Mechanical neck pain

Mechanical neck pain is general neck pain that cannot be attributed to a specific issue with a particular part of your neck. This is very common, but its effects can vary greatly from person to person.

What causes mechanical neck pain?

Typically, mechanical neck pain does not start with a significant trauma like a fall or an impact. It might come on suddenly, for example when you lift something or hold your neck in an awkward position, or it might build up gradually with no obvious cause.

Although your pain may have its origins in a previous injury, there could be a number of other factors contributing to it. These can range from the health of your tissues and joints to issues relating to age, genetics, diet, sleep and stress.

 

What are the symptoms of mechanical neck pain?

For most people:

• The pain is localised in your neck.
• The pain causes reduced range of movement.
• It is a dull, aching pain that may become sharp when you move.

For some people:

• You may also feel referred pain in your shoulder or upper back.

 

How is mechanical neck pain diagnosed?

Your doctor might diagnose mechanical neck pain if your symptoms do not point to a problem with a particular structure such as a joint, ligament or disc.

 

What are the treatment options for mechanical neck pain?

Mechanical neck pain will usually go away by itself. However, you can help to make this happen.

The first thing to remember is that your neck and your spine are strong, stable structures and you will not damage them by moving. Being afraid to move is a natural reaction to pain but it can make the problem worse or stop it from resolving itself.

Try to keep moving your neck normally. You could try some simple stretching and mobility exercises to gain confidence and gradually increase your range of movement. Although it may cause more pain at first, this is not a bad sign and your neck should soon become less sensitive. Research indicates that you are much more likely to make a quick recovery if you avoid the urge to rest your neck for long periods of time.

You could also apply gentle heat or ice, which can help to manage the pain. (Do not put ice directly next to skin as it may cause ice burn. Wrap it in a damp tea towel.)

Paracetamol-based painkillers can help by enabling you to continue with your normal activities. Anti-inflammatory painkillers such as Ibuprofen can also be helpful in reducing pain. Ask your doctor or pharmacist for advice.

 

What is the prognosis (outlook) for mechanical neck pain?

Mechanical neck pain tends to clear up within six weeks. If it does not, you are advised to visit your GP for further examination.

If your symptoms persist, your GP may recommend manual therapy/manipulation. This can help to relieve pain by decreasing muscle spasm, stiffness and inflammation. It can also improve the mobility of your neck joints and your posture to help prevent neck pain in the future.

In a small minority of cases, neck pain can indicate a more serious condition. If you have any concerns, check the symptoms on our serious neck pain page.

 

How can I prevent recurrence of mechanical neck pain?

It is advisable to stand up and change your position regularly, whether you are resting or at work. While it is always a good idea to think about your posture and whether or not it is causing discomfort, generally it is sustaining a posture for too long that is bad for you.

In the longer term, performing regular stability and strengthening exercises could help to reduce the chance of further episodes of mechanical neck pain.

Also, always pay attention to your lifting and carrying techniques. Keep objects close to your body. Use your knees and keep your back straight when lifting. Carry similar loads in each hand to avoid leaning and always try to move your feet to turn, rather than twisting your spine.”

 

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