What Could Pain In The Side Of The Neck And Head Mean?

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Pain in the side of the neck and head often originates from injuries to joints in the upper neck, called facet joints. Another potential cause is a lesser-known nerve in the neck that supplies these regions. Because this nerve connects to specific areas, pain that aligns with its distribution may suggest an issue with this nerve.
Understanding the potential sources of neck and head pain can help determine the most suitable approach to managing discomfort. The following guide explores common causes, ways to identify nerve-related pain and treatment options.
Understanding The Superficial Cervical Plexus
The anatomy of the neck is complex, involving a network of nerves, muscles, and joints that contribute to movement and sensation. The superficial cervical plexus, a key part of this network, originates from spinal nerves in the upper neck. This plexus is particularly relevant for individuals experiencing neck and head pain, as it includes nerve pathways that can become irritated or compressed.
A critical aspect is that the superficial cervical plexus emerges from behind the sternocleidomastoid (SCM) muscle—a long, strap-like muscle on each side of the neck. After a neck injury, increased tension in the SCM may irritate these nerves, contributing to pain in different areas. The nerve pathways stemming from the superficial cervical plexus include:
- Back of the head: The plexus gives rise to the lesser occipital nerve, which supplies sensation in this region.
- Side of the neck: The transverse cervical nerve originates here, providing sensation to this area.
- Near the collarbone: The supraclavicular nerves emerge from this region, contributing to sensation around the collarbone.
- Ear and area near the front of the ear: Nerves from this plexus reach the ear and the area near the back of the temple, where they contribute to sensation.
What Are Other Common Reasons For Head And Neck Discomfort?
Head and neck discomfort can arise from various sources, including muscle tension, nerve irritation, and other conditions affecting this area. Understanding the potential causes is vital to identifying effective ways to manage symptoms. Below are some of the most common reasons for head and neck discomfort:
- Muscle Tension: Tightness in neck muscles caused by poor posture, stress, or nerve compression, leading to pain and stiffness.
- Whiplash Injury: Neck strain from sudden back-and-forth head movement, often in car accidents, causing neck pain, stiffness, headaches, and limited mobility.
- Cervical Radiculopathy: Nerve compression in the neck causing neck pain that may radiate to the head, along with numbness, weakness, or pain in the shoulder, arm, or hand.
- Facet joint Injury: Damage to the small joints between vertebrae in the spine, causing neck pain, stiffness, and limited movement, often from trauma or degeneration.
- Tension Headache: A common headache type causing a dull, aching pain around the head, often triggered by stress, muscle tension, or poor posture.
- Migraines: A neurological condition causing intense, throbbing head pain, often with nausea, light/sound sensitivity, and sometimes visual auras.
- Occipital Neuralgia: A nerve condition where irritation of occipital nerves (from upper spine to scalp) causes sharp pain at the back of the head and neck.
- Arthritis: A condition causing joint inflammation in the neck, leading to pain, stiffness, and reduced movement due to cartilage wear or autoimmune factors.
- Acute Torticollis: Sudden neck muscle contraction causing head tilt, often from strain or an awkward sleeping position. This results in severe neck pain, stiffness, and limited mobility.
- Cervicogenic Headache: Cervicogenic headaches originate from neck problems, leading to pain that radiates to the head, often triggered by movement or posture. Read More About Cervicogenic Headache.
- TMJ Syndrome: TMJ syndrome affects the jaw joint, leading to pain and difficulty chewing. Learn what triggers this condition and how it impacts the jaw. Read More About TMJ Syndrome.
- Herniated Disc: A herniated disc happens when the soft center of a spinal disc slips through its outer layer, causing pain, numbness, or weakness. Learn more about the condition. Read More About Herniated Disc.
- Shoulder Osteoarthritis: Shoulder osteoarthritis causes pain and stiffness from cartilage wear. Learn what triggers joint degeneration and how it limits shoulder movement. Read More About Shoulder Osteoarthritis.
