Remedial Massage can be very effective for reducing muscle spasm and improving pain free range of motion associated with many neck pain presentations. Neck pain massage can also reduce tension headache, cervicogenic and even nerve pain that refers into the arms. A qualified Remedial Massage Therapist will perform screening tests to understand where neck pain originates and how best to create lasting relief.

Unqualified massage therapists or under qualified massage therapists work in abundance in Australia and can unintentionally cause a range of injuries to the neck. It is not advisable to choose your massage therapists because they are cheap and next door to the place you buy groceries.

A qualified Remedial Massage Therapist or Myotherapist are experts at assessing and treating neck pain. A qualified therapist understands how and when you should and shouldn’t massage the neck. The main condition to be aware of is acute whiplash. After a severe whiplash there can be damage to soft tissue structures such as ligament, nerves and blood vessels. A qualified remedial massage therapist or Myotherapist will perform safety screening and determine if it is appropriate to work on your neck after whiplash injury.

A qualified remedial massage therapist is unlikely to cause damage to your neck as they are trained to interview you and determine the nature of your discomfort, interpret the pain presentation you describe and locate the drivers of pain and treat them. Unqualified and under qualified therapists work in every major shopping precinct in Australia and should not be your first choice if you have neck pain, especially if you have been in a car accident or impact related situation.

Unqualified massage therapists or underqualified massage therapists work in abundance in Australia and can cause a range of injuries to the neck. It is not advisable to choose your massage therapists because they are cheap and next door to the place you buy groceries.

Remedial Massage can be very effective for reducing muscle spasm and improving pain free range of motion associated with many neck pain presentations. Neck pain massage can also reduce tension headache, cervicogenic and even nerve pain that refers into the arms.

The international classification of headache disorders 3rd edition describes professional massage as having strong evidence in the management tension type headaches and moderate evidence to support massage in the management of cervicogenic headaches and migraines.

Neck pain can be a symptom of several serious conditions. If you are concerned about sudden onset or chronic neck pain it is important that you consult with your medical professional.

It is extremely unlikely that neck pain will refer into the chest. It is more likely that neck pain refers into the arm.

Neck pain frequently causes headaches and vestibular migraine. Muscular tightness at the sub occipitals can compress the occipital nerve which may cause vertigo and pain behind the eyebrow. Vertebral irritation in the neck may cause vertigo, headaches and migraines. The vertebral segment most likely to cause these types of symptoms is c2/3 and c3/4.

Many headache types are a result of sensory information from the neck or muscular tension. The international classification of headache disorders 3rd edition describes tension headaches, cervicogenic headache and migraine with and without auras as having a relationship with the upper cervical region (predominantly the C3 vertebra).

Absolutely yes. Many headache types are a result of sensory information from the neck or muscular tension. The international classification of headache disorders 3rd edition describes tension headaches, cervicogenic headache and migraine with and without auras as having a relationship with the upper cervical region.

It is theoretically possible for vertebral irritation in the neck to create nausea. The most likely scenario for this is neck pain causing a headache or pre migraine state. The vertebral segment most likely to cause these types of symptoms is c2/3 and c3/4.

It is theoretically possible for vertebral irritation in the neck to caise vertigo. The most likely scenario for this is neck pain causing a headache or vestibular migraine. The vertebral segment most likely to cause these types of symptoms is c2/3 and c3/4.

Fixing neck pain is best achieved using several methods. Strengthening the upper back and deep neck flexors is commonly the most important and long-term solution for most forms of common neck pain. Reducing muscle tension via self-massage or getting professional remedial massage. Being conscious of posture – not staying in one position for hours at a time. Adjusting monitors to eye height and using external keyboards on laptops.

If professional massage is not available, using a tennis ball or triggerpoint tool to apply direct pressure to the irritable area is common. Firstly, you lay on your back, position the ball directly underneath the painful area and apply a firm, but not damaging amount of pressure to the area. Holding each point for 30-60 seconds is the most appropriate time to not cause bruising.

There are several different types of headaches that can be attributed to neck pain. The most common type is called a tension type headache and is literally the pain pattern of tight angry muscles such as the upper trapezius or the sub occipital muscles. These tight muscles can themselves refer pain to the side of the head, behind the eyes or to the base of the skull. Another type of headache originates in the neck joints called cervicogenic headache. These types of headache occur because of some insult the neck has sustained such as falling off a bike or playground equipment, whiplash or other collision type injury. These events can occur years before your symptoms become chronic.

Neck pain can cause headaches through issues with vertebrae, muscles, or nerves. Cervicogenic headaches stem from neck injuries or joint problems, often on one side of the head, worsened by movement or poor posture. Tension-type headaches (TTH) feel like a tight band and are caused by muscle tension, stress, or posture. Migraines may be triggered by irritated neck muscles sending signals to the brainstem. Neck problems like muscle spasms, osteoarthritis, nerve compression, and whiplash can also lead to headaches. Massage therapy is effective for both cervicogenic and tension headaches, offering relief by relaxing tight muscles and reducing pain.

Neck pain can have multiple causes, often occurring together. Muscle issues like weakness or tightness (e.g., trapezius or sub-occipitals) can cause head, eye, or skull pain. Injuries and joint problems—such as whiplash, bulging discs, or past trauma—may lead to lasting pain, headaches, or dizziness. Nerve compression in the neck can cause pain or numbness in the neck, arms, or fingers. Poor posture, bad ergonomics, or stress can also strain muscles. Health conditions like arthritis and migraines are linked to chronic neck pain. Persistent pain may signal a serious issue, so professional evaluation is important.

Fixing neck pain is best achieved using several methods. Strengthening the upper back and deep neck flexors is the most important and long-term solution. Reducing muscle tension via self-massage or getting professional remedial massage. Being conscious of posture – not staying in one position for hours at a time. Adjusting monitors to eye height and using external keyboards on laptops.

The best way to quickly reduce neck pain is to see a qualified professional. However, if professional massage or osteopathy is unavailable, using a tennis ball or triggerpoint ball to apply direct pressure to the irritable area is a common home remedy. Firstly, you lay on your back, position the ball directly underneath the painful area and apply a firm, but not damaging amount of pressure to the area. Holding each point for 30-60 seconds is the most appropriate time to not cause bruising.

