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Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

MSK Physiotherapy - Neck

Important  Facts About Your Neck Pain - Please Read

Please read the following information and then use the links at the bottom of the page if you are looking for further information or exercise.

Here is a list of the main problems and concerns we would recommend you get checked out by a health professional before commencing self-management exercises. These are called Red Flags and may indicate a more serious problem that requires medical assessment.

Symptoms That Are Present After Trauma

If symptoms are caused by a traumatic incident to your head and/ or neck (e.g. a fall or severe whiplash) please have this checked out by a health professional before commencing with an exercise program.

NOTE: If you have a known diagnosis of osteoporosis (low bone density) a small amount of force may cause problems that require medical assessment.

Symptoms Where No Trauma Was Involved

If you feel any of these signs appear rapidly or over a longer period of time please have these checked out by a health professional. 

  • Severe restriction in the movement of your neck and/ or head
  • Changes in your balance and the way you are walking e.g. tripping, falling
  • Weakness and/ or altered sensation into both arms and/ or legs at the same time
  • Problems with coordination of upper and/ or lower limbs e.g. writing, getting dressed, walking.
  • Electric shocks sensations into both arms and legs on forward bending of your head or looking down
  • Significant changes to bowel, bladder habits and/or sexual function required IMMMEDIATE MEDICAL ASSESSMENT. WARNING: Cauda Equina Syndrome (CES): This a rare but extremely serious spinal condition that requires immediate assessment. For further information on CES:

    Click for CES info card

    Click here for CES short video

    Click here for CES information in other languages

  • New problems with talking, dizziness, swallowing or eyesight
  • Fever or generally feeling unwell at same time as neck symptoms developed
  • Constant pain which does not change with rest or activity
  • Significant pain and/ or sweats at night
  • A previous history of cancer and/ or unexplained weight loss
  • Unexplained lumps or bumps that are changing/ growing
  • Increasing number of joints that are painful and/ or stiff
  • Severe headaches and/ or jaw pain.

NOTE: Special attention should be taken if you have a history of long-term steroid/ immunosuppressive drug use, recent joint replacement, dental surgery or steroid injection. Previous spinal surgery. Rheumatoid arthritis or other joint disease, recent infection, previous history of tuberculosis, intravenous drug use or alcohol misuse.

Last Updated: 14 June 2021