01 Nov Chronic Neck Pain Treatment Without Surgery: Your Options Explained
Many people with chronic neck pain are able to manage their symptoms without surgery. Nonsurgical options such as physical therapy, medications, cervical epidural steroid injections, facet joint injections, and radiofrequency ablation may help reduce pain and improve movement for some patients.
Chronic neck pain can affect sleep, work, driving, and everyday activities. Here is an overview of common causes and the nonsurgical options a pain specialist may discuss with you.
What Causes Chronic Neck Pain?
Neck pain is generally considered chronic when it lasts longer than about three months. Common causes include:
- Degenerative disc disease, as the discs between the vertebrae change with age
- Herniated or bulging discs that press on nearby nerves
- Facet joint arthritis in the small joints along the back of the spine
- Cervical radiculopathy, or a pinched nerve that may cause pain, numbness, or tingling down the arm
- Muscle strain, posture, and injuries such as whiplash
An accurate diagnosis is an important first step. A specialist may review your symptoms, perform a physical exam, and order imaging if needed to help identify the source of your pain.
What Are the Nonsurgical Treatment Options for Neck Pain?
Physical Therapy and Targeted Exercise
Physical therapy is commonly recommended early in treatment. A therapist may help strengthen the muscles that support your neck, improve flexibility, and address posture habits that may contribute to strain.
Medications
Depending on your health history, your physician may recommend over the counter pain relievers, muscle relaxants, or medications for nerve pain. All medications have potential side effects, so discuss them with your provider.
Cervical Epidural Steroid Injections
When a disc or narrowed space is irritating a nerve, a cervical epidural steroid injection places anti inflammatory medication near the affected nerve root. For some patients, this may help reduce pain that travels into the shoulder or arm, which may make it easier to participate in physical therapy. To learn more, read how long epidural steroid injections last.
Facet Joint Injections and Medial Branch Blocks
If arthritis in the facet joints is suspected, an injection into or near these joints may help reduce inflammation. A medial branch block temporarily numbs the small nerves that carry pain signals from the facet joints and can help your physician determine whether these joints are a source of pain.
Radiofrequency Ablation
For patients who respond to a medial branch block, radiofrequency ablation uses heat to interrupt pain signals from the targeted nerves. For some patients, relief may last longer than an injection alone, although results vary and are not permanent for most people.
Trigger Point Injections
Tight, tender knots in the neck and upper back muscles may contribute to pain. Trigger point injections may help relax these muscles for some patients.
Everyday Habits That May Help
Adjustments such as raising your computer screen to eye level, taking breaks from your phone, choosing a supportive pillow, and staying active may help support your comfort over time.
Like any medical treatment, injections and procedures carry potential risks as well as potential benefits. Your physician can explain these in detail.
When Is Neck Surgery Considered?
Surgery is generally considered when nonsurgical treatment has not provided adequate relief, or when there is significant nerve or spinal cord compression. Seek prompt medical care if you notice worsening weakness in your arms or hands, trouble with balance or coordination, or changes in bladder or bowel control.
Is Nonsurgical Treatment Right for You?
Treatment suitability depends on your diagnosis, medical history, symptoms, and goals. What works well for one person may not work for another. A consultation with a qualified specialist can help you understand which options may be appropriate. If you are also thinking about timing and insurance, see why December may be a smart time to schedule pain treatment.
Frequently Asked Questions
How long should I try conservative treatment before considering surgery?
This depends on your symptoms and diagnosis. Many physicians recommend trying nonsurgical care first unless there are serious neurological symptoms. Your specialist can help you decide on a timeline.
Will an injection fix the underlying problem in my neck?
Injections are intended to reduce inflammation and pain rather than repair the disc or joint itself. For some patients, the relief may make it easier to stay active and participate in therapy.
Is radiofrequency ablation permanent?
Generally, no. The treated nerves can regenerate over time, so pain may return. How long relief lasts varies, and the procedure may be repeated if your physician feels it is appropriate.
Talk With a Specialist About Your Neck Pain
If neck pain is affecting your daily life, a specialist can evaluate your symptoms, help identify possible causes, and discuss nonsurgical options that may be appropriate for you.
Schedule a consultation with Principal Spine to learn more about your neck pain treatment options.
Disclaimer: This article is for general educational purposes only and is not medical advice. It does not replace an evaluation by a qualified healthcare provider. Treatment options, risks, and results vary from person to person. Please consult your physician about your specific situation.