Yes — if done by a qualified professional, massage can ease neck pain and help you move better.

Massage therapy offers key benefits for neck issues. It relieves muscle tension, especially at the skull base and shoulders, and restores pain-free movement. It helps with tension headaches, cervicogenic headaches, and some migraines. Massage can also reduce nerve pain (e.g., arm tingling from compressed nerves) and ease shoulder pain linked to neck problems.
Important tips: Always see a qualified therapist, especially after injuries. Massage is most effective when combined with exercise, joint therapy, and posture correction. Self-massage with a tennis ball can help temporarily. Seek medical advice if pain is severe, sudden, or persistent.

Yes — many headaches begin in the neck due to joint issues or tight muscles. The International Classification of Headache Disorders (ICHD-3) recognizes several neck-related types.

1. Tension-Type Headaches (TTH):
Linked to muscle overload, poor posture, or stress. Pain often spreads to the head, eyes, or skull base. Massage is strongly supported for relief.

2. Cervicogenic Headaches:
Start in neck joints, often after past injuries. Pain is usually one-sided and worsened by certain movements. Massage offers moderate benefit.

3. Migraines:
Neck pain (often near C3) can trigger or worsen migraines. There’s a two-way link. Massage may help manage muscular drivers.

4. Other Headaches:
Neck issues can cause vertigo, eyebrow pain, or nausea.

Remedial massage, targeted strengthening and joint mobility have been shown to increase quality of life with chronic and acute headaches

Most neck pain is minor and improves with time or treatment. However, some symptoms may point to more serious problems and need prompt medical attention.

Watch for these red flags:

• Neurological symptoms: Double vision, fainting, trouble speaking or swallowing, facial numbness, tingling on both sides, nausea, difficulty walking, or uncontrolled eye movements—especially following whiplash.
• Infections or systemic illness: Fever, night sweats, or a stiff neck could indicate an infection like meningitis. Autoimmune conditions such as rheumatoid arthritis or ankylosing spondylitis can also lead to chronic neck pain.
• Blood vessel issues: A torn artery (dissection) is a medical emergency. Risk factors include trauma, high blood pressure, or smoking. Warning signs include dizziness, headache, blurred vision, tingling, or confusion.
• Heart-related symptoms: Neck pain triggered by activity but relieved with rest may be a sign of angina.
• Unrelenting or intense pain: Pain that doesn’t improve or comes with nausea, vomiting, or sleep problems should be checked.

Always seek medical advice if symptoms seem unusual.

The most common type of neck pain is non-specific or mechanical, meaning it has no single medical cause and often develops gradually due to multiple factors, including poor posture (e.g., sitting hunched for long periods) and muscle overuse.

Main cause:

• Muscle strain from overuse or postural stress

Common symptoms:

• Aching muscles, spasms, headaches
• Facet joint or bone pain
• Nerve pain, tingling, or referred pain

Prevalence:

• Affects around 48.5% of people in their lifetime
• Often recurring and may become long-term

Yes, it’s possible to feel neck pain after a massage. Here’s why:

• Post Massage recovery: Deep tissue work uses firm pressure on tight or sore areas, which can cause discomfort during the session and for upto 48 hours after. This sensation helps the brain relax the muscles and release feel-good chemicals.
• Soreness After Treatment: It’s best to rest the treated area for 24–48 hours. Using the muscles too soon can cause spasms and undo the benefits. Warm showers and magnesium sprays can help relax muscles and improve blood flow.
• Value of Qualified Professionals: Remedial Massage Therapists and Myotherapists know how to treat neck pain safely. They can tell when massage is safe—such as avoiding neck work in cases like acute whiplash—and perform tests to check for injuries. Poorly trained therapists can injure the neck. Don’t choose a massage therapist just for price or proximity to your grocery store.

Yes, neck pain can be linked to dizziness. Here’s how:

• Common Link: Neck pain often comes with headaches or vestibular migraines. Tight muscles at the base of the skull can press on the occipital nerve, causing vertigo and pain behind the eye.
• Spinal Irritation: Problems in the upper neck joints (C2/3 and C3/4) can lead to vertigo, headaches, and migraines.
• Cervicogenic Dizziness: About 30% of people with neck pain—especially after whiplash—feel dizzy, lightheaded, or unsteady.
• Sensory Motor Issues: Dizziness in neck pain patients is often caused by balance and movement control problems, not artery issues. However, vertebral artery problems can still happen, especially in older people with other health conditions.
• Testing for Balance Problems: After whiplash, balance testing is routine. For other types of neck pain, it’s done in about a third of patients with dizziness or unsteadiness. These balance issues are more common than many expect.
• Serious “Red Flag” Symptoms: Dizziness triggered by neck movement can signal a rare but serious condition—Congenital Basilar Impression/Invagination—where a bone in the neck pushes into the skull opening.

Yes, neck pain is often linked to headaches felt around the neck, back of the head, or skull base.

Types of headaches related to neck pain:

• Cervicogenic: Caused by neck issues, usually one-sided, worsened by movement, often after injury like whiplash.
• Tension-Type (TTH): From tight neck and shoulder muscles; pain spreads to head sides, eyes, or skull base.
• Migraines: Neck pain occurs before, during, or after attacks and can worsen frequency and severity.

Why neck pain causes headaches:
Tight muscles press nerves, joint irritation, altered muscle control, abnormal nerve signals, and injury like whiplash.

Treatments like Remedial Massage or Myotherapy can help by reducing muscle spasm, improving movement, and retraining muscle control.

Yes, neck pain and migraines are closely linked. The International Classification of Headache Disorders recognizes migraines’ connection to the upper neck. Cervicogenic headaches arise from neck issues, often worsening with movement, and neck pain can occur before, during, or after migraines.
There’s a two-way relationship: migraines can cause neck muscle problems, and ongoing neck issues can increase migraine frequency by sensitizing pain pathways. Tight muscles, nerve signals, joint irritation (especially at C2/3 and C3/4), and muscle control changes contribute to headaches and migraines.
Neck pain worsens migraine disability and reduces medication effectiveness. Most migraine sufferers report neck pain and neck/spine stiffness, particularly at C1/2.
Treatment includes massage, myotherapy (including dry and electro-needling), and exercise to relax muscles, reduce nerve irritation, and strengthen neck and upper back. Multimodal care with physiotherapy and stress management (e.g., CBT, yoga) often yields the best results.

