Neck & Upper Back Pain

neckpainMost neck and upper back pain is caused by a combination of factors, including injury, poor posture, spinal subluxations, stress, and in some instances, disc problems. Upper back pain treatment can help reduce and eliminate pain as well as neck pain relief.

Most people do not realize how much they move their neck during the day until they are unable to do so. The degree of flexibility of the neck, coupled with the fact that it has the least amount of muscular stabilization and it has to support and move your 14 – 16 pound head, means that the neck is very susceptible to injury. You can picture your neck and head much like a bowling ball being held on top of a stick by small, thin, elastic bands. It doesn’t take much force to disrupt that delicate balance.

The spinal cord runs through a space in the vertebrae to send nerve impulses to every part of the body. Between each pair of cervical vertebrae, the spinal cord sends off large bundles of nerves that run down the arms and to some degree, the upper back. This means that if your arm is hurting, it may actually be a problem in the neck! Symptoms in the arms can include numbness, tingling, cold, aching, and “pins and needles”.

These symptoms can be confused with carpal tunnel syndrome, a painful condition in the hands that is often found in people who work at computer keyboards or perform other repetitive motion tasks for extended periods. Problems in the neck can also contribute to headaches, muscle spasms in the shoulders and upper back, ringing in the ears, otitis media (inflammation in the middle ear, often mistaken for an ear infection in children), temporomandibular joint dysfunction (TMJ), restricted range of motion and chronic tightness in the neck and upper back.

We associate the neck and upper back together, because most of the muscles that are associated with the neck either attach to, or are located in, the upper back. These muscles include the trapezius, the levator scapulae, the cervical paraspinal muscles and the scalenes, as well as others.

The Causes of Neck and Upper Back Pain

Most neck and upper back pain is caused by a combination of factors, including injury, poor posture, chiropractic subluxations, stress, and in some instances, disc problems.


By far, the most common injury to the neck is a whiplash injury. Whiplash is caused by a sudden movement of the head, either backward, forward, or sideways, that results in the damage to the supporting muscles, ligaments and other connective tissues in the neck and upper back. Whether from a car accident, sports, or an accident at work, whiplash injuries need to be taken very seriously. Because symptoms of a whiplash injury can take weeks or months to manifest, it is easy to be fooled into thinking that you are not as injured as you really are. Too often people don’t seek treatment following a car accident or sports injury because they don’t feel hurt. Unfortunately, by the time more serious complications develop, some of the damage from the injury may have become permanent. Numerous studies have shown that years after whiplash victims settle their insurance claims, roughly half of them state that they still suffer with symptoms from their injuries. If you have been in a motor vehicle or any other kind of accident, don’t assume that you escaped injury if you are not currently in pain. Get checked out by a good chiropractor.

Poor Posture

One of the most common causes of neck pain, and sometimes headaches, is poor posture. It’s easy to get into bad posture habits without even realizing it – even an activity as “innocent” as reading in bed can ultimately lead to pain, headaches, and more serious problems. The basic rule is simple: keep your neck in a “neutral” position whenever possible. Don’t bend or hunch your neck forward for long periods. Also, try not to sit in one position for a long time. If you must sit for an extended period, make sure your posture is good: Keep your head in a neutral position, make sure your back is supported, keep your knees slightly lower than your hips, and rest your arms if possible.  Forward head posture or text neck are very common for people who are stooped over their computers all day long. If not taken care of with chiropractic care, subluxations like this can worsen over time.  For tips on how to prevent text neck, click here.


Subluxations in the neck and upper back area are extremely common due to the high degree of stress associated with holding up your head, coupled with the high degree of instability in the cervical spine. Most subluxations tend to be centered around four areas: the top of the cervical spine where it meets the skull; in the middle of the cervical spine where the mechanical stress from the head is the greatest; in the transition where the cervical and thoracic areas of the spine meet; and in the middle of the thoracic spine where the mechanical stress from the weight of the upper body is greatest. Signs of subluxation include looking in the mirror and seeing your head tilted or one shoulder higher than the other. Often women will notice that their sleeve length is different or that a necklace is hanging off center. If someone looks at you from the side they may notice that your head sits forward from your shoulders. This is known as FHP – forward head posture – and is very common for people who are stooped over their computers all day long. Subluxations are a debt to the body. If they are not taken care of soon after they occur, then they can get much worse over time due to the accumulation of compounding interest.


When most people become stressed, they unconsciously contract their muscles. In particular, the muscles in their back. This ‘muscle guarding’ is a survival response designed to guard against injury. In today’s world where we are not exposed to physical danger most of the time, muscle guarding still occurs whenever we become emotionally stressed. The areas most affected are the muscles of the neck, upper back and low back. For most of us, the particular muscle affected by stress is the trapezius muscle, where daily stress usually leads to chronic tightness and the development of trigger points.

