I was prone to neck muscle pain and even back spasms until I figured out that one major cause was propping my head up too much with pillows when sleeping. It was stretching my neck and upper back muscles for hours at a time while I slept so I’d wake up with problems in those areas and it would last for days. Now I make sure when I sleep my neck is not bent and is in line with my spine and they are MUCH less frequent.
There are some ways to make this go away rather quickly. When I’m not home sleeping on my memory foam bed with weighted blankets, I take ibuprofen or tylenol with horny goat weed. If it’s bad, I’ll find a gym and do some back and shoulder workouts followed by a warm shower, and it has always gone away afterward.
Generally either because the position you were sleeping in stressed certain muscles and/ or pinched a nerve. But what most likely causes the pain to stay for so long is the fact people avoid moving when they are in pain.
If you want the pain to go away you have to almost teach your body that it is ok to move the affected area.
Firstly, generally these are small muscle strains or inflamed nerves. Tight, dense muscles from life are vulnerable to strain which takes a couple days to heal and will be sharp and weak in the meantime.
Also, there are numerous small muscles in your neck and those are made of groups of smaller subsets of muscle fibers called fascicles. Each fascicle is innervated by nerves that tell them to fire.
When you sleep, you try to perform the actions of your dreams. These actions are MOSTLY inhibited. If your head is turned or flexed or in any position that may stretch or shorten a compromised muscle (tight from years of overwork/poor posture/ lack of exercise), it’s possible that a dream twitch could cause that muscle or fascicle to strain.
Additionally, as other people have mentioned, there could be a whole host of nerve interactions thar hurt due to inflammation. Nerves are complex and their interactions with other tissues is many and varied, so I tend to focus mostly on the muscle strain aspect of stiff necks. Luckily the treatment is the same, rest and ibuprofen.
This book addresses the “why,” but more important it’s very good for “how” to ease the pain and stop it from coming back. Someone gave it to me decades ago and it really helped me. I’ve been recommending it since.
I’m sure you’ve noticed that you can get really stiff and sore after a long car or plane ride, especially if you fall asleep during it. It’s a response to being immobilized. If you can move around, it can prevent the backache from happening. The same can occur if your bed is too soft and comfortable. It needs to be firm enough that you feel like changing positions every once in a while.
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