neck exercises

How Do I Fix My Neck Pain?

How Do I Fix My Neck Pain?

Esther Gokhale
Date

Do you suffer from neck tension, muscle knots, or tingling in your fingers? Do you get frequent headaches?

Or maybe your neck is fine most of the time, but seizes up periodically, leaving you unable to function normally in your job, family life, and recreational activities.

Drawing of woman wearing cervical collar
A soft cervical collar is a common prescription to alleviate neck pain. It can give welcome support in the short term, but doesn’t help to strengthen your neck or get to the source of the problem. Wikimedia Commons

Most neck pain involves compression. 

In modern cultures, the head often drifts forward as we slouch and crane our necks towards our computer screens. The weight of the head, (typically 11 lb. or 5 kg—think bowling ball), then requires the muscles at the back of the neck to contract strongly to keep the head up. This contraction compresses the relatively delicate tissues in the area. Not a recipe for a healthy, happy neck. If you have forward head carriage but are symptom-free so far, keep reading for tips that will prevent future problems with the discs, nerves, blood vessels, and bones in your neck.

Man using desk computer, slumped, with forward head carriage
In our culture slumped desk work posture and a degree of forward head carriage is common. Pexels

Restoring the natural length and position of your neck

Young children, ancestral populations, and people living in traditional societies around the world preserve a natural head carriage that stacks the neck well as part of a healthy J-spine. This allows the head to be balanced with only appropriate muscular effort, and the neck to be tall and free from compression. 

Young child with well-aligned neck
As young children we instinctively align our neck well over our body. Pexels

Restoring mobility in your neck

Perhaps you have experienced increased stiffness and reduced mobility in your neck over the years? Or unpleasant gritty sounds when you turn your head? Beware of exercises that include extreme flexion, extension, or head circles. These movements, taken to the end of your range of motion, can damage your discs and pinch your cervical nerves. If they are a part of your exercise regimen, consider reducing their range. 

Diagram showing the bones, discs, nerves, and major blood vessels of the neck.
There are many delicate and vital structures within the neck, so we first want to align it well. (front view). Wikipedia

In our experience it is best to focus on restoring the neck to a healthy baseline length and shape that centers your head well on your spine. The video below shows you how to proceed:

This gentle movement will help you to find a safe, natural trajectory to get started on gliding your head up and back.

If you have areas of long-standing rigidity or curvature in your neck, it is likely linked to your postural distortions elsewhere in your body, for example thoracic rigidity or a tucked pelvis. 

Expect this to take more time and training to change, for which you will be rewarded with additional benefits including comfort, improved circulation, and increased energy.

Finding your neck strength 

While many of the neck’s structures are delicate, they can also be strong. The deep muscles that are intended to support the neck and keep it tall tend not to get used very much in modern industrial culture and are often weak. Besides doing strengthening exercises, as is common in conventional approaches to neck problems, learning to carry weight on the head is extremely valuable. 

Woman in Odisha, India with a tall, straight neck and functional head posture.
People in traditional societies preserve a taller, straighter neck, and more functional head posture. (Odisha, India)

Cultures that headload suffer much less neck pain than we do and can teach us much about how, where, and why to headload. Not only do these people have excellent neck health, but they also have excellent posture throughout their bodies, and move with elegance and efficiency. Students in our classes begin with light weights to sense the axis along which they need to stack their bones. Over time, the weight can be increased to further strengthen the longus colli, inner corset, and other muscles. 

Student learning to head-load in glidewalking, guided by Esther Gokhale.
The small extra weight of the Gokhale™Head Cushion enables students not only to strengthen the deep neck muscles and lengthen the neck, but also to better orient their entire skeleton. 

My book 8 Steps to a Pain-Free Back has many images of people throughout the world headloading. Healthy head carriage, as opposed to forward head carriage, is an important starting point for this activity. It is not possible to carry significant weight without both the healthy neck alignment and strength to avoid compressive forces.

Woman showing an elegant, well-aligned head and neck (Thailand)
A well-aligned head and neck is both highly functional—and elegant

Because about one in three adults are affected by neck pain every year¹, we introduce techniques for the neck early on in our in-person Foundations course (Lesson 1 of 6), in our one-day Pop-up course, and our online Elements course (Lesson 4 of 18). Here students learn in detail the gentle techniques that gradually return the neck towards the length and pain-free position we all enjoyed as infants. Whatever your age, your neck is something you can learn to once again stack in your favor.

References: 

  1. Institute for Quality and Efficiency in Health Care (IQWiG), “Neck Pain: Overview,” InformedHealth.org, last modified February 14, 2019, https://www.ncbi.nlm.nih.gov/books/NBK338120/.