Neck pain and nausea are often connected, usually indicating issues in the upper spine (C2/3 and C3/4) affecting nerves or brain-body communication. Nausea often occurs when neck pain triggers headaches or migraines. Types of headaches linked to neck problems include tension, cervicogenic, and migraines, which often cause nausea, light sensitivity, and vision issues.

Neck conditions causing nausea include:

• Cervical vertigo (dizziness and balance problems from nerve or vessel irritation)
• Cervical instability (excessive neck movement affecting digestion and the vagus nerve)
• Whiplash (neck injury causing headaches and nausea)
• Sprains/strains (muscle or ligament damage increasing spine pressure)
• Arthritis (joint wear causing stiffness and nerve irritation)
• Wry neck (muscle tightness or locked joints triggering headaches and nausea).

Serious Warning Signs (Red Flags)

Nausea combined with dizziness, double vision, or speech problems

• Meningitis, a serious extremely painful infection that causes neck stiffness, fever, and nausea
• Numbness, weakness, or tingling in your arms or legs
• Trouble swallowing or breathing

Yes, neck pain and vertigo (a feeling like the room is spinning) can be connected. There are a few different reasons why this might happen, depending on what’s going on in your neck and nervous system.

Here’s how they can be linked:

1. Cervical Vertigo

This is a specific condition where neck problems cause dizziness, along with possible nausea, vision problems, or feeling unsteady.

• It happens when nerves or blood vessels in the neck are irritated or squeezed.
• This can affect your inner ear, which helps with balance.
• Things like inflammation, neck injuries, or joint problems can trigger it.
• Issues in the C2/3 and C3/4 areas of the spine might also be involved, sometimes by triggering headaches or a type of migraine that causes vertigo.

2. Whiplash Injuries (WAD)

• Whiplash, often caused by car accidents, can lead to neck pain and problems with movement and coordination.
• People with whiplash often feel dizzy or unsteady, and physical therapists usually test balance and coordination in these cases.

3. Headaches and Migraines

• Neck pain can lead to headaches, including vestibular migraines — a type that causes vertigo.
• Many types of migraines are linked to the upper neck (especially around the C3 vertebra).
• Migraines often come with dizziness and nausea, which helps explain the connection.
• Tight neck muscles, especially near the base of the skull (suboccipital muscles), can press on a nerve (called the occipital nerve), which might lead to vertigo.

4. Balance and Movement Problems

• Neck pain can mess with your balance.

Neck pain often causes pain at the back of the head due to tight muscles, poor posture, or joint issues in the upper spine. Common causes include muscle tension from slouching, phone use, or prolonged sitting, affecting muscles like the upper trapezius and suboccipitals.

Types of headaches linked to neck pain:

• Tension-type headaches from muscle tightness and stress
• Cervicogenic headaches from joint problems (C0–C3) worsened by neck movement
• Migraines triggered by neck stiffness, often with nausea and light sensitivity

Causes include wry neck, arthritis, and whiplash. Treatment involves massage, joint mobilization, exercise, and posture correction to relieve pain and prevent recurrence

Yes, neck pain can cause ear-related symptoms (otalgia) through referred pain involving cervical nerves. Irritation or compression of nerves in the cervical plexus (C1-C4), especially the lesser occipital and greater auricular nerves, can cause pain felt in the ear.

Neck issues contributing to ear pain include cervical instability, muscle tension, and nerve irritation, often accompanied by neck pain, headaches, or numbness.

Cervicogenic headaches, arising from upper cervical joints (C0-C3), can cause muscle spasms and joint pain that trigger headaches, migraines, and sometimes ear pain.

Referred pain means pain is felt in the ear despite originating from neck problems.

Neck pain often contributes to headaches and facial pain.

1. Cervicogenic Headache (CGH):
Caused by neck issues, especially in joints C0–C3. Pain is usually one-sided and worsens with movement or posture. It may appear long after injuries like whiplash or falls. Pressing certain neck areas can reproduce the headache.

2. Tension-Type Headache (TTH):
Feels like pressure or tightness. Triggered by tense neck muscles, poor posture, or stress. Often includes tenderness around the head and neck.

3. Migraines:
Neck pain can activate the trigeminocervical complex, leading to migraines, even with aura. Neck muscles and nerves often play a role.

4. Other Causes:
Muscle strain, arthritis, whiplash, and cervical vertigo can refer pain to the head or cause dizziness. Treating neck issues often relieves headaches.

Issues in the neck often affect the shoulder and can be exacerbated by posture.

1. Referred Muscle Pain:
Neck strain can cause pain in the shoulder, upper back, or between the shoulder blades. Usual suspects include the upper trapezius, sub occipitals, sternocleidomastoid, scalen muscles and the splenii.

2. Nerve Compression (Radiculopathy):
Pinched nerves in the neck, from disc issues or stiff joints, may cause shooting pain down the shoulder and arm, along with tingling, numbness, or weakness. This is known as radiculopathy. The dorsal scapular nerve, which runs from the neck, can create pain in between the shoulders, the brachial plexus can refer to the arm, and armpit when irritated.

3. Poor Posture:
Forward head posture and slouching can restrict shoulder movement and cause pain. Improving posture and strengthening neck muscles can relieve tension and reduce pain.

4. Neck Problems Can Affect Shoulder Injuries (Like Rotator Cuff Pain)

Up to 60% of shoulder pain (like rotator cuff problems) can actually be helped by treating the neck.

Treatment Options

• Remedial Massage Therapists and Myotherapists will use special tests to determine the cause of shoulder and arm referrals.
• Massage, manual therapy, and strengthening exercises (especially around the upper back and shoulder) are often part of the solution.

