WHAT IS NECK PAIN ?

Your neck is made up of vertebrae that extend from the skull to the upper torso. Cervical discs absorb shock between the bones.
The bones, ligaments, and muscles of your neck support your head and allow for motion. Any abnormalities, inflammation, or injury can cause neck pain or stiffness.
Many people experience neck pain or stiffness occasionally. In many cases, it’s due to poor posture or overuse. Sometimes, neck pain is caused by injury from a fall, contact sports, or whiplash.
Most of the time, neck pain isn’t a serious condition and can be relieved within a few days.
But in some cases, neck pain can indicate serious injury or illness and require a doctor’s care.
If you have neck pain that continues for more than a week, is severe, or is accompanied by other symptoms, seek medical attention immediately.

CAUSE OF NECK PAIN 

Neck pain or stiffness can happen for a variety of reasons.

Muscle tension and strain

This is usually due to activities and behaviors such as:
  • poor posture
  • working at a desk for too long without changing position
  • sleeping with your neck in a bad position
  • jerking your neck during exercise

Injury

The neck is particularly vulnerable to injury, especially in falls, car accidents, and sports, where the muscles and ligaments of the neck are forced to move outside of their normal range.
If the neck bones (cervical vertebrae) are fractured, the spinal cord may also be damaged. Neck injury due to sudden jerking of the head is commonly called whiplash.

Heart attack

Neck pain can also be a symptom of a heart attack, but it often presents with other symptoms of a heart attack, such as:
  • shortness of breath
  • sweating
  • nausea
  • vomiting
  • arm or jaw pain
If your neck hurts and you have other symptoms of heart attack, call an ambulance or go to the emergency room immediately.

Meningitis

Meningitis is an inflammation of the thin tissue that surrounds the brain and spinal cord. In people who have meningitis, a fever and a headache often occur with a stiff neck. Meningitis can be fatal and is a medical emergency.
If you have the symptoms of meningitis, seek help immediately.

Other causes


Other causes include the following:
  • Rheumatoid arthritis causes pain, swelling of the joints, and bone spurs. When these occur in the neck area, neck pain can result.
  • Osteoporosis weakens bones and can lead to small fractures. This condition often happens in hands or knees, but it can also occur in the neck.
  • Fibromyalgia is a condition that causes muscle pain throughout the body, especially in the neck and shoulder region.
  • As you age, the cervical discs can degenerate. This is known as spondylosis, or osteoarthritis of the neck. This can narrow the space between the vertebrae. It also adds stress to your joints.
  • When a disk protrudes, as from a trauma or injury, it may add pressure on the spinal cord or nerve roots. This is called a herniated cervical disk, also known as a ruptured or slipped disk.
  • Spinal stenosis occurs when the spinal column narrows and causes pressure on the spinal cord or the nerve roots as it exits the vertebrae. This can be due to long-term inflammation caused by arthritis or other conditions.
In rare instances, neck stiffness or pain occurs due to:
  • congenital abnormalities
  • infections
  • abscesses
  • tumors
  • cancer of the spine

HOW DOES IT DIAGNOSED 

You doctor will perform a physical exam and take your complete medical history. Be prepared to tell your doctor about the specifics of your symptoms. You should also let them know about all prescription and over-the-counter (OTC) medications and supplements you’ve been taking.
Even if it doesn’t seem related, you should also let your doctor know about any recent injuries or accidents you’ve had.
Treatment for neck pain depends on the diagnosis. In addition to a thorough history and physical exam by your doctor, you may also need one or more of the following imaging studies and tests to help your doctor determine the cause of your neck pain:
  • blood tests
  • X-rays
  • CT scans
  • MRI scans
  • electromyography, which allows your doctor to check the health of your muscles and the nerves that control your muscles
  • lumbar puncture (spinal tap)