- A football player “spears” an opponent with his head.
- An ice hockey player is struck from behind and rams into the boards.
- A gymnast misses the high bar during a release move and falls.
- A diver strikes the bottom of a shallow pool.
Neck sprains and strains, while common, should never be taken lightly. The initial approach to treatment often includes rest, ice, compression, and elevation (often abbreviated as R.I.C.E.), particularly within the first 24-48 hours after the injury. It’s crucial to consult a healthcare provider for a precise diagnosis and to determine the grade of the injury. They may recommend over-the-counter pain relievers to alleviate pain and reduce inflammation. In certain cases, a cervical collar might be suggested to stabilize the neck and prevent further strain. It’s essential to understand the causes behind the sprain or muscle strain, as this can guide rehabilitation and preventive measures. For those who engage in sports, understanding the par or standard of safe practice can help prevent recurring injuries. Regular follow-up with a healthcare provider ensures that the neck heals properly and reduces the risk of complications.
Any injury to the vertebrae can have serious consequences because the spinal cord, the central nervous system’s connection between the brain and the body, runs through the center of the vertebrae. Damage to the spinal cord can result in paralysis or death. Injury to the spinal cord at the level of the cervical spine can lead to temporary or permanent paralysis of the entire body from the neck down.
In a trauma situation, it may be difficult to assess at first evaluation the extent of injuries to the cervical spine. The neck should be immobilized until x-rays are taken and reviewed by a physician. Emergency medical personnel will assume that an unconscious individual has a neck injury and respond accordingly.
At the accident scene, first check vital signs, including the patient’s consciousness, ability to breathe, and heart rate. After these are stabilized, workers will assess obvious bleeding and limb-deforming injuries. Once the trauma team has stabilized all other life-threatening injuries, the doctor can evaluate the injury.
Before moving the patient from the scene, you must immobilize the patient in a cervical (neck) collar and backboard. The trauma team will perform a complete and thorough evaluation in the hospital emergency room.
This will help reduce inflammation and discomfort. Although heat, particularly moist heat, can help loosen cramped muscles, it should not be applied too quickly.
Other treatment options include:
- Massaging the tender area
- Ultrasound
- Cervical traction
- Aerobic and isometric exercise
For neck pains, strains and sprains caused by posture or body mechanics
- Avoid slouching or a head-forward posture. Sit straight in your chair with your lower back supported, feet flat on the floor, and shoulders relaxed. Don’t sit for long periods without getting up or changing positions. Take short breaks several times an hour to stretch your neck muscles.
- If you work at a computer, adjust the monitor so the top of the screen is at eye level. Use a document holder that puts your work at the same level as the screen.
- If you use the telephone a lot, use a headset or speaker phone. Don’t cradle the phone on your shoulder.
- Adjust the seat of your car to a more upright position that supports your head and lower back. Make sure that you are not reaching for the steering wheel while driving. Your arms should be in a slightly flexed, comfortable position.
- Use proper lifting techniques. Lift with your knees, not your back.
For neck pains, strains, and sprains caused by sleep habits
- Use a pillow that keeps your neck straight. Special neck support pillows called cervical pillows or rolls may relieve neck stress. You can also fold a towel lengthwise into a pad that is 4 in. (10 cm) wide, wrap it around your neck, and pin it in position for good support.
- Don’t sleep on your stomach with your neck twisted or bent.
- If you read in bed, prop up the book so you aren’t using your arms to hold it up and bending your neck forward. Consider using a wedge-shaped pillow to support your arms and keep your neck in a neutral position.
Other prevention tips
- If stress is adding to your neck pain, practice relaxation exercises. Consider getting a massage.
- Strengthen and protect your neck by doing neck exercises once a day.
- Stay at a healthy body weight