Neck pain and stiffness

Why is it so hard to check my blind spot while driving home from work?

What happens at my first visit?

Show me the turn you make to check your blind spot. We can compare it in sitting with your upper back supported and then with it free to move.

During treatment, we’ll check the movement again and use what changes to decide what to try next. [12]

Free 30- to 45-minute hands-on evaluation in Clovis. Choose whether to continue. One-on-one treatment is $200 per hour.

Near Willow and Nees in North Clovis · Open in Google Maps

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When does the turn start getting harder?

Maybe it’s fine until lunch. Maybe it’s the second monitor or the drive home. Tell me when you first notice it and whether it comes with a headache, dizziness, or a feeling down your arm. That changes what I check and may change who should see you.

What happens if your upper back moves with you?

Try the turn you use to look over your shoulder. I might compare it with your upper back supported and with it free to move. I’ll check your neck too, and your arm strength and feeling if the symptoms call for it. I want to know which change you can actually feel. [1]

Is the turn easier at the end of your workday?

You spend more time at your desk than you do here. If we move your screen or change how long you stay in one position, I want to hear what happens on your next normal workday. Strengthening has helped some office workers with neck pain. Research on desk setup changes alone has mixed results. [2, 3, 4]

Frequently asked questions

What if I can turn farther but the turn still hurts?

Tell me both things. I’ll check where the discomfort starts and how much effort it takes to turn. Extra motion and a more comfortable turn are two different changes we can track.

My turn feels better now. How will we know if it holds through a workday?

Notice when you first feel like you need to stop and move your neck, and how your usual turn feels at the end of the day. We can compare those details with what happened before the visit.

Why does my neck get tight on video calls but not when I read a book?

I’d ask where your eyes, arms, and screen are during each task. We can recreate part of a call and compare a different setup. The next real call tells us whether the change fits your work.

What if I can turn farther but it still feels like work?

Tell me what you have to do to get there. If you still have to brace or take a big breath before turning, I want to check the effort as well as how far you can go.

Is my posture causing my neck pain?

A position can be part of the picture if symptoms consistently build there. It helps to look at how long you stay in that position, what happens when you move, and what your work asks of you. Research has found an association between forward head posture and neck pain in some adults. That association alone can’t tell us what caused an individual’s symptoms. [5]

Can neck pain cause headaches?

Some headaches can be associated with the neck. Headaches have several possible causes, so their timing and other symptoms matter. If a headache comes on suddenly and is extremely severe, call 911 or go to the emergency department. [6, 7, 8]

What if I have tingling or weakness in my arm?

I’ll ask what you’re feeling and check how your arm works. If you’re newly dropping things or having more trouble gripping or lifting, contact a medical clinician today to have your strength checked. Sudden arm weakness, especially with a change in speech or facial movement, is a reason to call 911. [9, 11]

Does neck treatment have to involve cracking?

No. Depending on the assessment and your preferences, options may include gentle hands-on movement, exercise, or changes to how you do the activity that bothers you. [10]

What if I’ve been told to just fix my posture?

Tell me what your workday actually looks like and what you’ve tried. If turning toward your second monitor bothers you, we can use that turn as our test. I’ll check it again after an adjustment and change the approach if it still feels the same.

References

  1. Blanpied et al. Neck pain clinical practice guideline. JOSPT, 2017. ↩
  2. Chen et al. Workplace interventions for neck pain in office workers. Physical Therapy, 2018. ↩
  3. Hoe et al. Ergonomic interventions for upper limb and neck problems in office workers. Cochrane Database of Systematic Reviews, 2018. ↩
  4. Gross et al. Exercises for mechanical neck disorders. Cochrane Database of Systematic Reviews, 2015. ↩
  5. Mahmoud et al. Forward head posture and neck pain: systematic review and meta-analysis. Current Reviews in Musculoskeletal Medicine, 2019. ↩
  6. Bini et al. Manual and exercise therapy for headache associated with the neck. Chiropractic & Manual Therapies, 2022. ↩
  7. International Headache Society. ICHD-3 diagnostic criteria for cervicogenic headache. ↩
  8. NHS. Headaches and when to seek urgent care. ↩
  9. Childress and Becker. Nonoperative management of cervical radiculopathy. American Family Physician, 2016. ↩
  10. Gross et al. Manipulation and mobilisation for neck pain. Cochrane Database of Systematic Reviews, 2015. ↩
  11. NICE. Recognition and referral for sudden limb weakness. ↩
  12. American Physical Therapy Association. Reexamination and reevaluation. Guidance on repeating selected measures and using the findings to adjust care.