Heat therapy or thermotherapy provides symptomatic relief by increasing the blood flow and decreasing pain.
Cryotherapy or Cold therapy is used to provide relief for muscles spasm.
Ultrasound therapy uses sound waves to oscillate the tissues at a frequency that increases blood flow and decreases inflammation.
Transcutaneous electrical stimulation:
Transcutaneous electrical stimulations (TENS) help decrease pain and spasm.
Traction therapy creates an anti-gravity, negative pressure to the cervical spine on the spinal disc, joints, nerves, and muscles, and thus reduces pain and stiffness.
Advanced high-energy pulses are effective for chronic neck muscle stiffness.
Massage therapy includes soft tissue release, deep friction massage, myofascial release, and trigger points release. Massage therapy uses appropriate pressure, to increase blood flow, reduce swelling, and provide relief from pain.
Manual therapy includes passive cervical joint mobilization, manipulation, and manual traction. These techniques reduce pain, and improve function by increasing the range of motion.
Range of motion exercises:
Dynamic exercises for the upper limb and lower limb are recommended. Range of motion exercises like neck flexion, extension, etc.
Vertebral segment stabilization of the cervical spine can be performed with a pressure biofeedback unit in case of anteroposterior instability of the vertebral bodies of a degenerative nature.
Strengthening and stretching exercises:
Strengthening and stretching exercises are recommended to regain the lost strength and flexibility of the neck muscles.
Good posture should be practiced especially while using a computer or while reading or talking on the phone. The head and neck should be kept upright.
Proprioceptive exercises for the upper limb and the lower limb are also done.
The patient is asked to stand on one leg with eyes open and then with eyes closed, standing on a stable platform and then on an unstable platform with a rocker board.