Yes — neck pain can often lead to pain in your shoulder and arm. This happens because the muscles, nerves, and even your posture are all connected. Here’s how it works:

1. Muscle Pain That Spreads

• Sometimes pain from your neck can “travel” or be felt in your shoulder or arm — even if the problem starts in your neck.
• Muscles in your neck, like the upper trapezius or sternocleidomastoid (don’t worry about the names), can get tight or injured and cause pain to spread into your shoulders.
• A nerve called the dorsal scapular nerve starts in your neck and controls some shoulder and upper back muscles. If this nerve gets irritated, you might feel pain in your upper back, shoulder, or even down your arm.

Approximately 60% of people with shoulder problems actually feel better when their neck is treated instead of the shoulder!

2. Nerve Problems (Called Radiculopathy)

• Nerves that control your arms pass through your neck. If something in the neck — like a slipped disc or bone spurs — presses on a nerve, you can feel pain, tingling, or weakness down your arm and even into your fingers.
• Thoracic Outlet Syndrome (TOS) is a condition where nerves or blood vessels get squeezed between your neck and shoulder. This can feel like arm pain, weakness, or numbness — and can be mistaken for other things like carpal tunnel.

3. Bad Posture

• Sitting hunched over your phone or computer for too long? That can mess with your neck and shoulders.
• A “forward head posture” (where your head sticks out in front of your body) puts stress on your neck and shoulders. This can lead to pain.
• Fixing your posture and strengthening your neck muscles can help stop the pain from coming back.

4. Massage and Hands-On Treatments

• Massage therapy can help relax tight muscles and reduce pain. It can also help with headaches that come from neck tension.
• Techniques like deep tissue massage, trigger point

The most common referral point from the neck and shoulders to the temporal region is from a muscular structure called the upper trapezius.  A common form of headache that originatesin the upper trapezius and refers to the temple is called a tension type headache..

Remedial massage can be very helpful to both identify the cause of neck pain but also to reduce the pain and discomfort.  A qualified remedial massage therapist will determine the cause of the pain using clinical tests, and through determining which positions and situations your pain occurs in.

Here’s how massage can help with neck pain:

• Pain Relief and Reduced Muscle Tension Deep tissue massage techniques specifically target areas of pain, using deep pressure to alleviate tension and stiffness. This process is believed to interrupt the pain cycle between the brain and the muscle, prompting the brain to release “happy” neurochemicals that cause stressed muscles to relax. Remedial massage is particularly effective at reducing muscle spasm.

• Improved Range of Motion and Flexibility Massage can significantly improve pain-free range of motion (ROM) in the neck. Deep pressure helps increase flexibility.

• Addressing Specific Muscles Common muscles involved in neck pain that can be targeted include the upper trapezius, sub occipital muscles, splenius capitus, splenius cervices, and sternocleidomastoid (SCM). Releasing tension in these muscles, along with scalene muscles, is lkely to resolve mist simple neck pain and decrease symptoms from many complex forms.

In many cases, qualified remedial neck massage can be very effective if your neck hurts. Myotherapy and Remedial Massage are designed to identify drivers of pain and treat those areas.  Benefits include:

1. Pain Relief and Muscle Relaxation:
Deep tissue massage uses firm pressure to target painful or tight areas. This can help stop the pain signals between your muscles and your brain. It also causes your spine to release chemicals that make your muscles relax.

2. Better Movement and Flexibility:
Decreasing muscle tone can help your neck move more freely and without pain. The pressure helps loosen tight muscles and improve flexibility.

3. Targeting the Right Muscles:
Trained therapists know which structures to focus on and which ones to avoid based on your presentation. Some of the muscles involved in neck pain include:

• Upper trapezius
• Suboccipitals
• Splenius capitis and cervicis
• Sternocleidomastoid (SCM)

4. Helps with Headaches:
Massage is proven to help with tension headaches (caused by tight neck muscles). There’s also positive evidence around migraines and cervicogenic headaches (headaches that come from the neck).

Some Discomfort Is Normal:
Deep pressure might feel uncomfortable at first, but that’s part of what helps your body release tension. A good therapist will check in to make sure they are working within your tolerances.

1. Pain Relief and Muscle Relaxation

Deep tissue massage applies strong pressure to areas that are sore or tight. This can interrupt pain signals traveling between your muscles and brain. It also triggers the release of natural chemicals in the brain that help muscles relax. This technique is especially helpful for people dealing with muscle spasms, tension, or long-term muscle pain.

2. Improved Mobility and Flexibility

Massage therapy can increase your ability to move your neck without discomfort. The pressure used during the massage helps loosen stiff muscles and boosts flexibility.

3. Focusing on the Right Muscles

Experienced therapists understand which neck muscles to work on and which areas to avoid, depending on your specific symptoms. Common muscles treated for neck pain include:

• Upper trapezius
• Suboccipitals
• Splenius capitis and splenius cervicis
• Sternocleidomastoid (SCM)

4. Relief from Headaches

Massage therapy has been shown to effectively treat tension headaches, which are often caused by tight neck muscles. There is also promising evidence that it can help with migraines and cervicogenic headaches (those that originate in the neck).

The choice of Remedial Massage or Chiropractor depends on several factors including personal preference and symptoms types.

Remedial Massage/Deep Tissue Massage for Neck Pain:

• Effectiveness: Remedial massage is can be very effective for reducing muscle spasm and improving pain-free range of motion associated with many neck pain presentations. It can also reduce tension headache, cervicogenic headache, and nerve pain that refers into the arms. Deep tissue massage, a technique often used by qualified remedial massage therapists, targets deep tissue layers to relieve tension and stiffness, helping to interrupt the pain cycle and promote muscle relaxation.

Qualified remedial massage therapists perform assessments to understand the origin of neck pain and determine appropriate techniques. Techniques may include Trigger Point therapy, Myofascial Release, Muscle Energy Technique (MET), joint mobilization, nerve mobility exercises, dry needling, myofascial inversion cupping, and corrective exercise.

• Safety: The risk of injury from a qualified Remedial Massage Therapist is very low, as they are trained to understand appropriate conditions and techniques, and are typically insured. However, seeking treatment from unqualified or underqualified individuals carries a higher risk of injury.

