediate evaluation and treatment are crucial.


Neck pain, particularly if accompanied by fever and swelling, can be a sign of an infection such as a throat infection, abscess, or deep neck space infection. These can be bacterial or viral in nature and require appropriate medical treatment to prevent complications.


In some cases, neck pain may be linked to tumors in the neck or upper spine. Tumors can exert pressure on surrounding tissues, leading to localized or radiating pain. Any persistent or unexplained neck pain, especially when associated with other symptoms, should prompt a thorough medical evaluation to rule out the possibility of tumors or other serious conditions.

Common Treatment Options for When Your Neck Hurts

Here are some commonly available treatment options for neck pain.


Common medications used for neck pain are:

  • Muscle relaxants: In cases where muscle tension or spasms are contributing to neck pain, muscle relaxants may be prescribed by a healthcare provider to alleviate these symptoms.
  • Pain relievers: Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or prescription pain medications can help reduce pain and inflammation associated with neck pain.
  • Steroids: Steroid medications, often in the form of corticosteroid injections, can be used to reduce inflammation and alleviate severe neck pain due to conditions like herniated discs or spinal stenosis.

Home Remedies

  • Ice pack: Applying an ice pack to the painful area can help reduce inflammation and numb the area, providing relief for acute neck pain.
  • Heat: Heat therapy, in the form of warm compresses or heating pads, can relax tense muscles and increase blood flow, which can be beneficial for chronic neck pain.

Traditional Medicine

Traditional medicine for neck pain includes the following:

  • Physical therapy: Physical therapists can create tailored exercise programs to strengthen neck muscles and improve posture. They may also use manual techniques to alleviate pain and improve range of motion.
  • Chiropractic manipulation: Chiropractors can perform spinal adjustments to realign the cervical spine, which may provide relief for certain types of neck pain, particularly those related to joint misalignment.
  • Surgery: In cases of severe neck pain caused by structural issues like herniated discs, spinal stenosis, or spinal cord compression, surgery may be recommended to alleviate pressure on nerves or correct structural problems.

Alternative Medicine

  • Massage: Professional massage therapy can help relax tight muscles and improve circulation, reducing tension and discomfort in the neck.
  • Acupuncture: Acupuncture involves the insertion of fine needles into specific points of the body to promote pain relief and improve energy flow. It can be effective in managing chronic neck pain.

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Prevention of Neck Pain

Neck pain can be prevented with the following practical strategies that can be done at home:

Practice Good Posture

Practicing good posture includes: 

  • Ergonomic workspace: When working from home, ensure that your desk, chair, and computer setup are ergonomically designed. Maintain a neutral neck position while looking at your computer screen and use a supportive chair with proper lumbar support.
  • Regular breaks: Take short breaks to stand, stretch, and change positions if you have a desk job. Gentle neck stretches and shoulder rolls can alleviate tension.
  • Smartphone usage: When using your smartphone, hold the device at eye level to reduce strain on the neck. Avoid staring down at your phone for too long.
  • Mindful sitting and standing: Remain conscious of your posture as you sit and stand. Keep your head aligned with your spine and avoid slouching. Use lumbar rolls or cushions when sitting, to maintain the natural curve of your lower back.

Adjust Sleeping Position

Adjust your sleeping position with the following:

  • Pillow choice: Select a pillow that provides proper support for your neck and maintains a neutral spinal alignment. Pillows that are too high or too flat can strain the neck.
  • Sleeping on your back: Preferably, sleep on your back and use a supportive pillow. This position aligns the spine and minimizes pressure on the neck and shoulders.
  • Sleeping on your side: If you prefer sleeping on your side, use a contoured pillow to support your neck and keep your head aligned with your spine. Place a pillow between your knees to maintain spinal alignment.
  • Avoid stomach sleeping: Sleeping on your stomach can strain the neck and lead to discomfort. Try to avoid this position, or at least use a thin pillow if you must sleep this way.
  • Mattress quality: Invest in a mattress that provides proper support. A mattress that is too soft or too firm can affect your spinal alignment and contribute to neck pain.