Best next action steps for newcomers

If you would like insight on your posture, consider scheduling an Initial Consultation, online, or in person.

You can sign up below to join one of our upcoming FREE Online Workshops. . .

Home Exercises Part 4: Head Rotations/Circling 

Home Exercises Part 4: Head Rotations/Circling 

Esther Gokhale
Date

This is our fourth blog post in the series where we put popular home exercises under scrutiny to examine how they stack up—or not—against the principles of healthy posture. In this post we are looking at head rotations/circling, an exercise that is often suggested to ease stiffness and mobilize the neck.

Neck pain—causes and solutions

Although not often considered in physical fitness and exercise regimens, the neck frequently becomes a problematic area for people in our culture. At that point, we look to mobilizing, stretching, and strengthening exercises to alleviate pain and stiffness.   


In traditional cultures the neck remains upright and long. It is capable of carrying the weight of the head and additional loads without injury.

The Gokhale Method point of view is that most of our neck problems arise from poor posture. The head and neck tend to drift forward and downward, causing the muscles at the back of the neck to tighten. We then lift our chins up so we can look out ahead of us. The resulting compression becomes a pain in the neck—or a headache—that we can do without. So how can we best avoid or remedy this?


Shortened, tight muscles at the back of the neck (left) are a common cause of neck pain and tension headaches. Positioning the head and neck correctly eases this compression (right).

Remedies to avoid

Tight, short muscles may well have compressed your cervical (neck) vertebrae, and perhaps caused bone spurs or bulging discs. Be especially careful to avoid exercises which take your head into circling movements. These call for extreme flexion (forward), extension (backward) and lateral bends (side), any of which could pinch your nerves and discs. By circling through these movements in rapid succession, the risk is heightened. Performing head rotations (twists) is also commonly advocated, but if done with poor alignment, head twists can also compress tissues in the neck. 


The cervical spine has seven vertebrae which support the skull. Wikipedia


There are many delicate and vital structures within the neck, including nerves, discs, and arteries (front view). Wikipedia

The right approach

You want the principles of Primal Posture™ to guide your head back where it belongs. Appropriate support from the longus colli and other deep muscles of the neck will give the cervical spine the support it needs to align well. This will encourage your outer neck muscles to relax their grip and be gently stretched. Circulation in the area will also get a boost. 


The longus colli muscles attach to the front of the cervical spine. When they contract (shown in red), they cause the neck to straighten and, therefore, lengthen.

If your neck is inflamed, it will benefit from steady, well-aligned exercise that can help to calm things down. The video clip below shows you a healthy way to lengthen tight muscles on either side of your neck. These movements do not overload your cervical discs, crunch your vertebrae, or impinge your nerves. Note that the exercise includes working at various angles to address different fibers within the same muscle.

A healthy exercise for the neck


This healthy neck stretch is from a recent 1-2-3 Move class for our Alumni.

Your checklist for this exercise is:

  • Perch on the front of your chair as shown.
  • Elongate your neck. Learn how to do this here.
  • Reach one arm across to your opposite ear and pull upward.
  • Roll open the opposite shoulder and pull that downward, leaning over sideways as you hold the rim of the chair seat. Learn how to roll your shoulders open here.
  • Don’t sway. Use your rib anchor. Learn how to use your rib anchor here.
  • Listen to some good music! It takes 20–30 seconds for muscles to relax.
  • Stretch different muscle fibers—slowly turn your head toward your armpit.


Healthy musculature allows the neck to stack in a tall, more vertical position with the head over the body, not forward.

Address the root cause of your neck pain

People usually think of their neck and any pain there as a separate issue from what is going on in their backs. From the point of view of a posture teacher, a distortion in any part of the spine will have an effect on all other parts of the spine. 

For example, people sitting or standing at a computer with their heads stuck forward may try to address neck pain locally. But the root of the problem is often in the pelvis. If the pelvis is tucked (i.e., with an imaginary tail between the legs), the spine will be curved over into a C shape. You can read more about spine shape here. In this situation, any local effort to draw the neck back is going to be hard to sustain, tense, and ultimately counterproductive. But by positioning the pelvis well, the neck will have the opportunity to stack well. At this point, local work on the neck is able to provide not only symptomatic relief but can also return your cervical spine closer to its primal, healthy structure.


A C-shaped back stresses the lumbar (lower back) discs and is also bad news for the neck.

Join me for a special new one-hour FREE Online Workshop, Posture Remedies for Text Neck,  November 12, 11 a.m. (Pacific Time), and learn helpful suggestions on how to improve the architecture and health of your neck. 

If you would like an expert one-on-one assessment of your posture, including  your neck alignment, you can arrange an Online Initial Consultation or take an in-person Initial Consultation if you have a Gokhale Method Teacher near you.

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