Medicines and Products for neck pain

Medicines for neck pain ease pain so that you can stay active. They do not fix posture or weak muscles. Always follow a doctor or pharmacist's advice.

Pain relievers

• Paracetamol: for mild to moderate pain, in the dose on the label
• NSAIDs such as ibuprofen, naproxen and diclofenac: reduce pain and inflammation. They can irritate the stomach and affect kidneys and blood pressure. Take with food and for the shortest time. Avoid them in ulcers, kidney disease, late pregnancy and without advice in asthma or heart disease.
• Topical gels and sprays: diclofenac or menthol products applied to the skin. Do not apply on broken skin.

Muscle relaxants

Short courses may be given for severe spasm. They cause drowsiness, so do not drive after taking them.

For nerve pain

If a nerve is pinched, doctors may give nerve pain medicines such as gabapentin or pregabalin, or a short course of steroids. These need a prescription.

Injections and procedures

Steroid injections near the nerves, or surgery for severe nerve or spinal cord compression, are used in selected cases after a specialist review.

Supplements

Vitamin D, calcium and B12 only if tests show a need.

Cautions

• Do not take more than one NSAID at once
• Do not use strong painkillers or steroids without a prescription
• Do not give aspirin to children and teenagers
• Tell your doctor about other medicines, pregnancy and any herbal products
• Cervical collars are not recommended for long periods

Remember

Use the lowest effective dose for the shortest time, and combine medicine with movement and posture care.