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Pain and spine

Neck pain.

Neck pain is pain or stiffness in the neck, sometimes spreading to the shoulders, upper back, head or arm. It is very common in people who work long hours at a desk or on a phone, and most cases settle with the right exercise and habits. At Rehabify in Bengaluru, Dr. Dharshan N A, a physiatrist (MD PMR) with a fellowship in interventional pain management, finds the likely source of your neck pain and plans care to ease it and keep it from coming back.

On this page
  1. Common causes
  2. Who should see a doctor
  3. What happens at Rehabify
  4. Before and after your visit
  5. When to get help urgently
  6. Common questions
  7. Sources

Common causes

  • Posture and screen habits, such as long hours looking down at a laptop or phone
  • Muscle strain, after sleeping awkwardly, a sudden movement or carrying heavy bags
  • Cervical spondylosis, age-related wear of the discs and joints in the neck, which is common and often causes no pain at all
  • Disc problems or a pinched nerve, which can cause pain, tingling or weakness in the arm (cervical radiculopathy)
  • Facet joint pain, from the small joints at the back of the neck
  • Whiplash, after a sudden jerk of the neck in a road accident
  • Less common causes such as inflammatory arthritis, infection or pressure on the spinal cord, which the doctor checks for

Who should see a doctor

Signs to get checked

  • Neck pain that lasts more than 2 to 3 weeks or keeps coming back
  • Pain, tingling or numbness spreading into the arm or hand
  • Weakness in the arm or hand, or dropping things
  • Headaches that start from the neck
  • Neck pain after a fall or road accident

What happens at Rehabify

  1. 01

    History

    When the pain started, your work and screen use, sleep, and what makes it better or worse.

  2. 02

    Examination

    Neck movement, posture, shoulder checks, nerve tests in the arms, strength and reflexes.

  3. 03

    Scans if needed

    Your existing scans are reviewed. New scans are advised only if they will change your treatment.

  4. 04

    Your plan

    Usually posture, work set-up and exercise first, with medicines for comfort. An image-guided injection or nerve block may be offered when pain clearly comes from a specific joint or nerve.

  5. 05

    Rehab

    A graded programme with a physiotherapist and at home to build neck and shoulder strength.

The doctor decides the right tests and treatment for you after examining you.

Before and after your visit

How to prepare

  • Bring scans, reports and a list of medicines
  • Wear a top that lets the doctor see your neck and shoulders
  • Note how many hours you spend at a desk or on a phone, and your pillow and sleep position

After your visit

You leave with a written plan, home exercises, simple desk and sleep changes, and a review date. You can send questions on WhatsApp between visits.

When to get help urgently

Medical emergency

Go to an emergency department or call 108 or 112 if neck pain follows a fall or road accident, or comes with weakness or numbness in both arms or legs, trouble walking or with balance, loss of bladder or bowel control, fever with a stiff neck, or a sudden severe headache.

Common questions

Is cervical spondylosis serious?

Usually not. Cervical spondylosis means age-related wear in the neck, and most adults over 40 show it on X-rays, often without any pain. It becomes a concern only when it presses on a nerve or the spinal cord. The doctor checks for this during the examination and explains what your scan really means.

Should I wear a neck collar?

Mostly no. A soft collar may help for a few days after an injury, but wearing it for long weakens the neck muscles and slows recovery. Gentle movement and exercise usually help more. The doctor will tell you if a collar is needed in your case.

Which pillow is best for neck pain?

There is no single right pillow. Choose one that keeps your neck level with your body, neither bent up nor dropping down. Sleeping on your back or side usually suits the neck better than lying on your stomach. The doctor can give advice based on your posture.

Can neck pain cause arm pain or tingling?

Yes. When a disc or bony change irritates a nerve in the neck, pain, tingling or numbness can spread down the arm into the hand. This is called cervical radiculopathy. Most cases improve without surgery, but weakness needs a prompt check by a doctor.

How can I prevent neck pain at work?

Raise your screen to eye level, keep the keyboard close, sit with back support and take a short break every 30 to 45 minutes. Hold your phone higher instead of bending your head down. Regular neck and shoulder exercises also help.

When is an injection used for neck pain?

When pain clearly comes from a specific joint or nerve and has not settled with exercise and medicines. The injection is guided by imaging so it reaches the right place. It is used to calm pain so rehab can work, not as the only treatment.

Sources

  1. [1]

    National Institute for Health and Care Excellence (NICE) Clinical Knowledge Summary. Neck pain

  2. [2]

    American Physical Therapy Association (APTA) clinical practice guideline. Neck pain, 2017

  3. [3]

    North American Spine Society (NASS) guideline on cervical radiculopathy from degenerative disorders

This page is for general education and does not replace a consultation. The right plan depends on your examination.

Book a consultation

Tell us where it hurts. We plan the way back.

Start with one consultation. Choose a clinic visit or a video consult, and the team confirms your time by phone or WhatsApp.

Prefer to call? +91 79048 42576

  1. 1

    You send a request

    Online, on WhatsApp or by phone.

  2. 2

    We confirm a time

    By phone or WhatsApp, for the clinic or a video consult.

  3. 3

    You meet your doctor

    Bring your reports and wear loose clothes.