Your Guide to Neck Pain

Neck pain can be very debilitating and it's important to know that it will get better. In this guide I will give you a better understanding of why your neck hurts and what you can do about it. Feel free to contact me if you have any further questions or concerns.

5 common causes for Neck Pain

Lower Back Pain

The first step is to find out what type of neck pain you are suffering from so that you can take appropriate action.

Here are some of the most common causes for neck pain:

  1. Muscle or ligament strain
  2. Facett Joint Dysfunction
  3. Herniated Disc
  4. Trapped Nerve
  5. Arthritis

Muscle, ligament strain

Pain coming from muscle and ligament strain can be very strong and is often eased of by small amounts of movement but irritated by longer periods of movement. A normal daily pattern is that is is very sore in the morning when you wake up, then it eases of when you start to get the circulation going but again gets worse in the afternoon. This can be accompanied by muscle spasm and cramping and the onset can be sharp, macro trauma, for example if you lift something. Or it can have a slower progression, with pain increasing over time, aggravated by for example an activity like walking, standing or sitting in front of a computer for long period of times. Normal recovery time is 4 - 12 weeks but most often recovery time can be much faster with Shockwave-therapy and Osteopathic treatment.

Facett Joint Dysfunction

Pain caused by irritation of the facet joints is different then muscular pain in that immediately  gets agitated by movement. As soon as you start moving the joint it hurts. It does not radiate pain down the arms in the way that you would expect if a neve was involved. The pain is sharp and mainly local. I left untreated it can start effect the surrounding nerve endings also and pain can start radiating down the shoulder and arms.

Herniated Disc

When a disc ruptures and starts to press on the surrounding nerves most often you get sharp pain shooting down either  one or both arms. The pain differs from muscular pain in that it is usually more specific and also projects pain all the way down to the fingers. Muscular pain projection is most often less specific and more located around a central point. Since the pain is coming from the nerve being compressed there is less alteration in the pain pattern. And the daily pattern is pretty constant in terms of pain levels. Recovery time can be up from 12 weeks up to a year and can sometimes require surgery.

Thoracic Outlet Syndrome (TOS)

TOS is a common cause of nerve pain that is caused by by tight muscles in the shoulder and neck that cause compression of the nerves of the arm. Sometimes debilitating pain and  even loss of strength and coordination. This can be treated with Massage, Osteopathic Manual Treatment, Shockwave Therapy and a personalized exercise program


Arthritis is caused by wear and tear of the joints of the neck and can cause agitating pain and irritation in the area. While there is not much to do about the damaged joint cartilage there is a lot you can do to alleviate the pain. In my own clinical experience as long as the arthritis or joint damage is not very severe causing major changes in range of motion you have a good chance of relieving much of the pain through treating the muscles and joints around the affected joint. Most often all of the pain are not coming from the damaged cartilage but also from the surrounding muscles and ligaments.

Neck Pain can be very debilitating but usually resolves within 2 - 6 weeks with the help of Osteopathic treatment, Shockwave-Therapy and rehab exercises.

5 Exercises That Will Help Relieve Your Neck Pain Today

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Treatment For Neck pain

I treat Osteopathy accord

Osteopahy and Extracorporeal shockwave Therapy (ESWT)

The foundation of Osteopathy is an in depth knowledge and understanding of our body's anatomy and physiology. The Osteopathic physician focuses on joints, muscles and the spine. While the Shockwave therapy offers a more focused treatment of a specific muscle or ligament, Osteopathy offers a broader treatment, addressing the body as a whole. This is why the two treatment models complement each other so well. Shockwave therapy deals with the inflammation of the tendon or muscle while Osteopathy treats the range of motion in the joint, the tension in surrounding muscles and general movement restrictions in the spine and neck.

Rehabilitative Pilates

Pilates is incorporated into our treatment model because it is safe, effective and immediately gratifying. It rebuilds strength at the same time as it gives you a new perception of your own body, more control of how you move and increased vitality. Integrating rehabilitative pilates into your active lifestyle is highly recommended as an excellent modality for overall maintenance and prevention of future injury.​Lee HT, Oh HO, Han HS, Jin KY, Roh HL. Effect of mat pilates exercise on postural alignment and body composition of middle-aged women. J Phys Ther Sci. 2016;28(6):1691-5.

Normal Progression

Normally you feel a significant improvement after 4 - 6 treatments. As the muscles start to relax and the range of motion is restored life goes back to normal again. The osteopathic treatment and shockwave therapy opens up an opportunity to move in a new way. With Rehab Exercises and Pilates we seize that opportunity and build you stronger.

The 3 step Move Easy Method follows a logical progression where Osteopathic Diagnosis and Treatment is followed by Shockwave Therapy and Rehab training.