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Stiff neck, neck pain from sleeping with the neck in an improper position, is it dangerous? How to treat it?

PUMIBAL WETPIRIYAKUL,M.D.

Stiff neck, neck pain from sleeping with the neck in an improper position, is it dangerous? How to treat it?

Have you ever? Woken up with neck pain because of sleeping with the neck in an improper position, or sitting in the wrong posture and suddenly having neck pain without a known cause. That may be a sign of a stiff neck. It is considered a temporary condition, caused by overuse of the neck muscles or being in an abnormal posture, which can be relieved by yourself. However, in some cases there may be abnormal neck pain symptoms, and you should promptly see a doctor for diagnosis and proper treatment.


In this article, we will look at what actually causes the neck pain you are experiencing, whether it is a warning sign that requires caution and seeing a doctor, including learning how to fix a stiff neck when unable to turn properly, to prevent such symptoms from disturbing daily life.


Key Takeaways


  • Stiff neck is a common neck pain condition in daily life due to inappropriate lifestyle or abnormal posture such as sleeping in the wrong position, sitting working for a long time, looking down at a mobile phone for a long time.
  • A stiff neck can resolve on its own within 1–2 weeks, but if it does not improve or has severe complications, it may be a sign of injury to the muscles or bones in the neck area.
  • Initial methods to fix a stiff neck can be done by adjusting daily life behaviors or using NSAIDs to relieve symptoms. However, if symptoms do not improve, you should promptly see a doctor for diagnosis and choose an appropriate treatment approach.

What are the symptoms of a stiff neck?


Before looking at how to fix a stiff neck, let us see what the characteristics of stiff neck symptoms are. Each individual has different severity levels. Some may have mild neck pain, severe neck pain, to sharp or stabbing pain in the back of the neck, especially when trying to turn the neck to one side.


At the same time, in some cases there may be muscle twitching in the back and shoulders, pain, headache, stiffness in the neck, with injuries of nerves, blood vessels, and bones, interfering with sleep or daily life.


What are the causes of a stiff neck?


If you have a stiff neck, how to fix it? First, it is necessary to know the cause of the stiff neck in order to treat it correctly and appropriately. Most causes of a stiff neck arise from daily behaviors, including:


  • Incorrect sleeping position, with the neck in an inappropriate position, or having the problem of sleeping with the neck in an improper position.
  • Sudden impact to the head, from accidents such as falls or sports injuries.
  • Activities that involve repeatedly turning the head to one side, such as freestyle swimming.
  • Sitting hunched while using a computer, or looking down at a mobile phone for long periods.
  • Stress conditions that contribute to tension and stiffness of the neck muscles.

In addition, a stiff neck can also be caused by certain abnormalities of the muscles or bones in the neck that help support neck movement, including the spine, such as:


  • Arthritis, such as rheumatoid arthritis or arthritis from injuries.
  • Torticollis.
  • Viral or bacterial infections in the brain and spinal cord, such as meningitis (Meningitis).
  • Tumor, both brain tumors and cervical spine tumors.

Which type of stiff neck is dangerous, what symptoms should be cautious?


A stiff neck is considered a non-severe condition, but if the stiff neck does not improve within 1–2 weeks, or has the following complications, it is recommended to see a doctor immediately for diagnosis and treatment, as it may be a warning sign, such as nerve compression, cervical degeneration, or ligament or joint damage:


  • Feeling neck pain after injury or accidents.
  • Neck pain radiating to other parts of the body such as arms, back, or legs.
  • Numbness or muscle weakness from the neck, arms, or legs.
  • Swelling in the neck.
  • Fever, headache, high body temperature, nausea, vomiting.
  • Loss of appetite, unexplained weight loss.
  • Chest pain.

How is a stiff neck diagnosed, what are the steps?


