Neck Pain
Acupuncture for Neck Pain and Stiffness
Neck pain is one of the more common musculoskeletal problems I see in the clinic. It may begin after an injury or sudden movement, but it can also develop gradually from prolonged computer work, driving, training, repetitive activity or simply spending too much time in one position like scrolling on your phone .
Some people mainly notice stiffness or difficulty turning their head. Others experience pain extending into the shoulders, upper back or around the shoulder blade. Neck-related muscle tension may also occur alongside some types of headache.
Neck pain is not always just about the neck
The neck does not work by itself. It relies on the muscles of the shoulders, scapula and upper back to provide support and movement.
When I assess neck pain, I therefore look beyond the exact place where it hurts. A painful area may be working too hard because another muscle is tight, sensitive or not contributing effectively.
The aim of the assessment is to build a clearer picture of which muscles and movements may be involved, rather than treating every person with neck pain in exactly the same way.
My approach to neck pain
I begin by asking how the problem started, where you feel it and which movements or activities aggravate it. I may then assess:
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Your comfortable range of neck movement
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The muscles of the neck, shoulders and upper back
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Movement of the shoulder blades
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Areas of muscular tightness or sensitivity
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Whether symptoms extend into the arm or hand
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Any relevant history of injury, headaches or jaw tension
Depending on what I find, treatment may include acupuncture to the neck, shoulders, upper back or other areas that appear relevant.
Motor point acupuncture
Motor points are specific areas where a nerve enters a muscle. I may use motor point acupuncture when particular neck or shoulder muscles appear to be contributing to pain, stiffness or altered movement.
A brief muscle contraction or twitch may occur when the needle reaches the motor point. This is expected, although I adjust the technique according to your comfort and presentation.
Electroacupuncture
Electroacupuncture involves connecting selected acupuncture needles to a device that delivers a gentle electrical pulse.
I may use electroacupuncture when it is appropriate for the area and presentation. The intensity is gradually adjusted so that you can feel the stimulation while remaining comfortable.
Electroacupuncture is not suitable for everyone, so I will ask about your health history before deciding whether to include it.
Other techniques I may use
Depending on your presentation, I may combine acupuncture with:
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Distal acupuncture
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Cupping
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Gua sha
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Soft-tissue techniques
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Tuina
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Bowen technique
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Simple movement or exercise advice
The treatment approach may change as your movement and symptoms are reassessed.
How many appointments will I need?
This depends on how the neck pain began, how long it has been present and how you respond.
For many musculoskeletal presentations, I initially suggest two appointments per week for three weeks and then reassess. This gives us an opportunity to monitor your response and decide whether continuing, changing or concluding treatment is appropriate.
This is a starting framework rather than a guarantee, and recommendations are adjusted for each person.
When neck pain needs medical assessment
Acupuncture may not always be the appropriate first step. I may recommend medical assessment if your symptoms involve significant trauma, increasing weakness or numbness, problems with balance or coordination, fever, an unusual severe headache or other concerning changes.
If you are unsure whether acupuncture is appropriate for your neck pain, you are welcome to contact me before making an appointment.
