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Treatments and drugs
By Mayo Clinic staffThe most common types of neck pain usually respond well to home care. If neck pain persists, your doctor may recommend other treatments.
Medications
- Pain medications. Your doctor may prescribe stronger pain medicine than what you can get over-the-counter. Opioid analgesics are sometimes used briefly to treat acute neck pain. Muscle relaxants, tramadol (Ultram) or tricyclic antidepressant medications used for pain also may be prescribed.
- Injections of medication. Injections of medications may help relieve neck pain. Your doctor may inject corticosteroid medications near the nerve roots, into the small facet joints in the bones of the cervical spine, or into the muscles in your neck to help with pain. Numbing medications, such as lidocaine, also can be injected to relieve your neck pain.
Therapy
- Neck exercises and stretching. Your doctor may recommend that you work with a physical therapist to learn neck exercises and stretches. A physical therapist can guide you through these exercises and stretches so that you can do them on your own at home. Exercises may improve pain by restoring muscle function, optimizing posture to prevent overload of muscle, and increasing the strength and endurance of your neck muscles.
- Traction. Traction uses weights and pulleys to gently stretch your neck and keep it immobilized. This therapy, under supervision of a medical professional and physical therapist, may provide relatively fast relief of some neck pain, especially pain related to nerve root irritation.
- Short-term immobilization. A soft collar that supports your neck may help relieve pain by taking pressure off the structures in your neck. If used for more than two weeks, however, a collar may do more harm than good.
Surgical and other procedures
Surgery is rarely needed for neck pain. However, it may be an option for relieving nerve root or spinal cord compression.
References
- Devin C, et al. Neck pain. In: Firestein GS, et al. Kelley's Textbook of Rheumatology. 8th ed. Philadelphia, Pa.: W.B. Saunders Co.; 2008. http://www.mdconsult.com/das/book/body/170975296-3/0/1807/271.html?tocnode=55731659&fromURL=271.html#4-u1.0-B978-1-4160-3285-4..10039-7_1122. Accessed Nov. 13, 2009.
- Isaac Z, et al. Evaluation of the patient with neck pain and cervical spine disorders. http://www.uptodate.com/home/index.html. Accessed Nov. 13, 2009.
- Meningitis and encephalitis fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/encephalitis_meningitis/detail_encephalitis_meningitis.htm. Accessed Nov. 13, 2009.
- Neurological diagnostic tests and procedures. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.htm. Accessed Nov. 17, 2009.
- Anderson BC, et al. Treatment of neck pain. http://www.uptodate.com/home/index.html. Accessed Nov. 17, 2009.
- Chiropractic: An introduction. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/chiropractic/. Accessed Nov. 17, 2009.
- Acupuncture for pain. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/acupuncture/acupuncture-for-pain.htm. Accessed Nov. 17, 2009.
- The Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Executive summary. Spine. 2008;33:55.
- Bauer BA. Mayo Clinic Book of Alternative Medicine. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2007:117.
- What a pain in the neck! American Academy of Physical Medicine and Rehabilitation. http://www.aapmr.org/condtreat/pain/necktips.htm. Accessed Nov. 17, 2009.
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