Neck Pain
What is Neck Pain?
Neck pain is one of the most common musculoskeletal conditions treated by physical therapists. It can result from poor posture, muscle imbalances, stress, trauma, or overuse, and may be felt as stiffness, aching, or sharp pain in the cervical spine region.
Common Symptoms
Stiffness or reduced neck mobility
Muscle tightness or spasms
Pain with turning the head or looking up/down
Headaches, often starting at the base of the skull
Sometimes pain radiating into the shoulders or upper back
Physical Therapy Diagnosis
A PT assesses posture, spinal mobility, muscle activation, and joint motion in the cervical spine. They may use palpation, range of motion testing, and special clinical tests to rule out nerve involvement or disc injury. A detailed movement and lifestyle history is also key.
Why it Happens
Neck pain often develops from poor posture (especially prolonged computer/phone use), weak postural muscles, stress-related muscle tension, or repetitive strain. It may also follow trauma, such as a sports hit or car accident.
Why it Doesn’t Always Heal on Its Own
While mild neck pain can improve, untreated causes like posture, mobility deficits, or stress often lead to recurring or chronic pain. Without intervention, it can worsen or spread into headaches or arm pain.
Ideal Physical Therapy Treatment
The best approach is restoring mobility, improving muscle balance, and retraining posture. Dry needling is often highly effective for reducing muscle spasm and tightness in the neck and upper back.
Key components include:
Manual therapy to improve joint and soft tissue mobility
Dry needling for muscle tension and spasm
Strengthening of deep neck flexors, upper back, and postural muscles
Mobility drills for improved cervical range of motion
Postural retraining for work, sport, and daily activity positions
Expected Outcomes
Most people experience significant improvements within weeks. Long-term benefits are achieved by maintaining strength, posture, and mobility habits.