When to See a Doctor

It’s necessary to see a doctor for neck pain if you experience the following:

After a Fall or Injury

If you experience neck pain following a fall, car accident, sports injury, or any significant trauma, it’s essential to see a doctor. Such injuries can result in fractures, muscle sprains, or even more severe damage to the neck, which may not be apparent immediately. Prompt medical evaluation can help detect and address any serious underlying issues.

When Pain Doesn’t Respond to Treatment at Home

If your neck pain persists or worsens despite trying self-care measures, such as rest, over-the-counter pain medications, or hot/cold therapy, it’s advisable to seek medical attention. This may be a sign of an underlying condition that requires a professional diagnosis and tailored treatment plan.

Other Symptoms

Certain accompanying symptoms with neck pain should prompt an immediate visit to a healthcare provider:

  • Numbness: If you experience numbness in the arms, hands, legs, or feet, it may indicate nerve compression or other neurological issues. This requires prompt medical evaluation.
  • Weakness: Muscle weakness, particularly if it’s progressive or accompanied by neck pain, can suggest nerve compression, spinal cord problems, or other serious conditions that necessitate medical assessment.
  • Tingling in arms and legs: Persistent tingling or a “pins and needles” sensation in your limbs can be a sign of nerve irritation or compression. It’s important to have this evaluated by a healthcare professional.

How Neck Pain Is Diagnosed

Doctors use several diagnostic procedures to identify the underlying causes of neck pain, and the choice of tests depends on the suspected cause. Here are the most common diagnostic methods for neck pain:

  • X-rays: X-rays are often the initial diagnostic tool to evaluate the bones and joints in the neck. They can reveal fractures, dislocations, bone spurs, and degenerative changes in the cervical spine. X-rays are quick and relatively low-cost, making them a suitable starting point for many cases of neck pain.
  • MRIs (magnetic resonance imaging): MRIs provide detailed images of the soft tissues in the neck, including discs, ligaments, nerves, and muscles. They are highly effective at identifying conditions like herniated discs, spinal stenosis, and nerve compression. MRIs are valuable for diagnosing complex or chronic neck pain cases.
  • CT scans (computerized tomography): CT scans use X-rays and computer technology to create cross-sectional images of the neck. They are especially useful for visualizing bone fractures, spinal deformities, or complex structural issues. CT scans may be preferred in certain situations, particularly when fine detail of bone structures is required.
  • Blood tests: Blood tests are typically used to rule out underlying medical conditions that might be contributing to neck pain. Conditions like infections, autoimmune disorders, or metabolic issues can sometimes manifest as neck pain. Blood tests can help identify or eliminate these possibilities.
  • Electromyography (EMG): EMG measures the electrical activity in muscles and nerves. It can be useful in diagnosing nerve-related neck pain, such as radiculopathy or neuropathy. EMG can pinpoint the location and severity of nerve damage.

New Approaches to Diagnosing Neck Pain

At the Centeno-Schultz Clinic (CSC) we are known for our specialized approach to diagnosing neck pain. 

We utilize advanced diagnostic techniques such as musculoskeletal ultrasound, electromyography (EMG), and selective nerve blocks to precisely identify the source of a patient’s neck pain. This personalized and comprehensive approach aims to offer more accurate diagnoses and targeted treatment options for individuals experiencing neck pain.

Advanced Medical Treatments for a Neck that Hurts

At the CSC we offer a range of cutting-edge non-surgical treatment options for individuals experiencing neck pain. Our advanced regenerative medicine therapies, such as platelet-rich plasma (PRP) and stem cell injections, have shown promise in promoting tissue healing and reducing inflammation in the neck.

By utilizing fluoroscopy or ultrasound guidance, these treatments can be precisely administered to the affected area, maximizing their effectiveness.

Additionally, our approach includes interventions like nerve blocks and epidural injections to alleviate pain by targeting specific sources of discomfort, such as pinched nerves or inflamed structures. Physical therapy and rehabilitation programs are also integrated into our treatment plans to improve posture, strengthen neck muscles, and enhance overall neck function.

Overall, CSC’s commitment to non-surgical interventions provides our patients with an array of innovative options that prioritize pain relief, functional improvement, and a reduced need for invasive procedures, offering hope and relief to those suffering from neck pain.

Chronic neck pain deserves the best treatment. Book your appointment today!