Back and Neck Pain
What is back and neck pain?
Back pain can range from a mild,
dull, annoying ache, to persistent, severe, disabling pain. Pain in your back can limit
your ability to move. It can interfere with normal functioning and quality of life.
Always talk with your healthcare provider if you have persistent pain.
Neck pain occurs in the area of the
cervical vertebrae in your neck. Because of its location and range of motion, your neck
is often left unprotected and at risk for injury.
Pain in your back or neck area can
come on suddenly and intensely. Chronic pain lasts for weeks, months, or even years. The
pain can be constant or come and go.
What causes back and neck pain?
Even with today's technology, the
exact cause of back and neck pain is hard to find. In most cases, back and neck pain may
have many different causes. They include:
- Overuse, strenuous activity, or improper use, such as repetitive or heavy lifting
- Trauma, injury, or fractures
- Breakdown of vertebrae, often caused
by stresses on the muscles and ligaments that support your spine, or the effects of
- Abnormal growth, such as a tumor or bone spur
- Obesity. This put extra weight on your
spine, and pressure on your disks.
- Poor muscle tone
- Muscle tension or spasm
- Sprain or strain
- Ligament or muscle tears
- Joint problems, such as arthritis
- Slipped disk (protruding or herniated
disk) and pinched nerve
- Osteoporosis and compression fractures
- Problems of your vertebrae and bones
that you were born with (congenital)
- Abdominal problems, such as an aortic aneurysm
What are the symptoms of back and neck pain?
Symptoms linked to back pain may
- Dull, burning, or sharp pain in your
back. The pain can be limited to a single spot or cover a large area.
- Leg numbness or tingling above or below your knee
- Stiffness or aching that occurs
anywhere along your spine from your neck to your tailbone
- Sharp, shooting pain that spreads from your low back to your buttocks, down the back of your thigh, and into your calf and toes
- Consistent ache in the middle or lower
part of your back, especially after standing or sitting for a long period
Loss of bladder and bowel control,
with weakness in both legs, are symptoms of a serious condition that needs medical
attention right away.
Symptoms linked to neck pain can
- Arm numbness or tingling
- Shoulder pain
- Sharp shooting pain or a dull ache in your neck
Pain that occurs suddenly in your
back or neck from an injury ia acute pain. Acute pain comes on quickly and may leave
sooner than chronic back or neck pain. This type of pain should not last more than 6
Pain that may come on quickly or
slowly and lingers for 3 months or greater is chronic pain. Chronic pain is less common
than acute pain.
How are back and neck pain diagnosed?
Your healthcare provider will ask
about your health history and do a physical exam. He or she may also do X-rays of the
affected areas, as well as an MRI. This allows a more complete view. The MRI also makes
pictures of soft tissues such as ligaments, tendons, and blood vessels. The MRI can help
spot infection, tumor, inflammation, or pressure on your nerve. Sometimes a blood test
may help diagnose arthritis, a condition that can cause back and neck pain.
How are back and neck pain treated?
In many cases, acute back or neck
pain may simply improve with some rest. Over-the-counter medicines such as acetaminophen
or ibuprofen may also help with the discomfort. Try to move gently during this period,
so that you won't become stiff and lose mobility.
If you have chronic pain of your
back and neck, try several remedies before considering surgery. These include:
- Hot or cold packs as advised by your
- Certain exercises to strengthen
muscles and ease pain, such as stretching and flexing. Your healthcare provider can
show you these exercises. Physical therapy can also help you find the correct
- Aerobic exercise may help with your
overall fitness and strength
- Certain anti-inflammatory medicines or
muscle relaxants may be used, as advised by your provider
- Braces or corsets for extra support
- Shots (injections) for pain relief in
- Nerve block. This eases pain signals
from the affected nerve.
- Osteopathic manipulation
How are back and neck pain managed?
Acute back pain usually gets better
without special treatment. Using acetaminophen or ibuprofen will decrease pain and help
you rest. Surgery and special exercises are generally not used with acute pain.