The two most effective ways you can reduce the physical effects of stress on your own are to increase your activity level – exercise – and by deep breathing exercises. When you decrease the physical effects of stress, you can substantially reduce the amount of tightness and pain in your upper back and neck.

Disc Herniations

The discs in your cervical spine can herniate or bulge and put pressure on the nerves that exit from the spine through that area. Although cervical discs do not herniate nearly as often as lumbar discs do, they occasionally can herniate, especially when the discs sustain damage from a whiplash injury. Contact us today!

For a short animation about cervical disc herniation’s, click here.

Check out what our patients have to say!

Hi, my name is Rich & I love Chiropractic!

A friend of mine and a very satisfied patient of Dr. Hoch’s encouraged me to schedule an appointment when she overheard me complaining of my long list of problems.  I had lower back pain, and neck pain, right shoulder pain and right elbow pain, right thumb pain and plantar fasciitis.  (Until I had to list them out, I didn’t realize how much was going wrong with me!)  During my exam, Dr. Hoch began to reveal the true nature of my new injuries, what was causing them and what it was going to take to improve them. She discussed that almost all of these complaints came on as a result of a knee injury and subsequent surgery which caused a change in my gait and how I played tennis.  I was aware that I was changing to a more open stance (while playing tennis) but hadn’t really realized how this would cause plantar fascial pain.  I was also, perhaps, using my arms more to make up for the loss of agility due to the knee problem, and this led to the issues with my back, neck shoulder, elbow, and thumb!  I felt like my body was a disaster zone and told Dr. Hoch just that.    She said we had our work cut out for us.  She said that she would need me to commit to coming 3 times for the first 2 weeks to effect some real change in my muscles and joints, but that she would be able to reduce how often I received treatment after that.    She also told me that she wanted me back to playing tennis within 3 weeks and that getting slowly back into tennis would better help her to identify any triggers for my pain and injuries.  She addressed ALL my problems each visit and after 6 treatments over a two-week period, to my amazement, I was feeling 70% improved!  After two more treatments, I found myself at 80% improvement.  I still have a few things that need more attention, like my back –it had been a chronic problem for me off and on over the years, but I can’t believe the changes and I’m so excited to get back to playing tennis regularly.  I will be ever grateful to GWEN for telling me about Dr. Hoch.

~R. S.


I haven’t felt this great in years!

For about 20 years, I struggled with many different health complications. I experienced horrible migraines, numbness in my arm, swelling in my knee, elbow pain, shoulder pain, neck pain, and back pain. Along with this tornado of health issues, I also struggled with chronic digestive issues.

  • Headaches have been problematic since my thirties.
  • Numbness in my arm (radiculopathy) has been about 6+ years.
  • Swelling in my knee came after I had surgery in February 2017.
  • Elbow pain was on going for 5 months.

Doctors I saw previously only prescribed back pain medications to treat individual areas, rather than looking at the whole picture. The medications I was taking helped with my symptoms for  a short time but just masked the underlying causes. After feeling irritated and impatient with my aches, pains, digestion issues, and migraines, a few of my friends who are patients of Dr. Hoch referred me to her office. Each one of them has been very happy with their experience with her, and assured me I’d be in great hands. They also told me how detailed and attentive she is to each individuals specific needs and care. Dr. Hoch also looks at the overall picture of what was causing my health concerns.

Dr. Hoch first approached the skeletal and musculoskeletal issues (everything I’ve mentioned except the digestive issues) with chiropractic adjustments and acupuncture. By my 4th visit, most of my symptoms (excluding digestion) were 50% or more improved!

I continued care with chiropractic to further resolve the issues, and began an anti-inflammatory diet geared toward losing weight and improving digestion and metabolism. Within 1 WEEK of my diet, in addition, to taking my supplements, the inflammation and pain decreased greatly, and my digestion problems improved. On her hcg metabolic weight-loss diet, I lost 22 pounds in 30 days!! Keeping the weight off, and continuing the healthy eating habits I learned has been very easy, and I learned to control my cravings. Dr. Hoch was an excellent coach, and was always available to help making this diet a breeze to follow and stick to! 

In combination with diet and chiropractic care, acupuncture was no longer needed, plus my health vastly improved. I’ve not felt this great in years! 

Starting out concerned I’d just have to adapt or deal with this as just “me” who had all these issues, I am ecstatic to announce I am finally pain free (except for occasional episodes of migraines) and my digestion has improved to the point of not needing any medications! I sleep better and have renewed vitality. 

Thank you so much Dr. Hoch and her very friendly and caring staff, for helping me reach a new, stable healthy lifestyle!