Neck Pain

Physiotherapy is brilliant for Neck pain.  The condition affects the upper spine and we often refer to it as cervical spondylosis which is a term relating to degeneration in the spinal joints.  

Seldom is neck pain ever serious and it can vary from a low grade'nagging' pain to a more severe debilitating state.

Many people unbeknown to them sit with the neck flexed down and staring at a computer, tablet ,iPad or phone, often for hours. The following day they wake with a ‘stiff’ and painful neck unable to recall an episode of any significance or injury. The head simply is not conditioned to be in that position for that length of time and will gradually become stressed and reactive to such strains. Whiplash is also a common cause of neck pain and is associated with a sudden deceleration force (usually sustained during a Road Traffic Accident).  Recurrent neck pain is often a sign of weakness in the core neck muscle.  Get it checked! See a Physiotherapist!  

There are a lot of structures in the neck: muscles, joints, discs, ligaments and nerves, which are all potential sources of pain. When irritated, the brain registers the sensitivity and we get pain, protective muscle spasm and the inability to move our necks.

Continuation of bad postures causes prolonged neck sensitivity, muscles fatigue and then become knotted and joints strain under load, inflame and stiffen.  With careful assessment of the neck by a physiotherapist it is often possible to locate the offending structure, understand the problem and assign a long lasting treatment regime.

It is possible to trap nerves producing pain in the arm, a loss of sensation, or pins and needles in the hands/fingers. It is similar to sciatica, but instead affects the nerve braches supplying the arm.

Signs and Symptoms

“pain in the neck!”

  • Pain over the neck.
  • May refer to shoulders, shoulder blade, middle back, front of neck (seldom)
  • May cause a headache to manifest in the back of the head, front of head, face. These headaches tend to be what we call ‘cervico-genic’
  • Pain can be worse on sitting and turning the head
  • Tends to feel stiffer in the morning
  • Alleviated with change in posture and neck movement.



List of possible treatments:

Spinal manipulation

Joint mobilisation

Sports massage


Dry needling

Trigger point therapy




Core stability

Ergonomic assessment and advice

Advice can be given on:


Spinal joint injections

Imaging (xray, MRI)



Unsure if physiotherapy can help? Get in touch and ask the experts!