Neck
Range Of Motion Exercises, Neck Exercises
One
very powerful way of controlling your neck pain is to do daily range of motion
exercises, putting your neck through full movement several times a day. This
prevents stiffness developing and stretches all the attached muscles, making
them less vulnerable to sudden demands.
Please
note that exercises can make your pain worse as well as better so please
consult the simple exercise guidance before getting on with them. If you
have any doubts, please consult your physio, other manual therapist or medical
practitioner.
These
exercises are meant to maintain range of motion or regain loss of movement in
the neck region and to help control pain. Regular performance of movements can
help with pain problems. They are simple and not magical in any way. If you
have long term neck pain with some disability these exercises may help mobility
or allow you to tolerate more activity but may not be very effective against
pain.
Do each
movement slowly five times, resting a short time in between each set of
movements. Do two or three times a day although more often can be useful. Work
out how much you should do by slowly increasing the frequency until you are
doing enough or start to have problems.
Neck
flexion
This is
the movement of bringing the head forward so that the chin hits the chest and
your face is staring straight down at the floor. Do slowly five times.
This
exercise stretches the structures at the back of the cervical spine, which are
often kept in a tight position in normal day to day postures. They can then
become shortened and stop the neck moving naturally.
To make
this more difficult you can retract the neck slightly to start with (see below)
and then flex the head forward, increasing the stretch on the neck.
Neck
extension
This is
the movement of allowing the head to go back until the face is looking directly
at the ceiling. Don’t do this movement fast or forcefully as it forces all the
small joints at the back of the neck into an extreme position. This won’t do
them any harm but might increase your pain.
Allow
your neck to ease back steadily as you do this, leaving your neck at the end of
the movement for a few seconds.
NB
If you feel dizzy when you do this leave it out. Dizziness, especially if you
are older, might indicate that the blood vessels in your neck are being
squeezed by the position.
Rotation
Turn
your head slowly round to one side until it cannot easily go any further. Once
you have done five to one side do the other. Do not go from one side to the
other in the individual movements or roll your neck about.
Hold your
neck at the end of the movement for a few seconds as this is the most valuable
part of the movement to maintain or increase your movement.
NB If you feel
dizzy when you do this leave it out. Dizziness, especially if you are older,
might indicate that the blood vessels in your neck are being squeezed by the
position.
Side
flexions
Keep
your head facing straight forward and try and tip your ear down towards the
same shoulder. It’s difficult to do this well and without
rotating to one side.
She’s doing pretty well in the picture, just lifting her chin up a little more
than ideal.
This
movement is quite severe on the neck joints so don’t go hard at the exercise.
Don’t move from side to side in the movement as that stops you getting to the
ends of the neck range and may aggravate your joints.
Neck
Retraction (Chicken Tuck)
This is
one of the most useful neck movements as it counteracts the tendency we all
have of allowing our heads to poke forwards in a poor posture. She’s showing
the extreme position of “poking chin” here.
When we
sit, which many of us do a lot of the time, we tend to slump and to keep our
heads up so our eyes are horizontal we arch our necks backwards slightly
This
gives a continual flexion (bending) posture to the lower neck and an extension
(arching) posture to the upper neck. Over time the tissues can shorten and give
us stiffness and pain. Typical pains are in the neck, upper shoulders, but this
posture can also give you headaches.
Here’s
the end point of the movement. Keep your face straight on during the whole
movement, drawing the head back and the chin down slightly.
If you
get it right, you will look funny, rather like a sergeant-major in an
exaggerated military neck posture. If you do it in public people will either
laugh or give you funny looks!
The
whole movement is like the forward and back movement that chickens make. Hold
the movement at the extreme of the backward posture for a few seconds.
Upper
Neck Nodding
This
movement particularly moves the upper cervical joints. In our bad postural
habits we tend to poke our chins forward which puts our upper neck joints into
extension (arching).
The
nodding movement flexes these joints and can help with upper neck pain and
headaches of joint origin. This is the neutral starting position for the
movement.
Lying
flat on your back for this movement is the easiest way to start this movement.
You can be flat on the surface like she is in the picture or have a pillow if
you don’t like your head down flat on a surface.
This is
the end position of the exercise. Think of your head as a bowling ball which
you rotate forward to rock the neck. You should not lift the head off the
surface at all. You may feel a pull in the upper neck which is often tight.
This
exercise should be done with caution as you could increase your pain if you
push it too hard. When you get good at the movement you can do it standing up
or sitting but it is harder to get the pure joint movement than in lying down.
Related
movements which may be useful
When we
have neck problems it is rarely just the neck which is the problem, the pain
usually involves the thoracic spine and the shoulder girdle. It is good to do
shoulder girdle exercises as well to loosen up this area.
1. Shoulder shrugs
Shrug your shoulders as far up as you
easily can then downwards further than normal.
Shoulder bracing
(retraction)
Bring your shoulders to the front as if you are trying to get them to
meet at the middle then brace them right back, pulling your shoulder blades
together. Make it a large, slow, repeated movemen
Thank you John!
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