Treatment for Chronic Neck Pain and Stiffness

 "A smaller percentage of people will go on to develop chronic pain. Even though it’s a small percentage, it still constitutes a huge health care problem that affects millions." - Jacek Cholewicki, Professor of Spinal Biomechanics

Chronic neck pain and stiffness can disrupt every aspect of your life, from work to sleep. If you’re reading this, you’re not alone-and there’s hope! At The Orthopaedic and Pain Practice, we’re passionate about empowering you with the latest, evidence-based strategies for lasting relief.

Understanding Chronic Neck Pain and Stiffness

Neck pain that lingers for more than three months is considered chronic. It often comes with stiffness, headaches, and sometimes radiating pain into the shoulders or arms. Causes range from muscle strains and poor posture to arthritis and nerve compression.

Comprehensive Diagnosis: The First Step

Before starting any treatment for chronic neck pain and stiffness, a thorough evaluation is critical. This may include:

  • A detailed medical history and physical exam

  • Imaging studies (X-rays, MRI, CT scans)

  • Nerve conduction tests if symptoms radiate to the arms

Evidence-Based Treatments for Chronic Neck Pain and Stiffness

Multimodal Approach: The Gold Standard

There is no single “silver bullet” for chronic neck pain. Research strongly supports a multimodal approach-combining several therapies tailored to your needs.

Physical Therapy

Physical therapy is a cornerstone of treatment for chronic neck pain and stiffness. Targeted exercises build strength, improve flexibility, and restore range of motion. Your therapist will guide you through stretches and strengthening routines that help reduce pain and prevent future flare-ups.

Medications

  • Over-the-counter NSAIDs (like ibuprofen) reduce inflammation and pain.

  • For more severe cases, prescription-strength anti-inflammatories or muscle relaxants may be recommended.

Interventional Injections

For nerve-related pain or severe inflammation, interventional injections can provide significant relief. Options include:

  • Epidural steroid injections

  • Facet joint injections

  • Medial branch nerve blocks

These injections combine local anesthetics for immediate relief and steroids for longer-term inflammation control.

Osteopathic Manipulative Treatment (OMT)

Recent studies highlight the benefits of OMT, a hands-on therapy that addresses both physical and psychosocial aspects of chronic pain. OMT can improve pain, sleep quality, and even mood-making it a valuable addition to your treatment plan.

Additional Therapies

  • Massage therapy and acupuncture may offer relief for some patients, especially when combined with other treatments.

  • Short-term use of a soft collar or neck brace can help in acute flare-ups, but prolonged use is discouraged.

Self-Management and Prevention

Empowering yourself with knowledge and self-care is vital. Regular movement and exercise-not bed rest-are key to preventing chronic pain from worsening. Ergonomic adjustments at work, proper sleep support, and stress management all play crucial roles in maintaining neck health.

When to Consider Surgery

Surgery is rarely needed but may be considered for cases involving nerve or spinal cord compression that do not respond to conservative treatments.

Take Charge of Your Recovery

The journey to relief from chronic neck pain and stiffness is unique for everyone. At The Orthopaedic and Pain Practice, we believe in a personalized, multidisciplinary approach. Explore your options-because effective treatment for chronic neck pain and stiffness is within reach!

Curious about which treatment might work best for your situation? Ask us your questions or schedule a consultation today

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