Back and neck pain are among the most common reasons people see a GP. Most people have back pain at some point, and it usually gets better on its own within 4 to 6 weeks. When pain lasts more than 3 months it is called chronic or long-term pain.
Symptoms
- pain, stiffness or aching anywhere from the neck to the lower back
- pain that gets worse when you move, bend, sit or stand for a long time
- muscle spasms
- sciatica: pain, tingling or numbness that spreads down the leg, caused by an irritated nerve
- pain in the neck that spreads to the shoulders, arms or head
Common causes
Most back pain is not caused by serious damage. It often comes from strained muscles, ligaments or joints. Things that make it more likely include:
- lifting, twisting or bending awkwardly
- sitting for long periods, or poor posture at a desk or phone
- being inactive, or carrying extra weight
- stress, low mood and poor sleep, which can make pain worse and last longer
- age related changes to the discs and joints of the spine
- a slipped (herniated) disc pressing on a nerve
Getting help
See a GP or physiotherapist if the pain is not getting better after a few weeks, is stopping you doing daily activities, or is very bad. They will ask about your pain and examine you. Most people do not need a scan.
Read about treatment for back and neck pain.
Common questions
Should I rest if I have back pain?
No. Staying as active as you can helps you get better faster. Bed rest can make back pain last longer. Take painkillers if you need them so you can keep moving.
Do I need a scan?
Usually not. Scans rarely change treatment and often show changes that are normal with age. Your GP or physiotherapist will suggest one if you have warning signs or are being considered for surgery.
Can I see a physiotherapist without seeing my GP?
In many areas you can refer yourself to NHS physiotherapy. Check your local NHS website or ask at your GP surgery.
Sources we used
- NHS, Back pain
- NHS, Neck pain
- NICE guideline NG59, Low back pain and sciatica in over 16s
- Versus Arthritis, Back pain
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