How Physical Therapy Can Help With Neck Pain and Headaches

Physical therapy always begins with a detailed history and evaluation of the problem. Your physical therapist will take many things into account, including your age, general health, occupation, and lifestyle. If major trauma or disease is involved, your physical therapist will work with you in consultation with a physician.

After a diagnosis has been made, your physical therapist may choose from a range of treatment options, including exercises for flexibility, strength, stability, and restoration of range of motion. Other options include ice, heat, electrical stimulation, traction or mobilization, and massage. Your physical therapist may also analyze your home and work environment in order to ensure that you're not re-injuring yourself.

Some evidence suggests that low-impact aerobic exercise such as swimming, walking, low-impact aerobics, and stationary bicycling may also be helpful in decreasing neck pain. A physical therapist can design a pain-free exercise program just for you.

Once your physical therapy goals are met, your physical therapist will help you continue therapy on your own with a home program designed to fit your needs. The goal of physical therapy is to return you to normal activity as quickly as possible, with the knowledge you need to minimize or eliminate your problem.

Neck and Head Pain Questions and Answers

1. Is arm pain, numbness, tingling, and weakness related to neck pain? Will I need surgery?
   
   Because the nerves in the cervical region radiate down through the arms, these symptoms can sometimes berelated to neck pain. While surgery is sometimes required to reduce pressure on the nerves, many cases can be treated effectively through physical therapy.
   
2. Is surgery beneficial for chronic neck pain?

   Surgery may be the treatment of choice in isolated cases - for example, if you have a condition known as spinal stenosis (in which the openings for the nerve roots or spinal cord become smaller, often due to osteoarthritis). In most cases conservative treatment, including physical therapy and/or medication is preferable.

3. Is it all right to take medication such as aspirin for my neck pain and headache?
   

   Yes, although anti-inflammatories such as NSAIDS (non-steroidal anti-inflammatory drugs) or aspirin can cause stomach upset or ringing in the ears. Be aware that acetaminophen can help with pain but not inflammation. Consult your pharmacist about the medication you are taking. Do not take medication that is old or previously prescribed for someone else.

4. How long before I get better?

   The nature of your injury will determine how long it takes to heal. In general, recovery from neck sprains or strains can take anywhere from a few weeks to a few months, depending on the severity of the injury, your age and ability to heal, and other factors.
   
   Your recovery will be faster if you follow the program designed by your physical therapist. Your program will probably include exercises and other treatments designed to ensure that the neck heals properly and regains its normal range of motion. Without proper treatment, prolonged stiffness and discomfort may result.