Neck Pain

When To Call a Doctor

Call911 or other emergency services immediately if you have been injured and you have:

  • A severe neck injury, such as an injury caused by a:
    • Serious car accident.
    • Fall from a height of 4.5 m (15 ft) or more.
    • Major sports-related injury.
    • Very forceful blow to the head or neck.
    • High-energy strike on top of the head.
    • Penetrating injury, such as a stab or gunshot wound.
  • Signs of a spinal cord injury, such as:
    • Weakness or inability to move the arms or legs.
    • Continuous numbness of one or both arms or legs.
    • Loss of bowel or bladder control.
  • Neck pain that occurs with chest pain and other symptoms of a heart attack. These include:
    • Chest pain that is crushing or squeezing or feels like a heavy weight on the chest.
    • Chest pain that occurs with:
      • Sweating, shortness of breath, nausea, or vomiting.
      • Pain that spreads from the chest to the back, neck, or jaw, or one or both shoulders or arms.
      • Dizziness or light-headedness.
      • A fast or irregular pulse.

Call your health professional immediately if you have:

  • A stiff neck and/or severe headache, fever, vomiting, confusion, and/or difficulty staying awake or alert.
  • Neck pain and severe arm pain.
  • Neck pain and suddenly developing numbness, tingling, or weakness in one or both of your arms.
  • Severe neck pain following an injury.
  • Severe neck pain with no known cause.
  • A new weakness in your arms and legs.
  • A new loss of bladder or bowel control.

Call your health professional today if you have:

  • Severe restriction of neck movements.
  • Neck pain or stiffness after starting a new medication.
  • Constant numbness or tingling in one arm or hand.
  • Constant weakness in one arm.
  • Moderate pain following an injury.
  • Arm weakness, numbness, or tingling that has become worse since you were evaluated by your health professional.
  • Ongoing (chronic) pain that is getting worse.

Watchful Waiting

Watchful waiting is a period of time during which you and your health professional observe your symptoms or condition without using medical treatment. Most neck pain does not require medical care. In general, pain relief and neck movement should improve after a couple of days of home treatment that includes:

  • Limiting activities that increase neck pain.
  • Taking non-prescription pain relievers and using ice to reduce pain.
  • Doing gentle exercises to keep the neck flexible.

If you have severe neck pain that has not gone away after 1 or 2 days and you are not able to do your normal daily activities, call your health professional.

Who To See

Your family doctor or general practitioner can evaluate and treat neck pain. If you are injured and taken to an emergency room, an emergency medicine doctor can evaluate your neck pain.

If your neck pain is severe or long-lasting, you may be referred to specialists, such as:

You may also be referred to an alternative health professional who can provide care. These include:

To prepare for your appointment, see the topic Making the Most of Your Appointment


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Author: Carrie Henley
Monica Rhodes
Last Updated: October 16, 2006
Medical Review: William M. Green, MD - Emergency Medicine
Tom Bailey, MD - Family Medicine
Robert B. Keller, MD - Orthopedics

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Topic Contents
 Topic Overview
 Cause
 Symptoms
 What Happens
 What Increases Your Risk
Arrow PointerWhen To Call a Doctor
 Examinations and Tests
 Treatment Overview
 Prevention
 Home Treatment
 Medications
 Surgery
 Other Treatment
 Other Places To Get Help
 Related Information
 References
 Credits