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Posted on 03-10-2010

If you're suffering from chronic neck pain, you definitely know it: Chronic neck pain is pain in the neck that lasts (off and on) for more than six months, and an estimated seven out of ten adults develop it at some point in their lives. The big question, of course, is what can you do about it? Fortunately, neck pain is usually treated effectively by chiropractors. In fact, recent guidelines on neck pain point to spinal manipulation as a recommended treatment option.

Another way to treat neck pain, in conjunction with chiropractic, is exercise, many of which can be performed anywhere.

Let's take a look at how the neck muscles relate to neck pain and what you can do about it. In general, there is no one cause of neck pain that applies to every patient. If you have chronic neck pain, you may have received a diagnosis of disc herniation, whiplash, strain, sprain or something else. Regardless, most of these conditions have one thing in common: Certain muscles are affected, and these are the muscles we need to target before progressing to more challenging exercises or activities.

There are certain muscles in the neck that are designed to help us maintain a normal healthy curve of the spine. In addition, these muscles are designed to hold our head up all day. The technical names of these muscles are the longus capitus and longus colli, more commonly known as the deep neck flexors. They are the muscles that attach to the front of your spine. Because they're located deep in the front of the neck, we often ignore them. As they say, "Out of sight, out of mind," but they're important muscles to consider whenever you're suffering from neck pain.

In individuals with chronic neck pain, these muscles often fatigue a lot quicker than in people without neck pain. That means other muscles pick up the slack and begin working harder. The muscles that begin working harder are the ones we generally end up stretching. Have you ever noticed that when you stretch stiff muscles, they feel good for a short period of time, only to get tight again? The thing is, if you don't address the other muscles, the ones that get fatigued and gradually stop working, your stretching program will not work as well. All these muscles need to be in "balance."

The best way to see if your deep neck flexors fatigue is to try and lift your head off the ground when you are lying down. The technique is simple: Lay down on a flat solid surface, tuck your chin in to your chest and lift your head off the ground, attempting to hold it off the ground for 10 seconds. If the neck begins shaking, or your chin is unable to stay tucked in, your deep flexors are fatigued and need to be addressed.

For most people with chronic neck pain, this can be a difficult exercise. That's why you can begin your exercise program by doing simple chin tucks while sitting or standing.

Simply tucking your chin in and holding it until you fatigue will help reactivate these muscles. You can start with 12 repetitions of this exercise, working your way up to three sets of 12 repetitions each. Ensure you take adequate rest (several minutes) in between each set.

Once you get comfortable with basic sitting/standing chin tucks, you can try doing the exercise lying down. The goal is to be able to do it 12 times, holding each one until you fatigue. The next goal is to work your way up to three sets of 12 repetitions, with rest in between each set. Then work your way to three sets of 15 repetitions and then three sets of 20 repetitions. Remember, this is a marathon, not a race. The goal is to increase the endurance of your muscles rather than their strength. Your neck is designed to carry the weight of your head all day, not to lift trains or buses! That's why building up endurance should be your first priority.

Remember, the neck muscles are like any other muscle in our body. With long-term pain or injury, the muscles get weak and get tired quicker. By first "balancing" the weak muscles and increasing their endurance, you will be prepared to progress to more challenging strengthening exercises. As research and guidelines conclude, combining this with your chiropractic care will lead to the best outcomes and improvement in your chronic neck pain.

Do You Have Chronic Neck Pain? Test Your Neck Muscles

The following exercises are a great way to test if your deep neck muscles are easily fatigued and thus contributing to your neck pain. They're also a great way to train the muscles so they don't fatigue as quickly, which can help relieve your chronic pain.

Lying chin tuck: Gently lift your head off the floor with your chin tucked in. You should be able to hold this position for 10 seconds. If your chin goes up, head tilts back, or your head begins to shake and you are unable to hold the position, this indicates fatigue of the deep neck muscles, which may be contributing to your pain.

Sitting chin tuck: Simply tuck the chin in. Make sure you don't tilt your head forward. Keep chin tucked in and head back. This is a good exercise to start with if you're suffering from chronic neck pain and are unable to perform lying chin tucks for a sustained period of time.

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