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Neck pain-associated disorders

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The following summarized guidelines for the management of neck pain-associated disorders are prepared by our editorial team based on guidelines from the Canadian Chiropractic Association (CCA 2016).


1.Nonpharmacologic interventions

Multimodal therapy: consider either range-of-motion home exercises, medication, or multimodal manual therapy for reduction in pain and disability in patients with recent neck pain grades I to II.
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  • Supervised graded strengthening exercises

  • Supervised yoga

  • Supervised group exercises

2.Therapeutic procedures

Manipulation or mobilization: consider manipulation or mobilization for patients with recent onset of grades I to II neck pain-associated disorders, based on patient preference.

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  • High dose massage

3.Patient education

General counseling: consider mixed supervised and unsupervised high-intensity strength training or advice alone in workers with persistent neck and shoulder pain.