Practical tips and simple exercises to prevent neck pain
- Reviewed by Robert H. Shmerling, MD, Senior Faculty Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing
Neck pain is a common problem that affects people of all ages, often disrupting daily life. Thankfully, many cases of neck pain can be avoided with some simple lifestyle changes and targeted exercises.
Common causes of neck pain
Everyday stressors on the neck are often enough to trigger discomfort. Common culprits include:
- Poor posture. Sitting or standing with your head and shoulders forward puts extra strain on your neck muscles.
- Extended screen time. Looking down at phones, tablets, or computer screens for long periods can cause "tech neck."
- Inadequate sleep support. Using a pillow that's too high or too flat may lead to neck stiffness.
- Stress and tension. Emotional stress can cause you to unconsciously tighten your neck and shoulder muscles.
- Repetitive movements. Jobs or activities that involve repetitive motions can strain the neck over time.
Adjustments to alleviate these stressors can often prevent neck pain that could result from them.
Ergonomic adjustments to keep neck pain at bay
Ergonomics is the science of designing tools, spaces, and tasks in a way that reduces strain on the body. Making simple ergonomic changes to your workspace and daily activities can significantly reduce neck strain. Consider these tips:
- Adjust your screen height. Position your computer monitor at eye level so you don't have to look up or down. Portable laptop stands or laptop desks can elevate your laptop to a more ergonomic height and angle, whether you're sitting on a couch, lounging in bed, or working at a desk or table.
- Use a headset. Avoid cradling your phone between your ear and shoulder by using a headset, earbuds, headphones, or a speakerphone.
- Support your lower back. Sit in a chair with good lumbar support, or use a small pillow to maintain the natural curve of your spine.
- Keep your feet flat. Ensure your feet are flat on the floor while sitting, with your knees at a 90-degree angle.
- Take regular breaks. Every 30 minutes, stand up, stretch, or move around to avoid stiffness.
For personalized recommendations, consult a physical or occupational therapist who can evaluate your posture and body mechanics and teach you how to perform work tasks, household chores, and recreational activities in a way that minimizes neck strain.
Mind your posture to prevent neck pain
How you carry yourself can either prevent or contribute to neck pain. To avoid strain, aim to keep your head in a neutral position, balanced directly over your spine. This reduces stress on your neck muscles, which support the weight of your head (around 10 to 12 pounds). Tilting your head forward, even slightly, can dramatically increase the load on your neck, leading to a painful condition often referred to as "text neck."
Beyond the head and neck, the posture of your entire body plays a crucial role in preventing neck discomfort. Here are some additional posture tips to incorporate into your routine.
- Keep your body in proper alignment. When standing or sitting, keep your ears directly over your shoulders to avoid forward head posture. When standing or walking, proper alignment means that, from a side view, an imaginary straight line can pass through your ear, shoulder, hip, knee, and ankle.
- Don't forget your shoulders. Keep your shoulders level and aligned — not pulled back or slouched forward. Relax your shoulders by rolling them back and down to prevent tension from building up.
- Engage your core. A strong core supports your upper body and helps maintain good posture. When standing or walking, actively engage your core. One way to do this is by imagining that you are preparing to counter a push from the front, side, or back.
Practicing good posture may feel awkward at first, but over time it may become second nature.
Neck-friendly modifications for exercise and hobbies
Growing research shows that targeted exercises — and regular physical activity overall — can aid in disrupting persistent neck pain and promote faster recovery from neck injuries. But certain exercises and hobbies can inadvertently strain your neck if done incorrectly. To protect your neck:
- Use ergonomic tools when gardening. Opt for tools with long handles to minimize bending and straining your neck. It can also help to regularly stand up, stretch, and change positions to prevent prolonged neck strain.
- Maintain good posture and wear supportive gear while running or walking. Keep your head balanced over your spine, avoid leaning forward, and relax your shoulders to reduce neck strain. Wear supportive shoes to minimize impact and reduce the risk of neck discomfort.
- Modify your bicycling position. Opt for a bicycle with upright handlebars to maintain a more comfortable neck position. Keep your shoulder blades down and back. Alternatively, consider a recumbent bike, which allows you to sit in a reclined position with back support and legs extended forward, reducing strain on your neck and back.
Stretching exercises to prevent neck pain
Performing neck stretches can alleviate muscle tightness and maintain or enhance your neck's range of motion. Here are some easy stretches to try.
- Neck tilts. Sit or stand upright. Slowly tilt your head toward your right shoulder, holding for 10 to 15 seconds. Return to center and repeat on the left side. Repeat five times on each side.
- Chin tucks and extensions. While sitting or standing, gently tuck your chin toward your chest and hold for 10 seconds. Then gently extend your neck to look upward for 10 seconds. Repeat five times.
- Side-to-side rotations. Turn your head to look over your right shoulder, hold for 10 seconds, then switch to the left. Repeat five times on each side.
- Shoulder rolls. Roll your shoulders forward five times, then backward five times, in a circular motion to release tension.
You should experience a gentle stretch — but not feel pain — when you engage in these stretches.
When to see a doctor
If you experience persistent or severe pain, numbness, tingling, or weakness in your neck, shoulders, or arms, it's time to consult a doctor. These symptoms could indicate a more serious condition, such as a pinched nerve, herniated disc, or underlying illness. If neck pain is accompanied by fever, unexplained weight loss, or difficulty moving, seek immediate medical attention.
About the Author

Jennifer Fisher, MMSc, PA-C, Health Writer
About the Reviewer

Robert H. Shmerling, MD, Senior Faculty Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing
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