To ensure that the symptoms experienced are a normal stiff neck and not a more serious disease or problem, and to fix a stiff neck accurately, you should see a doctor for an accurate diagnosis first. The steps for diagnosing a stiff neck are as follows:


  • The doctor takes medical history, such as duration of symptoms, how long it has been, whether there has been previous injury to the head or neck.
  • The doctor performs a basic physical examination by observing posture or movement, palpating the head, neck, shoulders, and back to assess pain, tension, or abnormalities of muscles and bones in that area.
  • If abnormalities are found, the doctor may perform additional examinations using medical technology such as CT Scan or MRI to clearly see the characteristics of muscles, tendons, nerves, and bones.
  • Testing nerve response or reflexes to assess whether there is nerve damage or injury.

Receiving a proper diagnosis of a stiff neck by a doctor can help accurately assess the condition and plan appropriate treatment to reduce the risk of severe symptoms that may occur in the future.


How can a stiff neck be treated?


Neck pain from a stiff neck often occurs from daily routines or regular activities. If you have a stiff neck, initial methods to fix it can be done easily by yourself as follows:


  • Adjust posture appropriately, such as if sitting in front of a computer for a long time, you should get up to stretch, or when looking down at a phone, take time to rest your eyes.
  • Exercise regularly and stretch the muscles of the neck, shoulders, and back.
  • Arrange sleeping posture properly, such as sleeping on the side, keeping the neck aligned with the body, choosing a pillow of appropriate height, using a neck-support pillow to prevent improper neck position.
  • Apply cold or warm compresses to stimulate blood circulation and relax muscle stiffness.
  • Use NSAIDs such as Ibuprofen (Ibuprofen), Naproxen (Naproxen) to relieve pain.

For those who use the above methods to manage a stiff neck but do not improve, or have severe symptoms that do not respond to medication, you should see a doctor or specialist for appropriate treatment approaches, such as:


  • Acupuncture, inserting small needles into muscles to relieve neck pain including shoulder areas.
  • Massage or physical therapy.
  • Using higher-dose medications such as muscle relaxants, Codeine (Codeine).
  • Local injections, especially steroid injections or anesthetic injections at nerves to relieve muscle spasm or pain.
  • Surgery, suitable for those who do not respond to other treatments or have chronic stiff neck due to damage to the spine or nerves.

Stiff neck, a non-severe condition but more dangerous than expected


Stiff neck is a common neck pain condition because it often results from daily behaviors such as sleeping in the wrong position, sitting with the head down for a long time, accidents such as falls or car crashes. Although it is a condition that can be relieved by yourself, if symptoms do not improve or there are other complications, it may be a warning sign that requires caution and it is necessary to promptly see a doctor for appropriate treatment.


If you are concerned about neck pain or a stiff neck, what to do, you can consult with a specialist medical team from the Orthopedic Center, Praram 9 Hospital. The team of experienced doctors together with modern treatment technology can provide consultation and treatment that directly addresses the problem you are facing and take care of cervical spine health for long-term strength.


For more information



Frequently asked questions about stiff neck


1. Can a stiff neck be prevented?


A stiff neck can be prevented by adjusting various postures such as sitting and sleeping positions appropriately, exercising the neck muscles regularly, and reducing risk factors that may trigger muscle tension such as stress and smoking.


2. How many days does a stiff neck take to heal?


How many days a stiff neck takes to heal depends on the cause. In some cases, symptoms improve within a few minutes, while in others the pain may last 2–3 days or more, depending on individual recovery.


References


Stiff neck: Common causes & how to treat them. (2022, November 28). Cleveland Clinic. https://my.clevelandclinic.org/health/symptoms/24477-stiff-neck


Berry, J. (2024, January 19). Stiff neck: Causes, treatment, and when to see a doctor. Medical News Today. https://www.medicalnewstoday.com/articles/324070


Wells, D. (2023). How to fix a stiff neck: Home remedies and treatments. Healthline. https://www.healthline.com/health/how-to-get-rid-of-a-stiff-neck


Staehler, R. (n.d.). Stiff neck causes, symptoms, and treatment. Spine-health. https://www.spine-health.com/conditions/neck-pain/stiff-neck-causes-symptoms-and-treatment

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