Causes include prolapsed cervical disc, degenerative changes effecting the neural foramina and apophyseal joint disease. This is suggested by unremitting pain often radiating to both arms that is worse at rest and at night. Neck movements are limited in all directions. Examples include ankylosing spondylitis, rheumatoid arthritis, myeloma, metastatic disease, tuberculosis. Pain may radiate to shoulders, arms and head.
Recovery is often slow.
Plain radiographs are generally not helpful in investigating the cause neck pain. Degenerative changes are common in people over 40 years of age. MRI is useful in diagnosing more severe disorders such as abscesses, tumors, and subluxations. Treatment is directed at early mobilization unless there is a serious underlying disorder. Collars should be used only during work activities and not at night.