Strength Training Treatment for Chronic Neck Pain in Women

There are many causes of neck pain, including arthritis, muscle spasms, poor circulation, autoimmune disease, and trauma. However, many people with chronic neck pain have no known underlying cause. Current smokers and those with highly mentally and physically stressful jobs are at increased risk of developing chronic neck pain. Treatment has traditionally been limited to analgesic medications and short-term physical therapy, which are not particularly effective. The findings of the new study suggest that long-term strength training may be the most effective treatment for unexplained chronic neck pain.

In the new study, 180 women with neck pain lasting at least 6 months were randomly assigned to participate in one of three treatment groups for 12 months. The first group (control group) performed aerobic and general strengthening exercises three times a week. The two other groups also did these exercises, but additionally performed a series of specific neck muscle exercises using light resistance (endurance training) or heavy resistance (strength training). The endurance training group did more repetitions with less weight and the strength training group did fewer repetitions with heavier weight, but both groups focused on moving the neck forward, backward, side to side, and rotating it left to right. The level of pain and range of motion in the neck were measured initially and at the conclusion of the study.

Considerable or complete pain relief was experienced by 73% of the participants in the strength training group and 59% in the endurance training group, compared with 21% in the control group. All groups had a significant increase in neck mobility and strength, but the greatest increases were found in the strength training group. Some participants reported a transient increase in neck pain following the neck strengthening exercises, but it did not inhibit their ability to continue with the training. Physician office visits were significantly reduced, as well as the need for analgesic medications.

The poor response of chronic neck pain to short-term strength or endurance training may partially be attributed to the inadequate duration of treatment. Following a strict exercise routine for at least a year may be necessary for long-term pain relief, which demands a high degree of compliance. People with chronic neck pain should be evaluated by a physician or physical therapist to determine the cause of the pain before starting an intensive exercise regimen.

Darin Ingels, ND, MT (ASCP), received his bachelor’s degree from Purdue University and his Doctorate of Naturopathic Medicine from Bastyr University in Kenmore, WA. Dr. Ingels is the author of The Natural Pharmacist: Lowering Cholesterol (Prima, 1999) and Natural Treatments for High Cholesterol (Prima, 2000). He currently is in private practice at New England Family Health Associates located in Southport, CT, where he specializes in environmental medicine and allergies. Dr. Ingels is a regular contributor to Healthnotes and Healthnotes Newswire.

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