5 Most Common Causes of Neck Pain

Neck pain is a common issue for people of all ages. Whether it’s waking up with a stiff neck or dealing with pain that lasts for weeks or months, it can disrupt daily life in a big way. As a Physical Therapist, the five most common causes of neck pain I see are:

1. Stiff Joints or Tight Muscles:
   If you wake up with a stiff neck but don’t typically have chronic symptoms, it’s likely due to stiff joints or tight muscles in your neck or shoulders. Sleeping with your head tilted or turned for long periods or heavy exertion during exercise can trigger stiffness. Gentle stretching and a few days of rest usually help, but if symptoms last more than 10 days, see your doctor or physical therapist.

2. Arthritis/Degenerative Joints:
   After age 35, most people develop some arthritis in their joints—including the neck’s 14+ joints. While arthritis doesn’t always cause pain, worn cartilage can inflame or expose bone tissue, leading to stiffness, “crunching” sounds, or pain lasting longer than two weeks. These symptoms should be evaluated by a medical professional.

3. Degenerated or Bulging Disc:
   Your neck’s seven vertebrae are cushioned by discs that act like shock absorbers. Disc degeneration or injury can cause mid-neck pain that may radiate toward the shoulder blades. If accompanied by arm pain or numbness, a disc bulge irritating a nerve may be the culprit—something that requires professional care.

4. Muscle Imbalances:
   Neck and shoulder muscles work in pairs, and imbalances can trigger recurring pain. For example, overly tight upper traps or a “long neck” appearance may signal that other muscles are overpowering them. These imbalances are best assessed by a physical therapist or medical professional trained in anatomy.

5. Poor Posture:
   Rounded shoulders, a forward head position, or slouching can all contribute to neck pain—and often tie into the first four causes. Correcting posture typically involves stretching and strengthening, but targeted treatment from a physical therapist may be needed.

Bottom line: If your neck pain doesn’t resolve within a few days, it’s best to see your doctor or a physical therapist. At Geary Rehabilitation and Fitness Center, our team is here to evaluate, treat, and guide you toward relief.

By John Leslie, DPT

John Leslie, DPT