A neck strain is a stretch or tear of a muscle in your neck.
What is the cause?
Neck strains usually happen when the head and neck are hit or forcibly moved, such as during rough contact sports or a whiplash injury (like a car accident or a fall) where your head and neck are snapped back and forth. Sometimes strains happen from an awkward position during sleep or poor posture while you work at a desk.
What are the symptoms?
The main symptom is pain in your neck. You may have pain when you move your head to the side or when you try to move your head up or down. The neck muscles may tighten (spasm) and feel hard and very tender to the touch. You may feel pain right after an injury or not until a few hours or days after the injury.
Other symptoms may include:
Unusual feelings, like burning or a pins-and-needles feeling
How is it diagnosed?
Your healthcare provider will ask about your symptoms, medical history, and activities and examine your neck. You may have X-rays to make sure the bones in your neck (vertebrae) are not injured.
How is it treated?
Your healthcare provider may recommend stretching and strengthening exercises and other types of physical therapy to help you heal.
The pain often gets better within a few weeks with self-care, but some injuries may take longer to heal. Itâ€™s important to follow all of your healthcare providerâ€™s instructions.
How can I help take care of myself?
To help relieve pain:
Take nonprescription pain medicine, such as acetaminophen, ibuprofen, or naproxen. Read the label and take as directed. Unless recommended by your healthcare provider, you should not take these medicines for more than 10 days.
Nonsteroidal anti-inflammatory medicines (NSAIDs), such as ibuprofen, naproxen, and aspirin, may cause stomach bleeding and other problems. These risks increase with age.
Acetaminophen may cause liver damage or other problems. Unless recommended by your provider, don’t take more than 3000 milligrams (mg) in 24 hours. To make sure you donâ€™t take too much, check other medicines you take to see if they also contain acetaminophen. Ask your provider if you need to avoid drinking alcohol while taking this medicine.
Put an ice pack, gel pack, or package of frozen vegetables wrapped in a cloth on the injured area every 3 to 4 hours for up to 20 minutes at a time.
Put moist heat on the sore area for 10 to 15 minutes before you do warm-up and stretching exercises. Moist heat may help relax your muscles. Moist heat includes heat patches or moist heating pads that you can buy at most drugstores, a warm wet washcloth, or a hot shower. To prevent burns to your skin, follow directions on the package and do not lie on any type of hot pad. Donâ€™t use heat if you have swelling.
You may find that it helps to alternate putting heat and ice on your neck.
Follow your healthcare provider’s instructions, including any exercises recommended by your provider. Ask your provider:
How and when you will hear your test results
How long it will take to recover
What activities you should avoid and when you can return to your normal activities
How to take care of yourself at home
What symptoms or problems you should watch for and what to do if you have them
Make sure you know when you should come back for a checkup.
How can I help prevent neck strain?
Neck strain may be prevented by keeping your neck muscles strong and flexible. Ask your healthcare provider about stretching and exercises that may help. If you have a job or hobby that requires you to hold your neck in one position for long hours, like working at a computer all day, itâ€™s very important to take breaks and stretch your neck muscles.
Developed by RelayHealth.
Adult Advisor 2015.1 published by RelayHealth. Last modified: 2014-10-21 Last reviewed: 2013-07-19
This content is reviewed periodically and is subject to change as new health information becomes available. The information is intended to inform and educate and is not a replacement for medical evaluation, advice, diagnosis or treatment by a healthcare professional.
Neck Strain: References
DeLee, Jesse C., David Drez, and Mark D. Miller, Orthopaedic Sports Medicine: Principles and Practice, Saunders; 3rd ed. 2009.
Greene, Walter B., M.D., Griffin, Letha Y. (Ed), Essentials of Musculoskeletal Care, Amer Academy of Orthopaedic, 4th ed, 2010.
Kisner, Carol, and Lynn Colby, Therapeutic Exercise: Foundations and Techniques, F. A. Davis Company; 6th ed, 2012.
Oâ€™Connor, F., et al. ACSMâ€™s Sports Medicine: A Comprehensive Review. Lippincott Williams & Wilkins. 2012.