Neck Pain: Common Causes, Symptoms & When to See a Spine Specialist
Learn about neck pain causes, symptoms, and when to consult a spine specialist. Comprehensive guide to neck pain management and treatment options.
The Basics
- Neck pain is a leading cause of global disability and affects up to half of the adult population each year
- The majority of neck pain results from mechanical strain to the structure of the neck, frequently from gradual breakdown over time
- Neck pain is more common in women and older adults (1)
- First line treatment for many kinds of back pain focuses on physical therapy, however surgical interventions may be warranted for certain conditions
- You may benefit from the care of a Spine Surgeon if you have neck pain that is unresponsive to other treatments or if you have concerning symptoms like loss of bowel/bladder control (incontinence), weakness in your arms, or severe pain at night
Where Neck Pain Begins
Watch this educational video to understand the anatomy and common sources of neck pain.
Introduction
Neck pain is one of the top five causes of disability globally and affects 15-50% of the adult population each year (2, 3). Patients schedule over 16.4 million healthcare visits a year to learn about what may be causing their neck pain and how they can better manage their symptoms (2). This article provides a basic overview of some common causes of neck pain, the symptoms frequently associated with neck pain, and recommendations on when to discuss your pain with an experienced Spine Surgeon.
Causes
The neck is a complex structure made up of many muscles, tendons, ligaments, and bones carefully aligned to keep the head upright and stable over the body. Aside from traumatic injuries, the majority cases are mechanical in nature, involving injury or breakdown to one or more of these components, with up to 90% of adults showing natural wear of these tissues by age 50 (2,4). Some common conditions driving neck pain include:
- Degenerative Disc Disease
- Facet Joint Arthropathy
- (Cervical) Radiculopathy
- (Cervical) Myelopathy
- Muscle Strain
Symptoms
Neck pain may be associated with other symptoms, some of which may be useful for your doctor to help determine the underlying cause. Patients with neck pain may also report:
- Pain radiating to the chest, back, shoulders, or head
- Numbness or "pins and needles" sensations in one or both arms
- Neck stiffness and decreased range of motion
Severe or concerning symptoms that suggest you should seek immediate care include:
- Loss of strength/movement in one or both arms
- Loss of bladder/bowel control
- Loss of hand dexterity
- Worsening changes in arm/hand sensation
- Severe pain at night
Patients with histories of cancer or risks for potential infection (fever, night sweats, decreased immune function) should also seek the guidance of a licensed physician.
When to See a Spine Surgeon
Many patients with neck pain respond well to conservative treatment with physical therapy and selective use of pain medication, especially when their pain is mild or muscular in nature. Patients with severe symptoms, patients with a history of cancer, or patients with pain not-responsive to physical therapy may benefit from a consultation with a physician to discuss imaging and further treatment options (eg. surgery). Your primary physician is an excellent resource to provide initial guidance regarding treatment for neck pain and referrals to spine surgeons in your area. Those with known diagnoses of conditions causing neck pain may also seek consultation from a surgeon to determine whether or not they are a good candidate for the procedures that may treat their condition.
Managing Neck Pain
Learn about strategies and treatment options for managing neck pain and improving your quality of life.
Citations
- https://pubmed.ncbi.nlm.nih.gov/32217608/
- https://linkinghub.elsevier.com/retrieve/pii/S1546-1440(19)30164-4
- https://www.jacr.org/article/S1546-1440(25)00141-3/fulltext
- https://www.nejm.org/doi/full/10.1056/NEJMra2003558?utm_source=openevidence
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Individual patient results vary. This information is educational and not a substitute for professional medical advice.