Cervical strains and sprains
People who are involved in motor vehicle crashes or who take hard falls in a contact sport or around the house may get a real “pain in the neck.” This pain can result from a ligament sprain or muscle strain. The seven bones of the spinal column in your neck are called cervical vertebrae. They are connected to each other by ligaments, which are strong bands of tissue, like thick rubber bands.
A sprain is a stretch or tear in the ligament resulting from a sudden movement that causes the neck to extend to an extreme position. For example, in the rapid deceleration of a car crash, your head and neck can stretch far forward before stopping.
Bed rest is recommended for a short period of time, usually from one to three days. Your may be recommended physical therapy. Therapy may include pelvic traction, gentle massage, ice and heat therapy, ultrasound, electrical muscle stimulation, and stretching exercises. Pain medication and muscle relaxants may also be beneficial in conjunction with the physical therapy. This treatment rarely requires surgery. However, surgery is appropriate in severe cases if you have persistent neck or shoulder pain. If your condition hasn’t improved after extensive non-surgical treatment, an operation may be your best option.