Neck pain

Full symptoms:

The pain can be sudden, resembling a stab, but it happens that it is not sharp and persistent, persisting for several days. Spot (in the middle) or wider. It is often relieved by massaging a sore place. Frequent accompanying symptoms are: headache (mainly in the back), its dizziness, also symptoms of migraine aura, for example, “scars in front of eyes”) and even insomnia.

Probable reasons:

Typically, ailments are associated with lifestyle, a specific activity and they pass quickly. The pain of this area is complained to the driver (after a long course), people working in a forced position (eg at the computer), after doing uncomfortable work (hanging curtains, reaching something off the shelf, too low a stool, etc.), because it happens them ‘stretch’ the muscles. Ailments are aggravated by regular micro-injuries and even small overloads related to, for example, jumps (problem sportsmen), and even running in bad shoes, on a very hard surface. The cause of pain may also be more serious: degeneration of the cervical spine. Then, however, there are usually problems with neck mobility (see page 3). It is also possible that you already have discopathy (lesions affecting one intervertebral space). It arises before the degenerative changes occur. In the case of the cervical spine, it is usually the combination of the fifth and sixth vertebrae.

Initial diagnostics:

It is especially important when neck pains are accompanied by headaches (or are dominant). Headaches are usually cured by a neurologist (the primary care physician directs him) and it is best to consult such problems with him, especially since he is a specialist who helps in many spinal diseases. Neck pain accompanying headaches is also associated with diseases of teeth, sinuses, even hypertension. Typically, an internist knows what tests to do and who to target. It’s important to visit him at all.

Frequent diagnostic examinations carried out on problems near the cervical spine: X-rays, examination of the flow in the carotid and vertebral arteries by the Doppler method (ie using ultrasounds), and even computed tomography. Discopathy is usually seen on X-rays. If the doctor in the picture is already observing secondary, aberrant osteogenic processes, or the spine has lost its stability, it usually recognizes advanced degenerative disease, i.e. spondylosis.


In the case of ailments that are rare, treatment is usually not necessary. The pain just passes. He will come back, however, if you do not remove his cause. Fixed bad habits with time will lead to discopathy or spondylosis, and these need to be treated with the help of an orthopedist and physiotherapist. Many degenerative changes in the spine are irreversible and one can only alleviate ailments with painkillers and anti-inflammatories. Effective preparations are often available only on prescription. Degenerative changes are basically a problem for older people, but they are recognized by increasingly younger people.

Occasional pain will certainly ease the rest (provided that you have a suitable mattress, medium hard, without any ‘cracks’, and the pillow does not force another strain of the spine and surrounding muscles or nerves), even a self-reliant massage, but it is best to put on a professional (everything on the subject of massage techniques), a relaxing bath (provided that you have a large bathtub), and even better swimming: on the back or with a submerged face.