The general principles of treating a majority of mechanical type neck pain is of early mobilisation and manipulation, to prevent the developement of stiffness and disability. Prolonged periods of immobility are discouraged and movement restricting collars should only be used for short periods of time ie two weeks, during activities that particularly exacerbate pain.
Mobilisation and manipulation is performed by physiotherapists, osteopaths, chiropractors and some doctors. When such measures fail to produce significant improvement, traction is sometimes used.
Advice should be given concerning posture.
In the case of radicular pain, some improvement may be obtained by resting and supporting the neck for two weeks with a collar. If symptoms do not improve however or there is evidence of neurological impairment or cord compression then appropriate action should be taken to investigate the need for surgical decompression.
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