If the pain is due to muscle spasm or a pinched nerve, your doctor may prescribe a muscle relaxant and possibly a more powerful pain reliever. Prescription drugs are not necessarily better than over-the-counter medications. The doctor may prescribe a neck collar or, if there is nerve damage, refer you to a neurologist or neurosurgeon for consultation.
If meningitis is suspected, you will be sent to an emergency department for further tests, antibiotics, and hospital admission.
If a thyroid condition is considered (due, for example, to a lump in the front of your neck), follow-up care for abnormal blood tests will be needed.
Use relaxation techniques and regular exercise to prevent unwanted stress and tension to the neck muscles.
Learn stretching exercises for your neck and upper body. Stretch every day, especially before and after exercise. A physical therapist can help.
If you tend to get neck pain from exercise, apply ice to your neck after physical activity.
Use good posture, especially if you sit at a desk all day. Keep your back supported. Adjust your computer monitor to eye level. This prevents you from continually looking up or down.
If you work at a computer, stretch your neck every hour or so.
Use a headset when on the telephone, especially if answering or using the phone is a main part of your job.
When reading or typing from documents at your desk, place them in a holder at eye level.
Evaluate your sleeping conditions. Make sure your pillow is properly and comfortably supporting your head and neck. You may need a special neck pillow. Make sure your mattress is firm enough.
Use seat belts and bike helmets to prevent injuries.
References:
Kasch H, Bach FW, Stengaard-Pedersen K, Jensen TS. Development in pain and neurologic complaints after whiplash: A 1-year prospective study. Neurology. 2003; 60: 743 - 749.
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