Warning Signs That Require Medical Attention
While many instances of neck and head discomfort can be managed with home care and rest, certain symptoms may indicate a more serious underlying issue requiring medical attention. Recognizing these warning signs early can help prevent complications and ensure timely intervention. The following is a list of key indicators that suggest it might be necessary to seek professional medical help:
Pain And Numbness Radiating To Arms
Pain or numbness that extends from the neck down into the arms can be a sign of nerve compression, such as cervical radiculopathy. This condition may occur when a herniated disc, bone spur, or inflammation puts pressure on a nerve root in the neck, leading to symptoms like sharp pain, tingling, or weakness in the arms and hands. A physician should evaluate these symptoms, as they may indicate a more serious condition requiring targeted treatment to prevent further nerve damage.
Limited Range Of Movement
A significant reduction in the ability to move the neck can signal a deeper issue, especially if it is accompanied by stiffness, pain, or muscle spasms. Conditions such as severe muscle strain, cervical spine injuries, or arthritis can cause this limitation. When the reduced range of movement persists or worsens over time, a physician should be consulted to identify the root cause and prevent further impairment.
Clicking Or Popping Noises
Clicking or popping sounds in the neck, also known as crepitus, can occur when turning or tilting the head. While occasional noises are harmless, persistent or painful clicking may indicate joint issues, such as arthritis or misalignment in the cervical spine. These sounds may also suggest that the cartilage between vertebrae is wearing down, leading to bone friction. If these noises are accompanied by pain, stiffness, or a loss of movement, it is crucial to seek medical evaluation to rule out more serious conditions.
Dizziness
Dizziness, especially with neck pain, can be a concerning symptom. It may indicate conditions like cervical vertigo, where issues in the neck affect balance, or it could signal reduced blood flow to the brain due to vascular compression in the neck. If dizziness occurs frequently, is severe, or is accompanied by other symptoms such as blurred vision, difficulty walking, or confusion, it is important to consult a physician promptly to determine the cause and ensure appropriate care.
Muscle Spasms
Muscle spasms in the neck can cause sudden, intense pain and a tightening sensation that limits movement. These spasms can occur due to muscle strain, stress, or irritation of nerves in the neck. While occasional muscle spasms may resolve with rest and gentle stretching, persistent or severe spasms that affect daily activities may signal a deeper issue, such as nerve compression or cervical spine problems. Seeking medical attention can help determine the underlying cause and provide relief through targeted treatments.
How Is The Pain Properly Diagnosed?
Proper neck pain diagnosis requires a thorough evaluation to determine the source of discomfort and guide treatment. Physicians normally begin with a detailed medical history and physical examination, focusing on the pain’s location, nature, and related symptoms. Imaging studies like X-rays, MRIs, or CT scans can help detect structural issues, while tests such as nerve conduction studies or EMG assess nerve function.
Physicians in the licensed Regenexx network use a structured evaluation process to assess musculoskeletal conditions. This includes range-of-motion assessments, ultrasound imaging, and a multi-factor evaluation to determine whether a non-surgical approach may be suitable for the patient.
For suspected irritation of the superficial cervical plexus, a physician may perform a diagnostic nerve block under ultrasound guidance. If temporary relief occurs after administering a small amount of numbing medication near the SCM muscle, this may indicate that the nerve is contributing to the pain, helping guide further treatment considerations.
Conventional Treatment Options For Head And Neck Pain
Managing head and neck pain often begins with conventional treatment options to reduce symptoms and improve quality of life. These methods can vary depending on the underlying cause and severity of the discomfort.
The following are the common approaches to address head and neck pain, ranging from self-care measures to more advanced medical interventions.
Medications
Medications are often the first line of treatment for managing head and neck pain. Over-the-counter (OTC) pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, can help reduce pain and inflammation. A physician may prescribe muscle relaxants or stronger pain medications in cases of more severe pain.
For nerve-related pain, medications like anticonvulsants or antidepressants might be used to help alleviate symptoms by targeting nerve irritation. While medications can provide temporary relief, they should only be prescribed as part of a broader treatment plan focused on addressing the pain’s root cause.
Physical Therapy
Physical therapy is a common approach for treating head and neck pain, improving mobility, strength, and flexibility in the affected areas. A physical therapist may use targeted exercises, stretching, and manual techniques to relieve muscle tension, improve posture, and reduce strain on the neck. These exercises can help restore normal movement patterns and support proper cervical spine alignment, which may alleviate pain over time.
Physical therapy is often customized to the specific needs of each individual, aiming to address the underlying cause of pain and prevent future issues.
