What Causes Neck Pain and Acute Neck Stiffness?

Question: Is neck pain always a “cervical disc herniation”?

Answer: No. Neck pain may also occur due to muscle spasm, posture/ergonomic problems, shoulder joint disorders, and stress–sleep disturbances. However, neck pain is a common lifetime complaint in the population (the statement “about 1 in 3 people” is consistent with many epidemiological studies). If neck pain is accompanied by arm pain/numbness, the likelihood of cervical nerve root compression (radiculopathy) increases.

When should I take neck pain seriously?

  1. If arm pain + numbness/tingling has started
  2. If there is deterioration in hand skills, difficulty buttoning or holding a pen
  3. If there is imbalance while walking, frequent tripping/falling, stiffness in the legs
  4. If there are new symptoms such as urinary incontinence or retention (difficulty voiding), these may be associated with more serious conditions such as spinal cord compression (myelopathy).