Neck Pain and Shoulder Pain - WebMD (2024)

Neck and shoulder pain can be classified in many different ways. Some people experience only neck pain or only shoulder pain, while others experience pain in both areas.

What Causes Neck Pain?

Causes of neck pain include:

  • Abnormalities in the bone or joints
  • Trauma
  • Poor posture
  • Degenerative diseases
  • Tumors
  • Muscle strain

What Causes Shoulder Pain?

The shoulder is a ball and socket joint with a large range of movement. Such a mobile joint tends to be more susceptible to injury. Shoulder pain can stem from one or more of the following causes:

  • Strains from overexertion
  • Tendonitis from overuse
  • Shoulder joint instability
  • Dislocation
  • Collar or upper arm bone fractures
  • Frozen shoulder
  • Pinched nerves (also called radiculopathy)

How Are Neck and Shoulder Pain Diagnosed?

  • X-rays: Plain X-rays can reveal narrowing of the space between two spinal bones, arthritis-like diseases, tumors, slipped discs, narrowing of the spinal canal, fractures and instability of the spinal column.
  • MRI: Magnetic resonance imaging is a noninvasive procedure that can reveal the detail of neural (nerve-related) elements, as well as problems with the tendons and ligaments.
  • Myelography/CT scanning: This is sometimes used as an alternative to MRI.
  • Electrodiagnostic studies: Electromyography (EMG) and nerve conduction velocity (NCV) are sometimes used to diagnose neck and shoulder pain, arm pain, numbness and tingling.

How Are Neck and Shoulder Pain Treated?

The treatment of soft tissue neck and shoulder pain often includes the use of anti-inflammatory medication such as ibuprofen (Advil or Motrin) or naproxen (Aleve or Naprosyn). Pain relievers such as acetaminophen (Tylenol) may also be recommended. Depending on the source of pain, drugs like muscle relaxers and even antidepressants might be helpful. Pain also may be treated with a local application of moist heat or ice. Local corticosteroid injections are often helpful for arthritis of the shoulder. For both neck and shoulder pain movement, exercises may help. For cases in which nerve roots or the spinal cord are involved, surgical procedures may be necessary. Your doctor can tell you which is the best course of treatment for you.

Neck Pain and Shoulder Pain - WebMD (2024)

FAQs

What causes neck and shoulder pain at the same time? ›

A pinched nerve in your neck can cause pain that radiates toward your shoulder. This is also known as cervical radiculopathy. Cervical radiculopathy most often comes from changes in your spine due to aging or injury. Bone spurs can cause a pinching of the nerves that run through the hollow space in the vertebrae.

How do I get instant relief from neck and shoulder pain? ›

First, ease the early intense pain with rest, ice, and heat; then move on to gentle stretching and strengthening exercises. Later, avoid bad posture and other habits that could trigger another neck pain crisis. The causes of routine strain-and-sprain neck pain vary.

What is the best painkiller for neck and shoulder pain? ›

Nonsteroidal anti-inflammatory medications (NSAIDs) like ibuprofen help reduce inflammation and decrease discomfort. Acetaminophen and naproxen are other over-the-counter medicines that can effectively relieve the pain of a stiff neck.

How do I know if my neck and shoulder pain is serious? ›

You may want to see a doctor if your symptoms linger for longer than a week of self care, or if you have numbness, tingling, or weakness in your arm or hand, or if your pain was caused by a fall, blow, or injury.

What are the red flags for neck and shoulder pain? ›

Seek immediate medical care if neck pain is associated with the following symptoms: Severe pain. Tingling, numbness or weakness in arm, shoulder or hands. Radiating pain.

What is the treatment for neck and shoulder pain? ›

medication, such as acetaminophen, nonsteroidal anti-inflammatory drugs, or muscle relaxants. wearing a soft cervical collar. ice, heat, and other local therapies. steroid-based injections, such as a cervical epidural block, cervical facet joint block, or medial branch block.

What drink helps neck pain? ›

Keeping hydrated can help decrease general neck pain and even the severity and frequency of tension headaches. Drinking water helps in regulating blood pressure, which can help with those “throbbing” headaches. Try to drink 2.5-3 liters of water daily, not soda or other liquids, for best results.

How should I sleep with neck and shoulder pain? ›

Sleeping on your side or back can help you keep the stress off your neck and manage pain. You should avoid sleeping on your stomach if possible. Sleeping on your stomach puts your neck at an awkward angle that may make your pain worse.

What gel is good for neck and shoulder pain? ›

You can try Voltarol gels for neck pain caused by sprains, strains, and bruises of your muscles, ligaments, tendons and joints. The powerful anti-inflammatory ingredient in Voltarol Gel and Plaster relieves pain and reduces inflammation, helping to speed up natural healing. So you can get back to enjoying moving again!

Is walking good for neck and shoulder pain? ›

Sitting and spending many hours in front of a computer are significant contributors to neck and shoulder pain. “Even just getting out of that position – walking, swimming, cycling or anything that gets you moving – can be enough to relieve the pain,” Sterling says.

What is the best exercise for neck and shoulder pain? ›

Stand or sit erect with cnin tucked in close to chest. Turn head slowly to right, trying to bring your chin over your right shoulder Hold for three seconds; rotate head back to center position. Pause. Repeat in opposite direction.

What is the first aid treatment for neck and shoulder pain? ›

Alternate heat and cold.

Reduce inflammation by applying cold, such as an ice pack or ice wrapped in a towel, for up to 15 minutes several times a day during the first 48 hours. After that, use heat. Try taking a warm shower or using a heating pad on the low setting.

What organs can cause neck and shoulder pain? ›

Issues involving your heart, lungs, abdominal organs, and spinal cord can all cause shoulder pain and sometimes neck pain. Take your symptoms seriously and see your healthcare provider as soon as you can after neck or shoulder pain starts.

What does it mean when you have pain between your shoulder and neck? ›

Sometimes it's caused by a pulled muscle or an injury, such as a shoulder separation. But it can also be a sign of something more serious, like heart disease or cancer. If you're feeling this type of pain, particularly if it's worsening or persistent, see your healthcare provider.

Should I go to the doctor for neck and shoulder pain? ›

Schedule an office visit

Call your doctor if you have neck pain that: Worsens in spite of self-care. Persists after several weeks of self-care. Radiates down your arms or legs.

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