Remedial massage is considered an excellent choice for restricted movement, sudden onset pain, feelings of tightness in muscles, and headaches like tension headaches.

Chiropractic Care for Neck Pain:

• Specific Application: A chiropractor is identified as an excellent choice for acute pain that is not responding to other modalities. They are also a good option for pain that originates in the ligaments of the spine.

• Potential Limitations: For some individuals, chiropractic adjustments may provide relatively short-term benefits. In comparison, remedial massage typically involves longer sessions (60-90 minutes) which may allow the nervous system to gradually adapt to tissue changes.

• A chiropractor is suggested for acute pain that has not responded to other treatments and for pain originating specifically from spinal ligaments.

Neck pain can show up in many ways and may affect more than just your neck. It can cause other symptoms in your body and even impact your overall well being.

1. Common Neck Symptoms:

• Pain and stiffness in the neck
• Muscle soreness or spasms (especially in muscles like the upper trapezius, suboccipitals, splenius capitis, splenius cervicis, and SCM)
• Trouble moving your neck fully or smoothly
• Pain at the base of the skull
• Tender spots or knots in the muscles (trigger points)
• Muscle weakness or unusual muscle activity in the neck and upper back
  • For example, people with migraines might use their neck muscles differently, which can make the pain worse
• Tight muscles that react to protect your neck and may trigger more pain

2. Headaches and Facial Pain:

• Headaches in general – neck problems are a common cause
• Tension-type headaches (TTH) – often caused by stress, poor posture, or tight muscles
  • Massage works well for this type
• Cervicogenic headaches (CGH) – start in the neck and are triggered by movement or holding your head in one position
  • Massage can help manage these too
• Migraines – often include neck pain and stiffness before the headache starts
  • Massage can reduce symptoms in some cases
• Facial or ear pain – can be caused by issues in the neck, jaw, teeth, or nearby areas
• Headaches from injuries – pain from a hit to the head or neck can feel like tension headaches or migraines

3. Pain in Other Parts of the Body:

• Shoulder pain – neck problems are often linked, and treating the neck may improve shoulder pain (especially rotator cuff pain)
• Arm pain – nerves from the neck run down your arms, so if these nerves are pinched or irritated, pain can travel down to your fingers (called radiculopathy)
• Pain between the shoulder blades
• Ear pain – tight neck muscles or nerve irritation can cause pain that feels like it’s in your ear
• Sciatica-like pain – even though sciatica usually comes from the lower back, deep massage can help if it’s caused by tight muscles in the legs or buttocks
• Thoracic Outlet Syndrome (TOS) – when nerves or blood vessels in the neck/shoulder are squeezed, it can cause pain, numbness, tingling, or weakness in the arms or hands
• Jaw pain (TMJ or TMD) – tight jaw muscles or neck problems can cause pain in the jaw, neck, or head

4. Nerve-Related Symptoms:

• Numbness or tingling in the neck, arms, or hands
• Weakness in the arms, hands, or grip strength
• Vision problems (can come with certain neck-related headaches or dizziness)
• Changes in how your muscles move
• Problems with balance or feeling unsteady

5. Risks and Long-Term Problems:

• Neck pain often comes back – 70–80% of people have repeat episodes during their lives
• Chronic pain – if neck pain isn’t treated properly, it can become long-term and harder to manage

When to Get Help:

If you have neck pain that is:

• Severe
• Lasts a long time
• Comes with other serious signs like sudden pain, constant pain, numbness, weakness, fever, or unexplained weight loss

You should see a trained professional like a myotherapist, remedial massage therapist, or doctor (GP) for a proper diagnosis and the right treatment.

Neck pain can cause several types of headaches due to its close ties with the nervous system, muscles, and joints of the cervical spine.

1. Tension-Type Headaches (TTH):
Commonly linked to tight neck muscles like the upper trapezius and suboccipitals. Triggers include poor posture, stress, or muscle overuse. Pain often spreads to the sides of the head, behind the eyes, or the base of the skull.

2. Cervicogenic Headaches (CGH):
These begin in upper neck joints (C0–C3) and worsen with neck movement or prolonged positions. Often caused by past injuries like falls, whiplash, or accidents—even years later.

3. Migraines:
Neck pain may trigger or worsen migraines. People with migraines often have abnormal neck muscle use, which can prolong neck pain and reduce migraine treatment effectiveness.

4. Whiplash-Associated Headaches:
Whiplash injuries strain neck tissues and can cause headaches resembling migraines or TTH, often with nausea and ongoing neck pain.

Most neck pain is mild and resolves with time or treatment. However, certain symptoms may indicate serious underlying issues and require urgent medical attention.

Red flags include:

• Neurological signs: Double vision, fainting, trouble swallowing or speaking, facial numbness, tingling on both sides, nausea, difficulty walking, or involuntary eye movements—especially after whiplash.
• Infections or illness: Fever, night sweats, or stiff neck may signal infections like meningitis. Conditions such as rheumatoid arthritis or ankylosing spondylitis can also cause persistent neck pain.
• Vascular problems: A tear in a neck artery (dissection) is an emergency. Risk increases with trauma, high blood pressure, or smoking. Warning signs: dizziness, headaches, vision changes, tingling, or confusion.
• Heart-related pain: Neck pain during activity that eases with rest may be angina.
• Persistent or severe pain: Pain that doesn’t improve, worsens, or is accompanied by nausea, vomiting, or sleep issues needs medical evaluation

Neck pain can refer into the head and face. The major types of headache associated with neck pain include:
1. Tension-Type Headaches (TTH):
Caused by tight neck muscles like the upper trapezius and suboccipitals due to poor posture, stress, or overuse. Pain may spread to the skull base, eye area, or sides of the head.
2. Cervicogenic Headaches (CGH):
Originate in upper neck joints (C0–C3), worsened by movement or static head positions. Often result from past injuries like whiplash, falls, or accidents.
3. Migraines:
Neck stiffness can trigger migraines. Overuse of neck muscles (e.g., splenius capitis, upper traps) may worsen symptoms and reduce treatment effectiveness.
4. Whiplash-Related Headaches:
Injury to soft tissues from car accidents can mimic migraines or TTH and cause nausea.
5. Nerve Irritation:
Compressed nerves or vessels can cause headaches, dizziness, nausea, and vision issues.

