A neck sprain is stretching or tearing of the ligaments of the neck. Ligaments are strong bands of tissue that cross joints and connect bones to each other. They help stabilize joints, including the neck.
Ligaments normally stretch as the joints move. A sprain is caused by a force that makes a ligament stretch farther than it should. The force is usually the result of an accident or trauma. Some forces can cause tears in the ligament tissue.
Factors that may increase your chance of getting a neck sprain include:
Neck sprain may cause:
You will be asked about your symptoms, medical history, and how you injured your neck. A physical exam will be done. The stability of your neck will be checked to look for any nerve damage.
Images may be needed of your neck. This can be done with:
Neck sprains are graded according to the amount of injury:
Ice may help decrease swelling and pain in the first few days after the injury.
After a couple of days, heat may help loosen tight or injured muscles. Wait for swelling to go away before using heat therapy.
Medication can help to relieve discomfort and swelling. Medications may include:
Note: Aspirin is not recommended for children with a current or recent viral infection. Check with your doctor before giving your child aspirin.
American Orthopaedic Society for Sports Medicine
Ortho Info—American Academy of Orthopaedic Surgeons
Canadian Physiotherapy Association
Conlin A, Bhogal S, et al. Treatment of whiplash-associated disorders—part II: Medical and surgical interventions. Pain Research & Management. 2005;10:33-40.
Duane TM, Wilson SP, et al. Canadian cervical spine rule compared with computed tomography: a prospective analysis. J Trauma. 2011;71(2):352-357.
Langevin P, Peloso PM, et al. Botulinum toxin for subacute/chronic neck pain. Cochrane Database Syst Rev. 2011;(7):CD008626.
Neck sprain. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00410. Updated December 2013. Accessed May 11, 2016
Teasell RW, McClure JA, et al. A research synthesis of therapeutic interventions for whiplash-associated disorder (WAD): part 2 - interventions for acute WAD. Pain Res Manag. 2010;15(5):295-304.
1/4/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Massey T, Derry S, Moore R, McQuay H. Topical NSAIDs for acute pain in adults. Cochrane Database Syst Rev. 2010;(6):CD007402.
Last reviewed May 2016 by Warren A. Bodine, DO, CAQSM
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.