Waking up with a stiff or sore neck can quickly ruin your day. If you’ve ever slept on your neck wrong, you know the familiar discomfort of limited movement, tingling sensations, or even sharp pain that can linger for hours (or even days). While this kind of neck pain is often temporary, it’s essential to address it properly to prevent longer-term issues.
The good news is that relief is possible with personalized short- and long-term treatments that treat the underlying cause of soreness from sleeping, rather than just medicating the symptoms you feel in the morning.
Why does sleeping wrong cause neck pain?
Neck pain from sleeping incorrectly is usually caused by poor alignment of your head and neck while you rest. Common culprits include unsupportive pillows, awkward sleeping positions like stomach sleeping, and even stress that causes you to tense your muscles overnight.
When you sleep in a position that strains your neck, the muscles, ligaments, and joints in your cervical spine (neck) become overstretched or compressed. This misalignment can lead to stiffness, inflammation, and pain when you wake up.
Short-term treatments
If you’re experiencing neck pain this morning after a night of awkward sleep, several quick remedies can help alleviate your symptoms. These options offer only temporary relief but can make it easier to get through the day.
Use ice or heat (depending on the cause)
Applying ice or heat to your neck can provide immediate relief. Use ice within the first 24-48 hours to reduce swelling and inflammation. Wrap a cold pack in a thin towel and apply it to the affected area for 15-20 minutes at a time.
If your neck is stiff due to increased tension, switch to heat therapy (via a heating pad, warm towel, or warm shower) to relax your muscles and improve blood flow.
Over-the-counter (OTC) medication
For quick relief, anti-inflammatory medications like ibuprofen or naproxen can help reduce pain and swelling. Use these medications as directed and, if you have any health conditions, consult with your healthcare provider beforehand. Keep in mind that while OTC medications may help in the moment, they don’t address the underlying cause of your neck discomfort.
Gentle massage and stretching
Softly massaging the sore area can encourage circulation and relax the muscles around your neck. Combine this with gentle stretches such as tilting your head side-to-side, rolling your shoulders back, or tucking your chin to your chest to release tension. These simple exercises work best when done slowly and without forcing movement.
Proper neck support during the day
Pay close attention to your posture throughout the day. Use a supportive chair, with a headrest when possible, and consider a neck pillow or rolling up a small towel to place behind your neck when sitting to maintain a neutral alignment. Avoid slouching or looking down at your phone for extended periods, as this can worsen an already stiff neck.
Long-term treatments
To prevent waking up with neck pain next week and later in the future, it’s essential to develop habits and strategies that promote better sleep posture and reduce strain on your neck muscles. By investing a little time and effort, you can enjoy more restful nights and pain-free mornings.
Explore/adjust your sleep posture
Your sleeping position plays a huge role in neck health. Back sleeping is often recommended to maintain the proper alignment of the head, neck, and spine. Side sleeping is a close second, but stomach sleeping should be avoided since it forces your head into unnatural angles.
Equally important is your choice of pillow. Opt for one that supports the natural curve of your neck. Memory foam or contour pillows can work wonders for aligning your cervical spine without breaking the bank on an entirely new mattress.
Find relief through traction
Physical therapy devices and techniques like traction or partner stretching are also effective at relieving tension when used consistently. This should always be done or overseen by a physical therapist who can make sure the forces applied will not cause further harm to tense muscles and stiff joints.
Explore soft tissue mobilization and massage therapy
Massage therapy or soft tissue mobilization techniques performed by a trained physical therapist can loosen tight areas and improve blood flow. Specific techniques target muscle knots, trigger points, and tense fascia, which helps prevent recurring stiffness and pain.
What to expect at a physical therapy appointment
If you’ve had several days of neck pain in the last month that disrupted your routine, it may be time to start talking to an expert. Physical therapists are trained to get to the root cause of your discomfort and create a personalized plan for lasting relief.
During an evaluation, one of our physical therapists will likely ask about your sleep habits, lifestyle, and the specific symptoms you’re experiencing. They may assess your range of motion, take a look at areas of tenderness, or examine your neck for swelling, misalignment, or redness. They’ll then recommend both an appointment schedule and at-home care plan to start taking care of your symptoms.
The goal of physical therapy is not just to reduce your symptoms but also to help you adopt habits that prevent future discomfort. Ideally, our patients leave feeling both relieved of their pain and empowered with practical strategies for maintaining neck health.
Start finding relief from sleep posture pain today
Dealing with neck pain from sleeping wrong can be frustrating, but relief is often not far out of reach. By combining effective short-term remedies with gradual adjustments to your overall health, you can prevent neck discomfort from ruining your mornings and enjoy better quality sleep.
Our physical therapists at SSOR locations throughout Kansas City are eager to help you find the solution that works best for your lifestyle. Start a conversation with our team today by calling a clinic near you or by requesting an appointment online today.