Neck pain is probably the most common thing I see. And I mean that literally, day in, day out, it’s neck pain. People come in after dealing with it for months. Sometimes years. They’ve been stretching it in the shower, adjusting their pillows, blaming their mattress.
Here’s what I tell them. Neck pain that keeps coming back isn’t bad luck. It’s not just stress. There’s usually a structural reason behind it. Something mechanical. And that matters, because mechanical problems can actually be addressed.
I’m Dr. John Brockway. I’ve been in practice over 15 years, here at Glendale Chiropractic right off I-25 and Colorado Blvd. We see patients from Denver, Cherry Creek, Capitol Hill, the Highlands, Park Hill, Lakewood, Aurora. This page covers what’s actually driving neck pain, what symptoms should send you to the ER instead of my office, and what a real evaluation looks like.
Why Do You Have Neck Pain? The Most Common Causes
Neck pain isn’t one condition. It’s a symptom. Could be half a dozen different things causing it. The cause matters a lot when it comes to treatment, which is why I don’t like guessing.
What I see most often:
- Tech neck / postural strain. Hours looking down at a phone. Craning forward at a monitor. Every inch your head moves forward from neutral adds real load to your cervical spine, we’re talking pounds of extra force. Does that over eight hours a day, five days a week, and things start to break down.
- Muscle strain. Bad sleep position. Repetitive movements. Chronic tension that just never fully releases. The muscles tighten, pull on the joints, restrict how the neck moves.
- Whiplash. Car accidents are the obvious culprit. But a hard sports hit or a sudden fall can do the same thing. The cervical spine snaps fast. Muscles, ligaments, joints, all of it takes the impact.
- Cervical radiculopathy. This is a pinched nerve in the neck. A herniated disc or bone spur presses on a nerve root where it exits the spine. Pain, numbness, or weakness shoots down the arm. People often describe it as burning or electric. It’s basically the neck version of what happens with sciatic nerve pain that radiates down the leg, same mechanism, different location.
- Cervical osteoarthritis. Age-related wear on the discs and joints. Stiffness, grinding, sometimes nerve compression. Slow progression over years.
- Cervical stenosis. The spinal canal itself narrows. Progressive neck pain. Can show up with balance issues, clumsiness in the hands. This one needs imaging to fully understand.
What Does a Neck Misalignment Actually Feel Like?
Patients ask me this constantly. Usually because they’re not sure whether to come in or just keep stretching. So here’s what I tell them.
A neck that’s not moving right has a pretty recognizable pattern. It’s not always dramatic. Sometimes it’s just… off. Familiar but wrong.
- Stiffness. Restricted rotation. Can’t turn your head far enough to check your blind spot while driving. Trying to look over your shoulder feels locked. Sometimes painful, sometimes just… stuck.
- Dull ache at the base of the skull. That low-grade throb where your neck meets your head. Sometimes it crawls up the back of the head. Hard to describe, hard to ignore.
- Headaches that originate in the neck. This is called cervicogenic headache. Starts at the base of the skull and migrates forward. A lot of patients have been treating it as a regular headache for years. It’s not.
- Clicking or grinding sounds. Some joint noise is normal, gas release, nothing to worry about. But persistent grinding is different. Crepitus. That can point to arthritic changes in the joint surfaces.
- Numbness or tingling down the arm. Into the shoulder, elbow, hand, fingers. That’s a nerve root. Get it evaluated.
- Dizziness with certain movements. The cervical spine and the balance system are closely connected. Some patients get lightheaded or off-balance when they turn their head a certain way. Worth mentioning when you come in.
Any neurological symptoms, numbness, tingling, weakness, dizziness, those need an actual evaluation. Not more stretching.
Red Flag Symptoms: When to Skip the Chiropractor and Go to the ER
Most neck pain is mechanical. That’s what I do. But some neck pain is something else entirely, a sign of a vascular issue, a fracture, an infection, a neurological emergency. I want every patient to know the difference before they walk in my door.
| ⚠ Call 911 or Go to the ER for Any of These: Loss of bowel or bladder control Sudden weakness in both arms or both legs Neck pain after a car accident, fall, or sports trauma Stiff neck with high fever, severe headache, or nausea (possible meningitis) The “5 D’s”: Dizziness, Diplopia (double vision), Drop attacks, Dysarthria (slurred speech), Dysphagia (difficulty swallowing) Unexplained significant weight loss alongside neck pain Not a chiropractic situation. ER. |
No red flags? Good. Then let’s talk about what we can actually do.
Can a Chiropractor Really Help Neck Pain?
Yes. For mechanical neck pain, which is most neck pain, chiropractic is genuinely effective. Not “might help a little.” Actually effective.
Here’s the short version of what’s happening. Your cervical spine has seven vertebrae. Discs between them. Muscles and ligaments all around them. Nerves threading through. When those joints lose proper motion, from bad posture, a trauma, repetitive strain, whatever, the muscles tighten up to compensate. Nerves get irritated. Motion goes away. Pain shows up.
Adjustments restore movement to joints that have stopped moving right. That takes pressure off the nerves, gets the muscles to stop guarding, lets the body actually heal. Research through the National Institutes of Health supports spinal manipulation as effective for both acute and chronic neck pain, particularly when combined with rehabilitative exercise.
