Neck Pain After Weightlifting: Causes and Concerns - Rehabilitation

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Sports Injuries in Fitness


Hello Doctor: I am currently a university student.
This morning, while exercising at the gym, I performed the barbell row (shortened URL: https://is.gd/AJdzQF).
During my third set (10 repetitions per set) with a weight of 70 kg, I suddenly felt a sharp pain on the right side of my neck when I lifted the barbell off the ground for the first repetition.
The pain then radiated to the right side of my head.
I immediately took a break, but I was still able to continue exercising, although there was some discomfort on the right side of my head.
Could this be a burst blood vessel or some other issue? It seems that training my back and neck shouldn't be related, or could this be a sign of a stroke? Thank you for your response, Doctor.

Wu Chongyou, 20~29 year old female. Ask Date: 2019/10/29

Dr. Wang Zhaomin reply Rehabilitation


Based on the description, it may be due to improper exertion, causing a neck muscle strain.
When training the back muscles, the neck may also be engaged simultaneously, and incorrect posture can lead to injury.
If symptoms persist, it is advisable to consult an orthopedic or rehabilitation specialist.
Additionally, it is recommended to have professional coaching during exercise to prevent sports injuries.

Reply Date: 2019/10/29

More Info


Neck pain after weightlifting, particularly during exercises like barbell rows, can be concerning, especially for someone in your demographic. It's essential to understand the potential causes and implications of such pain, as well as the appropriate steps to take for recovery and prevention.

Firstly, the sudden onset of pain in the neck, especially if it radiates to the head, can be attributed to several factors. One common cause is muscle strain. During weightlifting, especially with heavy weights like 70 kg, improper form or sudden movements can lead to overexertion of the neck muscles. The muscles in the neck play a crucial role in stabilizing the head and supporting the spine during lifting activities. If these muscles are not adequately conditioned or if the lifting technique is flawed, it can result in strain, leading to pain.

Another possibility is that the pain could be related to the cervical spine. The cervical vertebrae are susceptible to injury from sudden movements or excessive loads. If the barbell was lifted incorrectly, it could have placed undue stress on the cervical spine, leading to discomfort or pain. Additionally, if you were not engaging your core properly during the lift, it could have caused your neck to compensate, leading to strain.

It's also important to consider the role of posture and ergonomics during your workout. If your head is positioned forward or if your shoulders are rounded while lifting, this can create tension in the neck. Ensuring that you maintain a neutral spine and proper alignment during exercises is crucial to prevent injuries.

Regarding your concerns about more severe conditions like a blood vessel rupture or stroke, these are less likely but not impossible. Symptoms of a stroke typically include sudden numbness or weakness, especially on one side of the body, confusion, difficulty speaking, or severe headache. If you experience any of these symptoms, it is crucial to seek immediate medical attention. However, isolated neck pain without these additional symptoms is more likely to be muscular or postural in nature.

To address your current discomfort, consider the following steps:
1. Rest and Recovery: Allow your neck muscles to recover. Avoid heavy lifting or activities that exacerbate the pain for a few days.

2. Ice and Heat Therapy: Applying ice to the affected area can help reduce inflammation, while heat can promote blood flow and relaxation of the muscles. Alternate between the two as needed.

3. Gentle Stretching and Strengthening: Once the acute pain subsides, gentle neck stretches can help restore flexibility. Strengthening exercises for the neck and upper back can also prevent future injuries.

4. Proper Technique: Review your lifting technique, possibly with a trainer or experienced lifter. Ensure that you are using proper form and not overloading your muscles.

5. Gradual Progression: When returning to lifting, gradually increase the weight and volume to allow your muscles to adapt.

6. Consult a Professional: If the pain persists or worsens, consider consulting a healthcare professional, such as a physical therapist or a physician specializing in sports medicine. They can provide a thorough assessment and tailored rehabilitation program.

In summary, while neck pain after weightlifting can be alarming, it is often due to muscle strain or improper technique rather than severe underlying conditions. By taking appropriate recovery steps and ensuring proper lifting techniques, you can mitigate the risk of future injuries and continue your fitness journey safely.

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