1. Least Effective Exercises Slideshow
2. Dehydration Slideshow
3. First Aid Care and Pain Relief for Minor Injuries

Medical Author:

William C. Shiel Jr., MD, FACP, FACR

William C. Shiel Jr., MD, FACP, FACR

Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.

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Medical Editor:

Jerry R. Balentine, DO, FACEP

Jerry R. Balentine, DO, FACEP

Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.

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If your pain is not severe and you do not have any new numbness, weakness, or other symptoms of nerve failure, mild neck strain can be safely treated at home.

• If pain is moderate, bed rest may be necessary. A cervical collar may be beneficial.
• It is helpful to place a small pillow under the nape of your neck to provide proper neutral positioning.
• Dry or moist heat applied to the area often provides relief from pain caused by muscle spasm. However, it has not been shown to speed the healing process.
• Pain control with a nonsteroidal anti-inflammatory drug (NSAIDs), such as ibuprofen (Advil or Motrin) or acetaminophen (Tylenol), is frequently helpful. An opioid, such as codeine, may be added if needed but will need to be prescribed by your doctor. Muscle relaxants are often used also. They are also available by prescription only.
• You should guard against neck extension because this will make the pain worse. You should stay active and perform your daily work as tolerated, unless this involves heavy physical labor. Contact your doctor for recommendations.

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