Debilitating and painful, a pinched nerve in the neck causes muscle weakness, radiating arm pain and muscle spasms. Often caused by compression of ligaments, bones and muscles onto a peripheral nerve, a variety of noninvasive treatments can often aid in returning neck function back to normal. Medically referred to as cervical radiculopathy, a pinched nerve rarely requires invasive surgical procedures to correct. Treatment focuses on decreasing inflammation and compression.
Medications
Nonsteroidal anti-inflammatory medications, or NSAIDs, such as ibuprofen and naproxen can reduce the pain, inflammation and sleep disturbances due to a pinched nerve in the neck. These drugs are available in over-the-counter and prescription strengths. Side effects include gastric ulcers and internal bleeding; NSAIDs should always be administered with food or a glass of milk to reduce side effects. Acetaminophen, commercially sold as Tylenol, may be used to control pain and rotated with NSAIDs. A person with liver dysfunction should not take acetaminophen. Corticosteroid shots may be given if the pain is severe, but are often only administered if other treatments or medications are unsuccessful.
Neck Support
The neck may require additional support while the pinched nerve heals. A cervical collar may be worn to decrease pressure on the neck by limiting movement. The collar also keeps the neck in proper alignment. Made of hard plastic or soft foam, a variety of collars are available. The neck should be checked daily when wearing the collar. According to the Neck Solutions website, the warmth of wearing a cervical collar may also be beneficial. While sleeping, a cervical pillow allows support to the natural curve of the neck, reports the University of Maryland Medical Center. Most drug stores and pharmacies sell the pillows. If a cervical pillow is unavailable, a rolled up towel can be placed behind the neck when sleeping.
Manipulation and Exercise
A chiropractor can manipulate, massage or add traction to the neck area. A physical therapist can also advise the patient on common exercises to decrease neck pain. Exercise and movement is critical to decrease muscle stiffening. About two days of rest is recommended after the initial injury; slowly returning to physical activity and movement is critical. MedlinePlus advises slow range-of-motion exercises. These may include stretching the neck side to side, or rolling shoulders and the neck. A person should attempt to move around or take a walk every hour to decrease muscle spasm and pain in the neck.
