What are the causes of neck pain?

Causes of neck pain

Mechanical problem:

  • Postural (e.g. falling sleep in an awkward position)
  • Whiplash injury
  • Facet joints problem
  • Cervical

Inflammatory conditions in the neck:

  • Infection
  • Axial spondyloarthritis
  • Psoriatic arthritis
  • Rheumatoid arthritis
  • Polymyalgia rheumatica
  • Discitis 

Metabolic problems:

  • Axial calcium pyrophosphate dihydrate disease
  • Fibrous dysplasia
  • Paget's disease 

Neoplastic conditions:

  • Metastases
  • Myeloma
  • Lymphoma
  • Intrathecal tumour 


  • Fibromyalgia (FM)
  • Torticollis 

Referred pain from nearby structures:

  • Pharynx
  • Cervical LN
  • Teeth
  • Angina pectoris
  • Aortic aneurysm
  • Pancoast tumour
  • Diaphragm
[ Source: Davidson's principles and practice of medicine 23rd Edition; page 997]
What to do in Neck pain, don't do?

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