Call911or other emergency services immediately if you have been injured and you have:

• A severe neck injury, such as an injury caused by a:
  • Serious car accident.
  • Fall from a height of 15ft or more.
  • Major sports-related injury.
  • Very forceful blow to the head or neck.
  • High-energy strike on top of the head.
  • Penetrating injury, such as a stab or gunshot wound.

• Signs of a spinal cord injury, such as:
  • Weakness or inability to move the arms or legs.
  • Continuous numbness of one or both arms or legs.
  • Loss of bowel or bladder control.

• Neck pain that occurs with chest pain and other symptoms of a heart attack. These include:
  • Chest pain that is crushing or squeezing or feels like a heavy weight on the chest.
  • Chest pain that occurs with:
    • Sweating, shortness of breath, nausea, or vomiting.
    • Pain that spreads from the chest to the back, neck, or jaw, or one or both shoulders or arms.
    • Dizziness or lightheadedness.
    • A fast or irregular pulse.

Call your doctor immediately if you have:

• A stiff neck and/or severe headache, fever, vomiting, confusion, and/or difficulty staying awake or alert.
• Neck pain and severe arm pain.
• Neck pain and suddenly developing numbness, tingling, or weakness in one or both of your arms.
• Severe neck pain following an injury.
• Severe neck pain with no known cause.
• A new weakness in your arms and legs.
• A new loss of bladder or bowel control.

Call your doctor today if you have:

• Severe restriction of neck movements.
• Neck pain or stiffness after starting a new medicine.
• Constant numbness or tingling in one arm or hand.
• Constant weakness in one arm.
• Moderate pain following an injury.
• Arm weakness, numbness, or tingling that has become worse since you were evaluated by your doctor.
• Ongoing (chronic) pain that is getting worse.

Watchful Waiting

Watchful waiting is a period of time during which you and your doctor observe your symptoms or condition without using medical treatment. Most neck pain does not require medical care. In general, pain relief and neck movement should improve after a couple of days of home treatment that includes:

• Limiting activities that increase neck pain.
• Taking nonprescription pain relievers and using ice to reduce pain.
• Doing gentle exercises to keep the neck flexible.

If you have severe neck pain that has not gone away after 1 or 2 days and you are not able to do your normal daily activities, call your doctor.

Who To See

Health professionals who can evaluate and treat neck pain include:

• Emergency medicine doctors.
• Primary care providers. This includes:
  • Internists.
  • Family medicine doctors.
  • Nurse practitioners.
  • Physician assistants.

If your neck pain is severe or long-lasting, health professionals who can treat you include:

• Physical therapists.
• Orthopedists.
• Rheumatologists.
• Neurologists.
• Osteopathic doctors.
• Physiatrists.

Alternative health professionals who can provide care include:

• Acupuncturists.
• Certified massage therapists.
• Chiropractors.

To prepare for your appointment, see the topic Making the Most of Your Appointment.