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Johns Hopkins Health Alert

Exercise Tips To Relieve Neck Pain

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This Health Alert is intended for readers interested in learning about the prevention, diagnosis and management of back pain.

A new study from Finland shows that endurance and resistance exercises can help soothe chronic neck pain.

Treatments for chronic neck pain include medication, spinal manipulation, improvements in posture and ergonomics and relaxation techniques. Now a study from Finland shows that neck endurance and resistance exercises are also effective options for neck pain.

In the study, researchers randomly assigned 180 women with chronic neck pain (25 to 53 years old) to endurance training, resistance training or a control group. Participants in the endurance- and resistance-training groups were assigned to five 45-minute sessions a week. Endurance training consisted of neck exercises such as repeatedly lifting the head while lying face up and then face down. Resistance training involved wrapping a specialized elastic band (such as the Thera-Band, available from a physical therapist or a sporting goods store) around the head while bending the neck forward, backward, to the left and to the right. Both groups also used free weights to strengthen the shoulders and arms and regularly engaged in aerobic exercise. The control group performed aerobic exercises only.

After one year, all groups had less neck pain and disability, but the greatest improvements in neck pain were seen in the endurance- and resistance-training groups. These two groups were also taking less pain medication than the control group. Benefits in the endurance- and resistance-training groups were seen even in those who attended only two sessions per week. Whether these results would also apply to men is uncertain, the study’s authors note.

If you have chronic neck pain and are interested in endurance and resistance training, you may want make an appointment with a physical therapist who can design and teach you an individualized exercise program. Once you are able to perform the neck exercises independently, you can continue on your own without a physical therapist.

Posted in Back Pain on December 22, 2006
Reviewed June 2011


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Health Alerts registered users may post comments and share experiences here at their own discretion. We regret that questions on individual health concerns to the Johns Hopkins editors cannot be answered in this space.

The views expressed here do not constitute medical advice, and do not represent the position of Johns Hopkins Medicine or Remedy Health Media, LLC, which has no responsibility for any comments posted on this site.


For the longest time (years), I had a developing problem with my neck cracking. It got to the point that I could initiate the cracking by smapping my head in just the right way. My wife could hear the crack when it occurred. It concerned me as the cracking became more frequent, and stiffness developed in the neck. Physical therapy of the sort described on this web site provided little help.

The symptoms described above disappeared when I began to swim (forestroke and backstroke) on a regular basis (three times a week). Immediate improvement was observed, but it took about a month for all the symptoms to completely disappear.

Posted by: Cracking Neck | March 8, 2007 7:20 PM

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