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Condition guide

Wry neck (acute torticollis)

Woke up unable to turn your head, as if your neck were locked to one side? Wry neck is a sudden spasm of the muscles on one side of the neck that leaves the head tilted and turned to one side. It can be very painful and frightening, but it usually gets better on its own within a few days. Slow, regular movement is the best way to help it recover.

Last updated: 14 October 2026

OvernightIt usually starts suddenly, often after sleep
24–48 hoursHow long the muscle spasm often takes to ease
A weekHow long full recovery can take; sometimes longer
Every few hoursHow often it is recommended to gently move the neck in each direction

Symptoms

  • Pain and stiffness on one side of the neck; the head stays tilted to that side.
  • Difficulty turning the head and straightening the neck.
  • One shoulder sitting higher than the other.
  • Stiffness, and sometimes swelling, in the neck muscles.
  • Headache.

What causes it?

  • Often there is no clear cause or injury; it also happens in people who have never had neck problems.
  • Sitting or sleeping in an unusual position without neck support.
  • Long periods hunched forward at a computer.
  • Carrying heavy or unbalanced loads.
  • Exposure to cold, such as sleeping in a draught.
  • It is one of the common causes of neck pain in young people.

What helps?

1

Move gently

You can gently move your neck in each direction every few hours and increase the movement day by day. Movement will not damage your neck.

2

Heat

A heat pack wrapped in a towel eases muscle stiffness for many people.

3

Painkillers

Taken regularly before the pain becomes severe, paracetamol or ibuprofen can make the exercises easier. If you have other conditions or take other medicines, you can check with your doctor or pharmacist first.

4

Posture and pillow

You can keep your neck and back upright when sitting and working. One firm, supportive pillow may help.

If the pain lasts for weeks or keeps coming back, you can look at the neck pain and desk work guides.

Exercises at home

Six exercises to loosen the neck

Start the movements slowly and small, and widen them a little each day. A mild stretch is normal; do not push into pain. Stop the exercise if you get pain spreading to the arm or numbness.

Neck rotation

Looking slowly left and right

Sit upright and keep your shoulders still. Slowly turn your head to one side as far as the pain allows, hold for 2–3 seconds, then turn to the other side. Try to look a little further each day.

5–10 times each way, every few hours
Side stretch

Ear towards shoulder

Sit upright. Slowly bring your ear towards the shoulder on the same side; do not lift your shoulder. Hold for a few seconds at the comfortable end point, come back to the middle and switch sides.

5–10 times each side, every few hours
Tilting the head forward and back

Tilting the head forward and back

Sit upright. Slowly lower your chin towards your chest, then come back to the middle and look up gently towards the ceiling. Keep the movement small and widen it as the pain allows.

5–10 times, every few hours
Shoulder shrug

Shoulder shrugs and rolls

Sit upright. Lift your shoulders up towards your ears, then let them drop. Then roll your shoulders forwards, then backwards. It helps the neck and shoulder muscles relax.

5–10 times, every few hours
Chin tuck

Chin tuck

Sit up straight, looking straight ahead. Without tilting your head, draw your chin straight back, as if making a double chin. Feel the back of your neck lengthen; hold for 5 seconds, then relax.

10 reps, 2–3 times a day
Shoulder blade squeeze

Shoulder blade squeeze

Stand or sit up straight. Without lifting your shoulders towards your ears, draw your shoulder blades back and slightly down towards each other. Hold for 5 seconds, then relax.

10–15 reps, twice a day

Frequently asked questions

How long does wry neck last?

It usually gets better within a few days. The muscle spasm often eases in 24–48 hours, while full recovery can take up to a week. Sometimes it lasts longer or comes back later for no clear reason.

Will moving my neck harm it?

No. Moving the neck gently will not damage it; in fact, increasing the movement day by day supports recovery. If the pain is very bad, you can rest for a day or so and then start moving gently.

Heat or cold?

Heat eases muscle stiffness for many people. To avoid burning your skin, you can wrap the heat pack in a towel.

Should I wear a neck collar?

Usually not. The advice is to move the neck gradually and carry on with your daily activities as far as possible. Taking painkillers regularly, before the pain becomes severe, can make the exercises easier.

When should you see a doctor?

  • If there is no improvement after a few days
  • If the pain is very severe or spreads to the arm or hand
  • If you have numbness or weakness in your hands or feet
  • Urgent: if neck stiffness comes with fever, headache, vomiting, dislike of bright light, drowsiness or a rash that does not fade under pressure, call 112 straight away (it could be meningitis; not all symptoms may appear)

Sources

  1. Royal Berkshire NHS Foundation Trust, Emergency Department. Acute torticollis (wry neck). June 2024.
  2. Dorset County Hospital NHS Foundation Trust. Acute torticollis (wryneck). Patient information, April 2014.
  3. nidirect. Meningitis. Last updated 23 July 2026.

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