Neck Tension: Causes, Exercises, and Relief Options - Neurology

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Shoulder and neck issues?


There are no specific underlying conditions.
About three to four days ago, I started feeling a slight tightness in the back of my neck when I bend my neck while reading or looking at my phone, which I have never experienced before.
This sensation only occurs when I am sitting and looking down at a book; I don't feel it when I am standing or exercising.
There is no pain, and it does not radiate to other areas.
Could this be due to stiffness in my neck and shoulders? What exercises should I do? Additionally, I have experienced a vibrating sensation in the back of my neck a few times when I was very anxious; is this normal? Can cupping therapy be used to relieve this discomfort? I am a bit troubled, so I would like to seek your advice.
Thank you!

Xiao Lin, 10~19 year old female. Ask Date: 2023/02/08

Dr. Jiang Junyi reply Neurology


Hello Mr.
Lin,
You mentioned that "the back of my neck feels a bit tight...
it only happens when I sit and look down at a book...
should I use cupping therapy to relieve it?" The common cause of neck pain is cervical myofascial pain syndrome.
Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort.
Initially, resting may alleviate the pain, but it can progressively worsen and affect daily activities.
Some patients experience severe neck pain upon waking, accompanied by stiffness and tightness, making it difficult to tolerate.
I recommend the following:
1.
Change Positions: Change your posture every 15 minutes to allow the neck tissues to rest.
Maintaining any position (including a normal one) for an extended period can lead to tissue fatigue and inflammation, so moving around briefly can reduce the risk of muscle inflammation.
2.
Rest: Rest is essential for allowing the muscles to utilize their self-repair capabilities.
Avoid vigorous exercise during this time.
3.
Neck Heat Therapy: Apply a warm compress for 15 to 20 minutes, ensuring the temperature is safe to avoid burns.
4.
Cupping Therapy: As you mentioned, cupping primarily stimulates the skin's nerves and can help reduce the symptoms of tightness in the fascia, similar to the effects of heat therapy.
5.
Non-Steroidal Anti-Inflammatory Drugs (NSAIDs): If you do not have a history of gastric ulcers, allergies to NSAIDs, or impaired kidney function, you may consider using NSAIDs to reduce inflammation and alleviate pain when necessary.
6.
Neck Muscle Stretching Exercises: After the acute pain phase has passed, develop a habit of performing slow and gentle neck stretches every 15-20 minutes, ensuring that the angles do not cause discomfort.
Stretch in all directions: up, down, left, and right.
I suggest discussing your condition with a neurologist or a rehabilitation specialist for further evaluation and treatment.
Thank you for your inquiry, and feel free to discuss further! Wishing you good health and happiness.
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2023/02/08

More Info


Neck tension is a common issue that many people experience, especially in today's digital age where prolonged periods of looking down at phones, tablets, or books have become the norm. Your description of feeling tightness in the back of your neck when bending it forward to read or use your phone suggests that you may be experiencing muscle stiffness or tension, which is often referred to as "tech neck" or "text neck." This condition arises from poor posture and prolonged static positions, leading to muscle fatigue and discomfort.


Causes of Neck Tension
1. Poor Posture: When you sit or stand with your head forward and shoulders rounded, it places additional strain on the muscles of your neck and upper back. This can lead to tightness and discomfort.

2. Muscle Strain: Overuse or repetitive movements, such as looking down for extended periods, can cause muscle strain. This is particularly common in individuals who spend long hours studying or using electronic devices.

3. Stress and Tension: Emotional stress can lead to muscle tension in the neck and shoulders. When you are anxious or stressed, your body tends to tighten up, which can exacerbate feelings of discomfort.

4. Dehydration: Muscles need adequate hydration to function properly. Dehydration can lead to muscle cramps and increased tension.


Exercises for Relief
To alleviate neck tension, consider incorporating the following exercises and stretches into your routine:
1. Neck Stretches:
- Side Neck Stretch: Sit or stand upright. Slowly tilt your head to one side, bringing your ear toward your shoulder. Hold for 15-30 seconds and switch sides.

- Forward Neck Stretch: Gently lower your chin toward your chest and hold for 15-30 seconds. This helps stretch the muscles at the back of your neck.

2. Shoulder Shrugs: Raise your shoulders toward your ears and hold for a few seconds before relaxing them back down. Repeat this 10-15 times to relieve tension in the shoulder area.

3. Chin Tucks: While sitting or standing, gently tuck your chin in toward your neck, creating a double chin effect. Hold for a few seconds and release. This exercise helps strengthen the neck muscles and improve posture.

4. Upper Back Stretch: Interlace your fingers and extend your arms in front of you while rounding your upper back. Hold for 15-30 seconds to stretch the upper back and neck.


Additional Relief Options
- Heat Therapy: Applying a warm compress or heating pad to the neck can help relax tight muscles and improve blood circulation.

- Massage: Gentle self-massage or professional massage therapy can relieve muscle tension and promote relaxation.

- Cupping Therapy: Cupping can be beneficial for muscle tension and pain relief. It creates suction on the skin, which may help increase blood flow and reduce muscle tightness. However, it’s essential to consult with a trained professional to ensure it’s done safely.

- Mindfulness and Relaxation Techniques: Practices such as yoga, meditation, or deep breathing exercises can help reduce stress and tension in the body.


When to Seek Medical Attention
If your neck tension persists despite trying these exercises and remedies, or if you experience additional symptoms such as pain radiating down your arms, numbness, or weakness, it’s advisable to consult a healthcare professional. They can assess your condition and rule out any underlying issues, such as cervical spine problems or nerve compression.

In conclusion, neck tension can often be managed effectively through posture correction, regular stretching, and relaxation techniques. By being mindful of your posture and incorporating these exercises into your daily routine, you can alleviate discomfort and prevent future occurrences.

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