Most neck pain isn’t dangerous and tends to improve with rest, time, or treatment. However, in some cases, it may be a sign of a more serious health issue. It’s important to recognize warning signs—known as “red flags”—that require immediate medical attention.

Nervous System and Brain-Related Symptoms

Be alert for the following symptoms:

• Blurred or double vision
• Passing out or falling suddenly
• Difficulty speaking or swallowing
• Uncontrolled eye movements
• Feeling nauseous
• Facial numbness
• Tingling on both sides of the body
• Trouble with balance or walking

These are all serious warning signs and should be taken seriously.

If you notice any of these symptoms after a whiplash injury, seek medical help immediately.

Underlying Illness or Disease

Some serious health conditions that affect your whole body can also cause neck pain, including:

• Infections – Having a fever or night sweats along with neck pain might indicate an infection.
• Meningitis – A life-threatening infection of the brain and spinal cord lining. Signs include neck stiffness and nausea.
• Inflammatory conditions – Diseases like rheumatoid arthritis or ankylosing spondylitis can lead to chronic neck pain.
• Organ-related issues (visceral problems) – Sometimes, neck pain can be caused by problems with organs in the body.

Blood Vessel (Vascular) Concerns

• A tear in a neck artery (arterial dissection) is extremely serious and requires emergency care.
• You may be at higher risk for vascular problems if you have:
  • Recently hurt your neck
  • High blood pressure or high cholesterol
  • A smoking history

Symptoms that may point to a vascular issue include:

• Headaches
• Changes in vision
• Feeling dizzy
• Tingling sensations
• Unsteadiness
• Feeling confused

Coronary Artery Disease (CAD) can also be a concern. If you feel neck pain during activity that stops when you rest—and doesn’t change with your posture—it could be a sign of angina, a type of heart-related pain.

Ongoing or Severe Pain

• If your neck pain is very strong or doesn’t improve after treatment, it’s time to see a doctor.
• Other symptoms like nausea, vomiting, headaches, or disturbed sleep along with neck pain might signal a more serious problem.

Injuries and Structural Issues

• If you recently injured your neck—such as in a car crash resulting in whiplash—get checked by a medical professional. Whiplash can cause both short- and long-term issues, including headaches.
• Fractures or instability in your neck bones are red flags that usually need imaging like X-rays or MRI.

What to Do If You’re Unsure

If your neck pain is unusual, severe, or comes with other concerning symptoms, speak to a healthcare provider like a general practitioner (GP). They can help figure out what’s going on and guide you toward the right treatment.

Neck pain can be linked to nausea, often indicating cervical spine or nervous system involvement. Seek medical advice if symptoms are severe or persistent.

Cervical Vertigo:
Caused by nerve or blood vessel compression in the neck, leading to dizziness, nausea, vision issues, and poor coordination. Triggers include inflammation, joint dysfunction, or trauma.

Other Neck-Related Causes:

• Sprains/Strains: Injuries to muscles or ligaments can increase spinal pressure, causing nausea.
• Whiplash: Often from car accidents, whiplash can involve nausea as part of whiplash-associated disorders.
• Cervicogenic Headaches: Originating from neck joints (C2/3, C3/4), these headaches may include nausea, light sensitivity, and visual changes.
• Migraines: Nausea is common in migraines. Neck pain often coexists, possibly linked via the trigeminocervical complex (TCC), which processes pain and triggers symptoms.

Red Flag – Meningitis:
This life-threatening infection causes agonizing neck pain on any movement, as well as nausea, headache, fever, light sensitivity, and confusion. Seek emergency care immediately.

Neck pain ranges from mild discomfort to severe stiffness and radiating symptoms. Effective care combines clinical assessment, hands-on therapy, and long-term self-care.

Assessment
Persistent or worsening neck pain—especially with neurological symptoms—requires evaluation by a qualified professional (e.g., Myotherapist, Remedial Massage Therapist, GP). Urgent symptoms include dizziness, double vision, or slurred speech.

Treatment
Manual therapies like myotherapy, massage, joint mobilisation, dry needling, and low-level laser therapy (LLLT) can relieve muscle tension, improve motion, and reduce headaches or nerve pain.

Postural correction, ergonomic changes, and targeted exercises (chin tucks, bird dog, scapular rows) help maintain spinal health. Stretching key muscles (chest, traps, SCM) and staying active with good hydration also support recovery.

Common issues include cervicogenic headaches, wry neck, radiculopathy, DSN neuropathy, and cervical vertigo.

Avoid
Overusing pain meds, forcing movement, or seeing unqualified therapists can worsen symptoms.

Commonly the areas of pain that involve TMD and neck irritation are:

• The jaw
• The base of the skull
• The temples
• Behind the eyes

Other symptoms may include increased pain or loss of range of motion with neck movements such as rotation (looking over your shoulder), side flexion (ear towards the shoulder) and flexion chin towards the chest.

Headaches and facial pain attributed to temporomandibular disorder (TMD) are recognized by the International Classification of Headache Disorders, 3rd edition (ICHD-3), Muscular imbalances caused by TMJ dysfunction can also result in tension headaches and trigger migraines, often involving nerve compression, blood flow restriction, or muscular tension

Suspected meningitis is a medical emergency.  One of the primary complaints of people with meningitis is agonizing pain in the base of the skull trying to touch their chin to their chest.

Neck pain in the context of meningitis is primarily described as neck stiffness, also known as nuchal rigidity(Base of the skull), rather than just general pain.

Specifically:

• In older children and adults, neck stiffness is a common symptom of meningitis.

• This meningeal irritation typically manifests as neck stiffness, especially on anterior-posterior flexion of the chin to the chest.

• While classic features in adults include headache, neck stiffness, fever, and altered mental status, some studies have found that not all these features may be present in every patient.

• In adults older than 65 years, an atypical presentation is possible, where fever, headache, and nuchal rigidity may not be constant findings.