For severe, disabling, or chronic
back and neck pain, rehabilitation programs can be designed to meet your needs. The type
of program will depend on the type and severity of your pain, injury, or disease. Your
active involvement is key to the success of rehab programs.
The goal of back and neck rehab is
to help you manage disabling pain,. It's also important to return you to your highest
level of functioning and independence, and improve your quality of life. The focus of
rehab is on easing pain and improving movement.
To help reach these goals, back and
neck rehab programs may include:
- Exercise programs to improve range of motion, increase muscle strength, improve flexibility and mobility, and increase endurance
- Help with assistive devices that keep
- Education and counseling
- Pain management methods
- Help to quit smoking
- Gait (walking) and movement retraining
- Stress management
- Nutritional counseling
- Ergonomic assessments and work-related injury prevention programs
- Job counseling
What are possible complications of neck and back pain?
Complications of back and neck pain may include:
- Loss of productivity. Back pain is the most common
reason for disability in working adults.
- Nerve damage. If your back pain is from a herniated
disk, pressure on the spinal nerves may cause a variety of problems, such as
weakness, numbness, or severe shooting pain that travels from the back to the
- Depression. Back or neck pain can disrupt all
aspects of life. This includes work, physical exercise, social activities, and sleep.
The anxiety and stress caused by the change in movement and pain can lead to
- Weight gain. Loss of movement and inability to
exercise can lead to weight gain and the loss of muscle strength.
It is a good idea to see a
healthcare provider if you have numbness or tingling, or if your pain is severe and does
not get better with medicine and rest. If you have trouble urinating, have weakness,
pain, or numbness in your legs, fever, or unintentional weight loss, call your
healthcare provider right away.
Can I prevent neck and back pain?
The following may help to prevent back and neck pain:
- Practice correct lifting techniques.
Don't lift heavy items. When you do lift something, bend your legs, keep your back
straight, and then slowly lift your body and the object.
- Wear a seat belt in motor vehicles in case of a collision.
- Use telephones, computers, and other
- Maintain correct posture while
sitting, standing, and sleeping.
- Exercise regularly. Learn
back-strengthening exercises to keep your back muscles strong. Warm up with
stretching exercises before doing back exercises.
- Do exercises that improve your
- Don't smoke.
- Stay at a healthy weight
- Reduce emotional stress that may cause
- Get enough vitamin D and calcium in
When should I call my healthcare provider?
See your healthcare provider if you have:
- Loss of bladder or bowel control, with
weakness in either leg. These symptoms attention right away.
- Severe back or neck pain that does not decrease with medicine and rest
- Pain after an injury or a fall
- Weakness, numbness, or tingling in your legs or arms
- Fever of 100.4°F (38°C) or higher, or as advised by your healthcare provider
- Unintentional weight loss
Key points about back and neck pain
- Back and neck problems range from minor aches to severe, disabling pain
- Often, the reason for your pain can't
- See a healthcare provider if you have
numbness or tingling, severe pain that does not improve with medicine and rest,
trouble urinating, weakness, pain, or numbness in your legs, fever, unintentional
weight loss, or pain after a fall.
- Often, back and neck pain will improve
over time. See your healthcare provider if your pain is not decreasing.
- Use prevention strategies to keep yourself healthy and injury-free.
- For severe, disabling, or chronic back pain, consider an individualized rehabilitation program.
Tips to help you get the most from a visit to your healthcare provider:
- Know the reason for your visit and what you want to happen.
- Before your visit, write down questions you want answered.
- Bring someone with you to help you ask questions and remember what your provider tells you.
- At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your provider gives you.
- Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
- Ask if your condition can be treated in other ways.
- Know why a test or procedure is recommended and what the results could mean.
- Know what to expect if you do not take the medicine or have the test or procedure.
- If you have a follow-up appointment, write down the date, time, and purpose for that visit.
- Know how you can contact your provider if you have questions.
Online Medical Reviewer:
Anne Fetterman RN BSN
Online Medical Reviewer:
Joseph Campellone MD
Online Medical Reviewer:
Raymond Kent Turley BSN MSN RN
Date Last Reviewed:
© 2000-2018 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.