Where chiropractic works best for neck pain:
- Postural neck pain and tech neck
- Whiplash and soft tissue injury
- Cervicogenic headaches (headaches that start in the neck)
- Restricted cervical joint motion
- Mild to moderate cervical radiculopathy
Not right for everything. Fractures, severe disc herniation, advanced stenosis, vascular issues, those may need imaging first, a specialist, or a completely different approach. I’ll tell you honestly if what you’re dealing with is beyond what I should be treating.
What We Do Differently at Glendale Chiropractic
Fifteen-plus years in practice. I don’t do cookie-cutter care. The neck is too important, too many nerves, too much going on structurally, to treat without really knowing what’s there.
So I often don’t adjust on the first visit. I frequently refer out for X-rays before I start cervical adjustments. Not because I’m being overly cautious. Because imaging tells me things I genuinely can’t feel with my hands. Disc height. Bone spur location. How the curve looks under load. That changes how I adjust, how much force I use, what I avoid entirely.
For neck pain, we typically combine:
- Cervical adjustments. Precise, controlled mobilization of restricted cervical joints. Restores motion. Reduces nerve irritation.
- Soft tissue therapy. The muscles surrounding a restricted joint seize up. If you only adjust the joint and ignore the muscles, you’re leaving half the problem untreated.
- Denneroll cervical traction. A specialized tool for restoring the natural cervical curve over time. We’ll have a full page on this, it’s a bigger topic than a bullet point.
- Home care. Screen setup, sleep position, daily stretches. The adjustments hold better when what happens outside this office supports them.
145+ five-star Google reviews. Most major Colorado insurance plans accepted. We’re at 425 S. Cherry St., Suite 307, right off I-25 and Colorado Blvd.
What to Expect at Your First Visit for Neck Pain
About 30 minutes. Here’s the breakdown.
- History. When it started, what makes it worse, what you’ve already tried, any prior injuries. I want the full picture.
- Exam. Range of motion, palpation of the cervical joints, neurological screen if there are any arm symptoms. I want to find where the restriction is and what’s involved.
- Finding review. I explain what I found. What I think is happening. What I recommend. No mystery. You know the plan before anything is done.
- Imaging referral. If it’s appropriate, I’ll send you for X-rays before we begin adjustments. I want to see the cervical spine structure before I start working on it. We refer out for imaging, we don’t do it in-house.
- Palliative care if you need it. If you’re hurting badly at that first visit, I’m not going to just hand you a referral and send you home. We can do some gentle soft tissue work to manage the pain while we wait on imaging and build a real care plan.
At-Home Tips While You Wait for Your Appointment
These won’t solve the underlying problem. Nothing here substitutes for an actual evaluation. But they can take the edge off while you wait.
- Ice first. Heat later. First 48 hours, ice. Wrapped in a towel, 15-20 minutes. After that, heat. Warm shower, heating pad on low. Don’t use heat on a fresh inflammatory flare. That makes it worse.
- Don’t sleep on your stomach. Stomach sleeping forces your neck into rotation for hours. Back or side only. If you’re a side sleeper, your pillow needs to fill the gap between your shoulder and your ear without tilting your head either direction.
- Keep it moving. Gently. Complete rest makes neck pain worse, not better. Slow side-to-side head turns. Chin tucks. Pain-free range. Nothing forced, nothing aggressive.
- Get your screen up. Monitor at eye level. Phone held up instead of down. Every inch of forward head position adds compressive load to the cervical spine. Hours of that daily adds up to a lot.
One more thing. If the pain is also moving into your upper back, shoulder blade, or between your shoulder blades, that’s a different pattern. It can overlap with cervical and thoracic spine dysfunction that can mimic upper back pain and deserves its own evaluation.
Serving Glendale, Denver, Cherry Creek & the Surrounding Area
We’re at 425 S. Cherry St., Suite 307, Glendale, CO 80246. Right off I-25 and Colorado Blvd. Easy to get to from Cherry Creek, Capitol Hill, downtown Denver, Park Hill, Lakewood, and Aurora.
Hours are Monday through Thursday. Morning block is 9AM to 12:30PM. Afternoon is 2:30 to 6:00PM. Closed Friday through Sunday.
Most major Colorado insurance plans accepted. Call ahead to verify your coverage.
Ready to Get Your Neck Evaluated?
If your neck has been an issue for more than a week, stiffness, pain, headaches, arm symptoms, whatever, it’s worth a proper look. Not a YouTube stretch routine. A real structural evaluation.
Neck dysfunction is also one of the most common drivers of chronic headaches caused by cervical misalignment — something we evaluate and address as part of every neck case.
Patients who want to know what cervical chiropractic adjustment for neck dysfunction actually involves can get a full breakdown before their first visit.
Neck pain that followed a collision needs a post-accident cervical spine evaluation — trauma cases have their own assessment protocol and we handle those regularly.
Call Glendale Chiropractic at 720-889-1659. Dr. Brockway will tell you what’s going on and whether we’re the right fit for your situation.