• Meningismus, which includes neck stiffness, is a clinical sign that leads to the suspicion of meningitis

Pain where your neck meets the back of your head (called the upper cervical region) can happen for many reasons and can come from different parts of the upper body.

Muscles Involved:
Upper trapezius, suboccipitals, splenius capitis/cervicis, and sternocleidomastoid are common sources. Tension from poor posture (like forward head posture), stress, or overuse can cause pain behind the eyes, at the skull base, or sides of the head.

Joint Dysfunction:
Irritation in upper cervical joints (C0–C3), especially C2/3 and C3/4, can trigger headaches and migraines.

Other Causes:

• TMJ Dysfunction: Jaw joint problems often cause neck stiffness, tension headaches, or migraines.
• Headaches/Migraines: Tension-type, cervicogenic, and migraine headaches are often linked to upper neck dysfunction.

Treatment:
Remedial Massage or Myotherapy can relieve muscle and joint irritation using deep tissue massage, joint mobilization, dry needling, and low-level laser. Therapists also prescribe posture-corrective exercises for long-term relief.

Remedial Massage Therapists and Myotherapists are a good first choice for most daily occurrence of neck pain.
Remedial Massage Therapists focus on muscular pain, stiffness, tension, and postural dysfunction. They use techniques like trigger point therapy, myofascial release, joint mobilizations, and dry needling to relieve pain, improve movement, and reduce muscle tension. Commonly they treat headaches caused by neck problems by working on muscles like the sub occipitals, upper trapezius, and sternocleidomastoid (SCM).
Myotherapists provide a detailed assessment, especially for chronic or complex issues. They provide expertise in both hands-on therapies and exercise. Myotherapists treat nerve pathways and use many techniques such as Low Level Laser Therapy (LLLT), deep tissue massage, electro needling, and strengthening exercises. These therapies help reduce pain, promote healing, and restore stability.

Remedial Massage Therapists and Myotherapists are often excellent first choices for addressing common neck pain. Remedial neck massage can be delivered by two qualified therapist types.

Remedial Massage Therapists:

• Focus on easing muscular pain, tension, stiffness, and posture-related issues.
• Use techniques such as:
  • Trigger point therapy
  • Myofascial release
  • Joint mobilisations
  • Dry needling
• Aim to reduce pain, release tight muscles, and improve mobility.
• Commonly treat headache symptoms linked to neck tension by working on muscles like:
  • Suboccipitals
  • Upper trapezius
  • Sternocleidomastoid (SCM)

Myotherapists:

• Provide more in-depth assessments, especially for long-term or complex conditions.
• Combine hands-on treatment with targeted exercises.
• Pay close attention to nerve-related pain and movement issues.
• Apply a range of techniques including:
  • Low Level Laser Therapy (LLLT)
  • Deep tissue massage
  • Electro needling
  • Strengthening and rehabilitation exercises

Their goal is to reduce discomfort and enhance physical function and empower clients to overcome pain and discomfort without being dependant on therapists.

When you have a stiff neck, a great option to consider is treatment from a Remedial Massage Therapist or Myotherapist. Both are highly qualified professionals who can offer effective, hands-on care for managing everyday neck pain and stiff neck joints.

Remedial Massage Therapists:

Specialize in addressing muscle pain, tension, stiffness, and posture-related concerns.

• Employ a variety of manual techniques, including:
  • Trigger point therapy
  • Myofascial release
  • Joint mobilisations
  • Massage and dry needling
• Work to relieve discomfort, loosen tight muscles, and support improved movement.
• Frequently manage headache symptoms that stem from neck tension

Myotherapists:

• Offer a more comprehensive evaluation, particularly suited for chronic or more complex musculoskeletal issues.
• Integrate manual therapies with corrective and functional exercises.
• Focus on nerve-related dysfunction and movement restrictions.
• Use a diverse range of techniques, such as:
  • Low Level Laser Therapy (LLLT)
  • Deep tissue massage
  • Electro needling
  • Strengthening and rehabilitation programs
  • Dry needling and massage where appropriate

Aim not only to relieve pain and restore function, but also to help clients build independence in managing their condition, reducing reliance on ongoing treatment.

Remedial Massage Therapists and Myotherapists are well suited to resolving neck pain. Both types of therapists offer effective ways to manage and alleviate discomfort.

Remedial Massage Therapists:

Specialize in relieving muscle pain, tension, stiffness, and posture-related problems.

• Utilize a variety of techniques, including:
  • Trigger point therapy
  • Myofascial release
  • Joint mobilizations
  • Massage and dry needling
• Focus on easing pain, relaxing tight muscles, and improving flexibility and movement.
• Often help with headaches caused by neck tension, targeting muscles like:
  • Suboccipitals
  • Upper trapezius
  • Sternocleidomastoid (SCM)

Myotherapists:

Provide a thorough assessment, particularly for chronic or complex conditions.

• Combine hands-on treatment with customized exercises.
• Pay close attention to nerve-related pain, jopint dysfunction and movement restrictions.
• Use a range of techniques such as:
  • Low Level Laser Therapy (LLLT)
  • Deep tissue massage
  • Electro needling
  • Strengthening and rehabilitation exercises
  • Dry needling and massage when needed

Their goal is not only to reduce discomfort and restore function but also to help clients regain independence from long-term therapy.

Neck pain is incredibly common and happens for many reasons – including postural fatigue and issues with the tissues.  Drivers of neck pain include muscles, bones, nerves, injuries and stress.

Common causes of neck pain:

Muscle Strains and Weakness:

• • The most common cause is when neck muscles are overworked, often from sitting in one position (postural factors).for too long and technology use.
  • Weak muscles in the neck or upper back can lead to pain.
  • Overusing certain neck muscles can cause discomfort

Joint and Bone Problems:

• • As people age, neck joints can wear out, causing pain and stiffness (arthritis).
  • Sometimes, neck joints get stuck, causing sharp pain.
  • Worn bones or discs in the neck can lead to more pain.
  • Instability after whiplash or falls can cause muscle spasms and discomfort.

Nerve Pain:

• • Nerves can get pressed by discs or bones, leading to tingling or numbness in the arms.
  • Pinched nerves can cause pain in the arms, hands, or fingers.

