Definition

Chronic neck pain is pain that occurs over a long period of time. It usually lasts more than three months. The pain can range from mild to severe.

Contact your doctor if you have experienced neck pain over a period of time without relief.

Nerve Pain in Neck

Neck pain

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Causes

Chronic neck pain can be caused by:

    
  • Muscle strains and muscle tension
  • Poor posture
  • Osteoarthritis
  • Disk degeneration
  • Fibromyalgia
  • Spinal stenosis
  • Prior spine surgery
  • Rheumatoid arthritis
  • Tumors (rarely)
  • Risk Factors

    The causes of chronic neck pain are also usually risk factors.

    Symptoms

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

    Muscles of the Neck

    Neck Muscles

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    Diagnosis

    Your doctor will ask about your symptoms and medical history. A physical exam will be done. Your doctor may refer you to a specialist. Orthopedists specialize in bones and joints. A neurologist or neurosurgeon specializes in the nerves and spinal cord.

    Your doctor may need to see images of your spine. This can be done with:

        
  • X-rays
  • MRI scan
  • CT scan
  • Myelography
  • Your doctor may need to measure how well the nerves and muscles in your neck are working. This can be done using electromyography (EMG).

    Treatment

    Talk with your doctor about the best plan for you. Options include the following:

    Activity and Exercise

    You may be able to decrease 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 different medicines that may be used the help you manage your neck pain.

        
  • Nonsteroidal anti-inflammatory drug (NSAID)—to treat the pain and reduce inflammation
  • Acetominophen—to treat pain
  • Certain antidepressant medications—sometimes used for neck pain
  • Certain antiseizure medications
  • Corticosteroid injection—to treat the pain and reduce inflammation caused by disk disease
  • Other Treatments

    There are other treatments that might be helpful for 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 disk in your neck, surgery will remove the disk.

    Prevention

    To help reduce your chance of getting neck pain, take the following steps:

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