Alternative Therapies
Alternative therapies are sometimes used to help manage head and neck pain, especially for those looking for options beyond medication. These include acupuncture, chiropractic care, and massage therapy, which aim to reduce muscle tension, enhance circulation, and alleviate discomfort.
Acupuncture is inserting fine needles to stimulate specific points on the body, while chiropractic adjustments focus on spinal alignment to relieve pressure on nerves. Massage therapy can help relax tight muscles and improve overall muscle function.
While some individuals may find relief with these methods, it is essential to note that their effectiveness is not consistently supported by extensive scientific evidence. As such, these therapies are often considered complementary to conventional treatments rather than standalone solutions.
Injections
Injections can sometimes be an effective option for managing more severe head and neck pain, especially when other treatments have not provided sufficient relief. Common injection therapies include corticosteroid injections, which aim to reduce inflammation around nerves and joints, and trigger point injections to relax tight muscles. For nerve-related pain, nerve blocks using local anesthetics can help temporarily interrupt pain signals.
Surgery
Surgery may be considered for more severe cases of head and neck pain when other treatment options have failed to provide relief. This approach is typically reserved for conditions such as significant nerve compression, herniated discs, or structural issues in the cervical spine that cause persistent pain or neurological symptoms.
Surgical procedures can include spinal decompression, fusion, or disc replacement, depending on the underlying problem. While surgery may be effective for addressing specific structural issues, it comes with risks and a longer recovery period. Therefore, it is generally recommended only when less invasive treatments have been exhausted, and the potential benefits likely outweigh the risks.
Why Addressing Head And Neck Pain Early Matters
Persistent head and neck discomfort may indicate underlying issues that, if left unaddressed, could contribute to long-term mobility concerns or worsening symptoms. Conditions such as nerve compression, joint degeneration, or muscle imbalances may progress over time, potentially impacting daily activities.
Early evaluation may help determine the root cause of discomfort and provide options for managing symptoms. Consulting with a physician in the licensed Regenexx network allows individuals to explore non-surgical approaches that support joint function and mobility. Addressing symptoms early may help individuals maintain an active lifestyle and reduce the likelihood of more complex issues developing over time.
The Regenexx Approach To Supporting Joint Health And Mobility
Regenexx network physicians design non-surgical care plans that include customized orthobiologic injections. In Regenexx Labs, technicians isolate platelets or bone-marrow cells from the individual and customize their preparation, concentrating them up to 20 times above normal levels. This precise preparation is adjusted to match the joint, tissue, and recovery goals.
Using live X-ray or ultrasound, the physician places the injection exactly where support is needed. This targeted delivery helps maintain movement and function while minimizing impact on nearby tissue.
Injectates include:
Regenexx SD Injectate
Procedures using Regenexx SD injectate involve bone marrow concentrate (BMC), which contains a patient’s own biologic materials, including mesenchymal stem cells. These procedures are designed to support joint health and mobility as part of a non-surgical approach. BMC is carefully processed using Regenexx lab techniques before being injected into the targeted area under image guidance.
Regenexx SCP Injectate
Regenexx SCP injectate is a specialized formulation of platelet-rich plasma (PRP) used in procedures that aim to support the body’s natural repair processes. Platelets contain key growth factors involved in tissue health. This procedure using Regenexx lab processing provides a higher concentration of growth factors compared to standard PRP preparations.
Regenexx PL Injectate
Regenexx PL injectate is a highly refined derivative of PRP designed to release growth factors in a concentrated manner. Procedures using Regenexx PL injectate are performed under advanced image guidance to ensure precise placement. These procedures may be considered as part of a broader approach to joint function and mobility.
For individuals experiencing persistent discomfort or suspected nerve-related symptoms, consulting a physician in the licensed Regenexx network can provide insight into available non-surgical options. A thorough evaluation, including advanced imaging and guided diagnostic techniques, can help determine an appropriate care plan.
Explore Your Options. Your Symptoms Deserve Attention.
Persistent neck and head discomfort may indicate underlying musculoskeletal issues. Seeking timely evaluation can help determine appropriate management options.
Physicians in the licensed Regenexx network offer interventional orthobiologic procedures designed to support joint function and mobility. These procedures may be considered as part of a broader, non-surgical approach to care.
If you are experiencing ongoing symptoms, consulting with a physician in the Regenexx network can help you explore options customized to your condition and goals.

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