Neckshoulder

Neck-shoulder is a term used to describe the anatomical region that encompasses the lower head and upper back and shoulder girdle. It includes parts of the cervical spine, the scapular region, the shoulder joints, and the muscles, ligaments, and nerves that connect them.

Key structures include the cervical vertebrae (C1–C7) and intervertebral discs, the major neck muscles such as the sternocleidomastoid, trapezius, and levator scapulae, and the shoulder components—the glenohumeral joint, acromioclavicular joint, and the scapulothoracic articulation. The rotator cuff muscles stabilize the shoulder, while the brachial plexus supplies the upper limb.

Functionally, the neck-shoulder region supports head movement, posture, and the range of motion needed for reaching, lifting, and manipulating objects.

Common conditions affecting this region include muscle strain and tension-type pain, myofascial pain syndromes, cervical radiculopathy, rotator cuff tendinopathy, adhesive capsulitis (frozen shoulder), and degenerative changes in the cervical spine. Acute injuries such as whiplash can also involve neck and shoulder structures.

Diagnosis typically relies on history, physical examination, and targeted imaging if needed (for example, X-ray, MRI). Treatment is usually conservative: activity modification, analgesics or nonsteroidal anti-inflammatory drugs, physical therapy with specific exercises, posture and ergonomic adjustments, heat or cold therapy, and, in some cases, injections.

Prevention focuses on regular conditioning, ergonomic work setups, breaks to reduce repetitive strain, and exercises that strengthen neck and shoulder muscles and improve range of motion. Most conditions improve with conservative care, though persistent or severe symptoms may require specialist evaluation.