Neck Pain
Neck pain is one of the most common musculoskeletal complaints we see. It ranges from a sudden, sharp episode (acute wry neck) to a persistent dull ache that builds up over months of desk work or poor sleep. Whatever the cause, physiotherapy is highly effective and usually produces quick results.
Common Causes
- Muscle strain: Sudden movements, awkward sleeping positions or overuse
- Acute wry neck (torticollis): Severe muscle spasm locking the neck to one side — often wakes you up
- Cervical joint stiffness: Facet joints in the neck can become stiff and painful
- Postural neck pain: Prolonged forward head posture from screens, driving or desk work
- Cervical spondylosis: Age-related wear in the discs and joints of the neck
- Stress and tension: Muscle bracing from psychological stress commonly contributes
Symptoms
- Pain and stiffness in the neck, one or both sides
- Pain that refers into the shoulder or between the shoulder blades
- Headaches starting at the base of the skull (see Cervicogenic Headache)
- Reduced range of motion — difficulty turning to look over your shoulder
- Tingling or numbness down the arm (may suggest nerve irritation)
Our Treatment Approach
Hands-On Treatment
- Joint mobilisation and manipulation of the cervical and thoracic spine
- Soft tissue massage and myofascial release
- Dry needling to release tight muscles
Exercise Program
- Deep neck flexor strengthening (the small stabilising muscles under the chin)
- Cervical range of motion exercises
- Shoulder and thoracic mobility work
- Postural correction and retraining
Education
- Ergonomic assessment for workstation, screen height and driving position
- Sleep position advice and pillow selection
- Activity and load management during recovery
When It Needs Urgent Attention
Seek urgent care if neck pain follows a significant trauma, is accompanied by severe headache, vision changes, difficulty swallowing, arm weakness, or loss of bladder/bowel control.
