Chin tuck
Lie on your back or sit up straight. Without lifting your head, gently tuck your chin in, lengthening the back of your neck as if a rope were pulling the back of your head. Hold for 5 seconds, then relax.
10–20 repetitions, 2–3 times a dayCondition guide
Was your head suddenly jolted forwards and backwards in a road accident, a fall or while playing sport? This kind of neck injury is called whiplash. It usually gets better within 2–3 months. Staying active, rather than wearing a neck collar, is the most important part of recovery.
Carry on with your everyday activities. It may hurt a little, but it speeds up recovery. Don’t rest your neck for long periods; change position often.
A neck collar does not help recovery. Research shows it delays recovery.
You can use painkillers after checking with your doctor or pharmacist. Less pain makes it easier to stay active.
You can apply heat or cold wrapped in a damp towel for up to 10 minutes. Don’t use heat if the skin has reduced feeling.
Exercises at home
Do the movements little and often; they should not increase your symptoms significantly. If the pain gets worse, do fewer repetitions and make the movements smaller. Don’t roll your head round in circles.
Lie on your back or sit up straight. Without lifting your head, gently tuck your chin in, lengthening the back of your neck as if a rope were pulling the back of your head. Hold for 5 seconds, then relax.
10–20 repetitions, 2–3 times a dayKeep your chin slightly tucked in and your eyes looking forwards. Turn your head to one side as far as is comfortable, return to the middle, then turn to the other side.
10–20 repetitions, 2–3 times a daySit up straight. Bring your ear towards the shoulder on the same side until you feel a gentle stretch on the opposite side. Hold for 5–10 seconds, then repeat on the other side.
Up to 10 repetitions each way, every 1–2 hoursSit up straight. Bend your head forwards until you feel a gentle stretch at the back of your neck, hold for 5–10 seconds, then return to upright.
Up to 10 repetitions, every 1–2 hoursSitting or standing, roll your shoulders round in one direction, then in the other.
5–10 times in each directionKneel and sit your hips back towards your heels. Lower your chest towards the floor and stretch your arms forwards, letting your head relax. Breathe deeply and stay there as long as is comfortable.
As long as is comfortable, 2–3 times a dayNo. The NHS says a neck collar does not help recovery, and an NHS physiotherapy leaflet states that research shows a collar delays recovery. You are advised to carry on with your everyday activities rather than resting your neck for long periods.
Whiplash usually gets better within 2–3 months, but some people have symptoms for longer. If there is no improvement within a week, or you have not returned to most of your normal activities within 6 weeks, you can see your doctor.
Most people recover with simple advice and by staying active. In a large UK trial of 599 people with persisting symptoms, up to six physiotherapy sessions led to slightly faster recovery at 4 months than a single advice session; there was no difference at 8 and 12 months. If your symptoms are not settling, a personalised assessment can help guide you.
When you can turn your head and look over both shoulders comfortably and safely. If you have warning signs such as numbness or weakness in your arms or legs, don’t drive or cycle until you have spoken to a doctor.
Lying on your back or your side is a better position for your neck. You can support your neck with pillows.
For neck pain that comes on suddenly without an accident or fall, see the wry neck guide; for longer-lasting pain, see the neck pain guide.
These symptoms may be a sign of nerve damage; see a doctor or go to an emergency department without delay. You can also see your doctor if your symptoms have not improved within a week.
Sources
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