Injuries:

• • Whiplash from car accidents or sports can strain the neck, causing pain.
  • Injuries can also make the neck stiff.

Other Reasons:

• • Stress or anxiety can tighten neck muscles, causing pain.
  • Diseases like arthritis or infections can also cause neck pain.
  • Things like an uncomfortable pillow or chair can hurt the neck.
  • Teeth grinding or jaw problems can also lead to neck pain.
  • Eye strain or vision problems may cause neck discomfort.

Neck pain is very common and can be caused by various factors

Muscle Strains and Weakness:

• • The most common cause is overuse of neck muscles, often from staying in one position too long (poor posture) or excessive technology use.
  • Weak neck or upper back muscles can lead to pain.
  • Overworking certain neck muscles can also cause discomfort.

Joint and Bone Problems:

• • As people age, neck joints can wear down, causing pain and stiffness (arthritis).
  • Neck joints can become stuck, leading to sharp pain.
  • Worn bones or discs in the neck can cause further pain.
  • Instability from injuries like whiplash or falls can lead to muscle spasms and discomfort.

Nerve Pain:

• • Nerves can be compressed by discs or bones, leading to tingling or numbness in the arms.
  • Pinched nerves can cause pain in the arms, hands, or fingers.

Other Reasons:

• • Stress and anxiety can tighten neck muscles, leading to pain.
  • Conditions like arthritis or infections can also cause neck pain.
  • Uncomfortable pillows or chairs can contribute to neck discomfort.
  • Teeth grinding or jaw problems can lead to neck pain.
  • Eye strain or vision issues can cause neck discomfort.

There are many reasons why neck pain can become aggravated during pregnancy.  From a hormonal perspective there are several mechanism including relaxin a hormone that allows ligaments to stretch.  This instability causes micro movements within the the joints which lead to inflammation.  Other hormones the body saturates with are pro inflammatory, adding to the ease of joint inflammation including the neck joints.  Other factors can include stress from morning sickness and postural changes resulting from changing body composition and shape.

Neck pain can make you feel dizzy, like the world is spinning, especially when you move your head. Here’s how neck pain and dizziness are connected:

1. Cervical Vertigo: This is when neck pain causes dizziness, sometimes with nausea, blurry vision, or balance issues. It happens when nerves or blood vessels in your neck get pressed, affecting your inner ear. This can be caused by swelling, neck problems, or injury.
2. Vertebral Irritation: Irritated parts of your neck, especially C2/3 and C3/4, can cause dizziness. This can happen if neck pain leads to a headache or a migraine.
3. Tight Neck Muscles: Tight muscles at the back of your neck can press on a nerve, causing dizziness and pain near your eyebrows.
4. Cervical Instability: If your neck isn’t stable, it can cause nausea because it messes with signals to your stomach and body.
5. Whiplash: An injury from a car accident can cause neck pain, stiffness, and dizziness.
6. TMJ Dysfunction: Problems with your jaw joint can also cause dizziness and balance issues.
7. Migraines: Neck pain often leads to headaches, including migraines. Migraines can cause dizziness, nausea, and other problems, and neck pain can make them worse.

Most forms of neck pain are transient or treatable. The key is to find out what is driving pain.  A qualified professional such as a Myotherapist or a remedial massage therapist will determine the cause of neck pain and perform an appropriate intervention.

Seeing a Myotherapist is a great option for managing ongoing neck pain. Myotherapists are trained to:

• Find the root causes of your pain
• Use advanced tools like low-level laser therapy to ease muscle tension and pain
• Offer skilled deep tissue massage to relax muscles and keep pain away
• Perform joint mobilisations to improve neck movement and reduce joint-related pain drivers.
• Apply dry needling to lower muscle tightness
• Use electro-needling to relieve headaches and calm irritated nerves
• Prescribe exercises and strengthening routines to help you stay pain-free and rely less on treatment

Research shows that combining joint and muscle therapies with targeted exercise is one of the fastest ways to reduce pain, stiffness, and many types of headaches.

Most types of neck pain are either short-term or can be successfully treated. The most important step is identifying what’s causing the pain. A qualified practitioner—such as a Myotherapist or a Remedial Massage Therapist—can assess the problem and apply the right treatment.

Myotherapy is a highly effective approach for long-term neck pain. Myotherapists are trained to:

• Identify the underlying cause of your pain
• Use advanced technology like low-level laser therapy to reduce muscle tension and discomfort
• Deliver expert deep tissue massage to release tight muscles and reduce pain
• Perform joint mobilisation techniques to increase neck mobility and decrease joint-related discomfort
• Use dry needling to reduce excessive muscle tone
• Apply electro-needling to ease headaches and calm inflamed or irritated nerves
• Recommend specific exercises and strength training to support long-term recovery and reduce the need for ongoing treatment

Studies have confirmed that combining muscle and joint treatments with tailored strengthening exercises offers rapid relief from neck pain, stiffness, and many forms of headaches.

Neck pain can lead to dizziness, making you feel like the world is spinning, especially when you move your head. Here are some potential reasons for the connection between neck pain and dizziness, listed alphabetically:

1. Cervical Instability: If the neck is unstable, it can disrupt signals to the stomach and body, causing nausea.
2. Cervical Vertigo: This happens when neck pain leads to dizziness, sometimes accompanied by nausea, blurry vision, or balance issues. It’s caused by pressure on nerves or blood vessels in the neck that affect the inner ear, often due to swelling, injury, or neck problems.
3. Migraines: Neck pain is a common trigger for migraines, which can result in dizziness, nausea, and other symptoms. Neck pain can also worsen the severity of the migraine.
4. Tight Neck Muscles: Tension in the muscles at the back of your neck can press on a nerve, causing dizziness and pain near the eyebrows.
5. TMJ Dysfunction: Problems with the temporomandibular joint (jaw joint) can lead to dizziness and balance issues.
6. Vertebral Irritation: Irritation of parts of the neck, particularly at the C2/3 and C3/4 levels, can cause dizziness, often when neck pain is associated with headaches or migraines.
7. Whiplash: Neck pain from a car accident can cause stiffness and dizziness, especially if the neck experiences sudden jerking motion.