In the vast majority of cases, neck pain is treated conservatively - with painkillers and exercises. However, if the pain syndrome does not decrease or is accompanied by a neurological deficit (weakness or numbness in the body and limbs), the need for surgical treatment increases.
Conditions such as neck muscle tension, degenerative lesions of the intervertebral disc, facet joints, have a favorable prognosis. Their treatment involves reducing pain and learning methods of physiotherapy.
Postural correction is an important part of the treatment regimen, it consists in the correct direct landing at the working table, in a comfortable sleeping position using a pillow under the head and neck, avoiding prolonged stay in a forced position and the need to take breaks to warm up.
Gymnastics for the neck is a set of exercises, the simplest of which are head movements back and forth, tilts and turns to the right and left. Exercises are performed slowly - you need to help yourself with your hands and strive to achieve the desired amplitude. Often a warm-up for the shoulders is added to the exercises.
Drug therapy comes down to taking painkillers, often these are non-steroidal anti-inflammatory drugs, but the doctor may prescribe opioid analgesics. Sometimes they also add drugs that reduce muscle tone - muscle relaxants.
Physiotherapy in the context of physiotherapy exercises is the basis for the treatment and prevention of back pain. The main attention is paid to postural correction, functionally advantageous positions, increasing muscle strength, preserving and increasing the volume of motor activity.
Manual therapy, in particular manual practices, are not considered first-line treatment for pain in the neck - this is associated with the risk of complications and the effectiveness similar to home gymnastics.
Methods of apparatus physiotherapy do not have a significant positive effect in the treatment of pain in the back and neck, the need for their appointment is doubtful and carries risks of increasing the cost of treatment.
Massage of the cervical-collar region can reduce muscle tone and indirectly reduce neck pain.
Traction or traction of the spine does not confirm its effectiveness in clinical practice and is not recommended for use.