A stiff neck can be painful and limit mobility making everyday activities a challenge. Certain exercises and acupoints can help alleviate the stiffness.
A stiff neck is an acute strain of the neck muscles, characterized by pain and restricted mobility. While it is often attributed to poor sleeping posture or an unsuitable pillow, the underlying cause is more commonly excessive tension in the nerves and muscles of the neck and shoulders.
During sleep, blood flow and heart rate naturally decrease, which can further restrict circulation in areas with preexisting poor blood flow. This can result in muscle tension in the neck and reduced joint mobility. Over time, having a persistent stiff neck may compromise the health of the intervertebral discs.
Common Causes of a Stiff Neck
Common causes of a stiff neck include:
Poor Posture
Poor posture is one of the leading causes of a stiff neck. In our modern lifestyle, excessive use of electronic devices can lead to issues such as forward head posture, slouching, and rounded shoulders. Over time, these habits place increased stress on the cervical spine and shoulders.
Improper Sleeping Position
Sleeping on your stomach or with your head to one side forces the neck muscles into unnatural stretching or twisting. This results in abnormal pressure on one side of the joints, causing muscle tension, stiffness, and discomfort.
Stress
High levels of stress and tension—often caused by demanding tasks or work deadlines—can increase muscle tightness in the neck and shoulders.
Unsuitable Bedding
Pillows that are too high or low can force the neck into excessive extension or flexion during sleep. Over time, this improper alignment can lead to muscle stiffness and discomfort.
Common Cold
Illnesses such as the common cold can cause muscle stiffness, and exposure to cold temperatures may further tighten neck muscles, increasing the risk of a stiff neck.
Poor Circulation in Cold Weather
Cold weather can impair blood circulation, which can exacerbate existing muscle tension.
Limited Cervical Spine Mobility
Reduced range of motion in the cervical spine makes it harder for the body to perform smooth and complete movements, increasing the risk of stiffness, soreness, and even injury.
Restricted Thoracic Spine Mobility
Limited mobility in the thoracic spine forces the lower back and neck to compensate by taking on additional movement. This increases the strain on neck muscles, raising the risk of stiffness and discomfort.
Ways to Relieve a Stiff Neck
Treatment for a stiff neck is typically divided into two phases—the acute and chronic phases. In the acute phase, the goal is to relax tight muscles using techniques such as:
Direct Pressure
The Golgi tendon organ, located within the tendons, plays a critical role in regulating muscle tension. It is a protective mechanism, helping muscles relax when tension increases to prevent injury. Applying direct pressure to tight muscles can activate the Golgi tendon organ, promoting muscle relaxation and reducing tension.
Heat Therapy
Heat therapy dilates blood vessels and increases blood flow to the affected area. Improved circulation helps deliver nutrients and oxygen to the tissues while removing waste products. Heat packs, warm towels, or even a hair dryer can be used to gently warm the area and relieve muscle tension.
Exercises to Improve Cervical Spine Mobility
1. Chin Tuck
- Gently pull your chin backward, allowing your cervical spine to shift slightly backward.
- Extend your neck upward, aiming to gently stretch and lengthen your cervical spine.
- Hold each position for three seconds. Perform 12 repetitions per set, and aim for three sets per day.
2. Neck Stretch
- Gently tilt your neck to the right, then to the left, keeping the motion smooth and avoiding any twisting. You should feel a gentle stretch along the side of your neck as you move.
- Lower your neck by initiating the movement from the thoracic spine (approximately three finger-widths below the base of your neck).
- As you lift your head, focus on straightening your posture.
Exercises to Improve Thoracic Spine Mobility
1. Standing Shoulder Stretch
- Stand with your feet shoulder-width apart, keeping your knees straight.
- Bend forward at the hips and hold onto the back of a chair with both hands.
- Lower your face below the level of your arms to stretch the muscles in your shoulders and shoulder blades.
2. Kneeling Shoulder Stretch
- Kneel in front of a chair and rest both elbows on the chair.
- Lower your face below the level of your arms to stretch the muscles in your shoulders and shoulder blades.
3. Thread the Needle Stretch
- Begin in an all-fours position, with your knees directly under your hips and your hands directly under your shoulders.
- Reach your right hand underneath your body toward the left, lowering your right shoulder to the ground. Hold the position for three seconds.
- Return to the starting position and repeat the movement with your left hand, reaching toward the right side.
4. Supine Spinal Twist
- Lie on your back with your arms extended out to the sides.
- Bend your left knee and gently rotate it to the right, letting it rest on the floor. At the same time, turn your head to the left. Hold this position for three seconds.
- Return to the starting position, then repeat the movement with your right knee, turning your head to the right.
Acupoints for Improving Stiff Neck
In traditional Chinese medicine (TCM), acupressure is commonly used to relieve stiff neck symptoms. Some of the most effective acupoints include:
- Fengchi (GB20): Located at the base of the skull, behind the earlobe, and on either side of the spine.
- Jianjing (GB21): Located halfway between the base of the neck and the top of the shoulders.
- Luozhen (Ex-UE14): Located between the second and third metacarpal bones on the back of the hand.
- Houxi (Sl3): Located on the horizontal crease near the base of the pinky finger when making a fist.
Applying pressure to these acupoints can help relieve discomfort associated with a stiff neck.