The movement library

Neck

How to loosen up neck muscles, beyond the stretch

Keep the neck moving. The NHS says to try neck flexibility exercises, and not to park the neck in a collar. A Cochrane review found low-quality evidence that stretching alone may not change neck pain, and moderate-quality evidence that combined strengthening and stretching helped.

Seated upper body warm-upShoulder and arm movement in a chair, so the neck stretches that follow start from a moving shoulder.
Slow neck turnsSlow turns through a comfortable range, so the neck keeps its movement.
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Before you start

Stop if pain, pins and needles, or numbness travel into the arm or hand. Get checked for weakness, clumsy hands, an unsteady walk, neck pain after a fall, or neck pain with fever. Stop and speak to a clinician if a movement brings on sharp pain, dizziness, or symptoms that travel down an arm or a leg, and seek urgent care for any loss of bladder or bowel control or numbness around the saddle area.

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The short answer

The NHS neck pain page says to try neck flexibility exercises, and not to wear a neck collar, because it is better to keep the neck moving unless a doctor says otherwise. It also says not to keep the neck in the same position for a long time.

Stretching is the move most people reach for, and it is not the whole story. The Cochrane review of exercise for mechanical neck disorders found moderate-quality evidence that combined neck, shoulder and shoulder-blade strengthening and stretching helped pain and function in chronic neck pain. It found low-quality evidence that stretching alone may not change pain or function.

Loosen, then give the neck some support

The sequence starts with a gentle shoulder warm-up in a chair, then a side-neck stretch and slow turns, then upper back movement and a small chin tuck. The chin tuck is a low-load hold for the deep muscles at the front of the neck. It should not feel like a hard stretch.

Pins and needles, numbness, or pain travelling into the arm is a reason to stop and get checked, not a tighter stretch.

The sequence

  1. 1

    Seated upper body warm-up · 60 seconds

    Shoulder and arm movement in a chair, so the neck stretches that follow start from a moving shoulder.

  2. 2

    Upper trapezius stretch · 30 to 60 seconds each side

    A broad pull along the side of the neck, held without forcing.

  3. 3

    Slow neck turns · 30 to 60 seconds

    Slow turns through a comfortable range, so the neck keeps its movement.

  4. 4

    Seated cat cow · 60 seconds

    Moves the upper back behind the neck, with the arch aimed between the shoulder blades.

  5. 5

    Thoracic extension over a chair back · 45 to 90 seconds

    Opens the upper back over a support, so the neck is not doing that job alone.

  6. 6

    Chin tuck · 10 seconds, 5 times

    A small hold for the deep muscles at the front of the neck. The Cochrane finding is that strength belongs with the stretch.

The stretches are meant to be felt. The chin tuck is not. Keep the range comfortable, and stop if symptoms travel into the arm.

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What the research says

The NHS neck pain page says to try neck flexibility exercises and not to wear a neck collar, because it is better to keep the neck moving unless a doctor tells you not to. It says not to keep the neck in the same position for a long time, for example when sitting at a desk. It says to see a GP if neck pain or stiffness does not go away, if painkillers have not worked, if you are worried, or if you have other symptoms such as pins and needles or a cold arm.

Gross et al., Cochrane Database of Systematic Reviews (2015), found moderate-quality evidence that combined cervical, shoulder and scapulothoracic strengthening and stretching improved pain and function in chronic neck pain. Low-quality evidence suggested that stretching alone may not change pain or function.

Sources

  1. 1
    NHS, neck pain and stiff neck

    Says to try neck flexibility exercises, and not to wear a neck collar because it is better to keep the neck moving unless a doctor says otherwise. Also says not to keep the neck in the same position for a long time.

  2. 2
    Gross et al., exercises for mechanical neck disorders (Cochrane Database of Systematic Reviews, 2015)

    For chronic neck pain, moderate-quality evidence supports combined cervical, shoulder and scapulothoracic strengthening and stretching for pain and function. Low-quality evidence suggests stretching alone may not change pain or function.

Common questions

How do you loosen up neck muscles?

Keep the neck moving, with flexibility work the NHS names, and add shoulder and upper back strength. A Cochrane review found stretching alone may not change chronic neck pain, while combined strengthening and stretching had moderate-quality support.

Should I wear a neck collar to loosen the neck?

The NHS says not to, unless a doctor tells you to. It is better to keep the neck moving. A collar holds the neck still, which is the opposite of that advice.

Is stretching enough for tight neck muscles?

Not on the Cochrane review. Low-quality evidence suggested stretching alone may not change pain or function. Moderate-quality evidence supported combined neck, shoulder and shoulder-blade strengthening and stretching.

Why does my neck tighten at a desk?

The NHS lists a long time in one position, such as sitting at a desk, among the common causes, and says not to keep the neck in the same position for a long time. A short movement break is the practical reading of that line.

When should a stiff neck be checked?

See a GP if it does not settle, if you are worried, or if you have pins and needles or a cold arm. Stop and get checked for weakness, numbness, clumsy hands, an unsteady walk, pain after a fall, or pain with fever.

This is the version everyone gets. Yours is different.

Start your first session

Also called how to loosen up neck muscles, how to loosen tight neck muscles, neck muscle stretches, exercises to loosen the neck, tight neck muscle relief, how to relax stiff neck muscles. Movements are drawn from the clinically authored Vinys library. This page is general movement information, not medical advice, and it is not a diagnosis. How the method works.

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A short movement check builds a session around what you actually have going on and how your body is on the day, including which movements to leave out.

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