The neck, or cervical spine, consists of vertebrae, discs, nerves, muscles, and ligaments supporting the head and facilitating head and neck movement. Neck pain, or cervical pain, is discomfort or pain felt anywhere from the base of your skull to the top of your shoulders and can radiate into your upper back and arms. It can range from a dull, persistent ache to sharp, severe pain that limits movement and daily activities.
Neck pain is a highly prevalent complaint across all ages, caused by injury, poor posture, degenerative changes, or inflammation. Neck pain can be acute (lasting a few days to six weeks) or chronic (lasting more than three months). It can interfere with daily tasks, sleep, focus, and overall quality of life.
Neck pain can be defined as:
Many people struggle with neck pain because they receive fragmented care, addressing symptoms but not the root cause. Effective treatment needs a coordinated, multidisciplinary approach. Skipping any of these stages increases the risk of recurrence or incomplete healing.
At Nivaan, we specialize in helping individuals find lasting relief through a multidisciplinary, tech-enabled integrated care model. Nivaan’s holistic approach offers end-to-end pain management services based on these key pillars:
Neck pain is often multifactorial and not always straightforward. Understanding the underlying cause is crucial for effective management. Neck pain has various causes, often depending on onset and underlying anatomy.
This is the most common cause of neck pain and is usually short lived with healing occurring within a few days to weeks. It usually results from repetitive use or turning of head, poor posture (e.g., prolonged computer or mobile use slouched over), or sudden movement that causes additional stress on the neck. Furthermore, a bad sleeping position can also result in a stiff neck the next morning.
It is one of the most common causes of chronic neck pain. It occurs due to the age-related wearing down of the cartilage in a cervical facet joint.
Each vertebrae are separated by a disc which has an outer layer of cartilage (a tough, fiber-like tissue) and a soft, jelly-like interior. All discs gradually lose hydration and the ability to cushion the spine’s vertebrae over time. This results in repeated pressure on the discs from the vertebrae above and below it causing it to tear (rupture) leading to pain.
Disc degeneration and rupture can cause the soft, jelly-like interior of the disc to bulge out through the tear (herniate) causing pain and inflammation. The bulging disc can push on or damage the spinal nerve and can rarely also compress the spinal cord.
As spinal degeneration progresses, there is an increased risk for a narrowing of the space inside the spine canal thereby compressing the nerves. This results in pain, tingling, numbness, and/or weakness that may also radiate into the arms or legs.
A condition of the cervical spine where one vertebra slips forward over the one below it.
Injuries may occur during routine activities (Lifting, exercising, moving in an unexpected way) or from trauma such as a fall. These can damage muscles, ligaments, disks, vertebral joints and nerve roots in your spinal cord and lead to neck pain. Whiplash during car accidents is a common injury that causes neck pain.
Stress, anxiety, and lack of emotional support can lead to neck muscle tightening leading to pain and stiffness.
Neck pain can also be a part of the chronic widespread pain in muscles, tendons, ligaments and other soft tissues that is caused due to Fibromyalgia.
Growths or masses such as cysts, bone spurs, and tumors can put pressure on the nerves in your neck, causing pain.
At Nivaan, we are dedicated to helping individuals overcome neck pain and return to active, fulfilling lives. Our multidisciplinary, tech-enabled integrated care model brings together clinical expertise and personalized care to address not just the symptoms, but the root causes of pain. Understanding that pain is influenced by physical, psychological, and lifestyle factors, we offer an end-to-end, holistic approach to pain management.
Our team includes some of the most experienced pain physicians, physiotherapists, nutritionists, and psychologists who work collaboratively to design a single, customized care pathway for each patient.
Risk factors include:
Seek urgent medical attention if you experience:
From the moment you step into Nivaan, our multidisciplinary team will conduct a complete evaluation and work together to identify the root cause of your pain. Then, a personalized treatment plan tailored to your needs and goals is built. We begin with a comprehensive evaluation with:
We’ll assess your range of motion, muscle strength, posture, reflexes, nerve function
Combining clinical expertise with advanced diagnostics, Nivaan ensures a precise, accurate diagnosis that drives smarter, safer, and more effective treatments.
At Nivaan, we believe in a patient-centered approach, with treatment plans tailored to your specific condition and needs. Led by a pain specialist, our clinical team has specialists in physiotherapy, psychology, and nutrition.
Guided by multidisciplinary and tech-enabled protocols that are gold standard worldwide, our experts design a personalized, protocol-based treatment plan focusing on end-to-end pain management. These plans aim to relieve pain and inflammation, improve mobility and function, and help you return to your daily activities by reversing the underlying disease process.
Our comprehensive approach includes:
All pain management procedures for the neck are followed by advice for physiotherapy and active at-home neck strengthening exercises.
Guided by our expertise, patients learn to increase muscle strength around the neck, movement, flexibility, and endurance. Physiotherapists help patients learn about targeted exercises, posture correction, ergonomic education, and progressive strengthening
Our experts evaluate eating habits, energy levels, comorbidities, and body composition. We also explore potential deficiencies contributing to fatigue, inflammation, or poor healing. Based on this, patients receive a customized dietary plan and lifestyle guidance for weight management, sleep optimization, and stress reduction. Here are some practical tips to help you:
It addresses not only the physical aspects of discomfort but also the emotional and psychological factors contributing to pain. This includes:
For persistent or severe pain, Nivaan offers:
These injections deliver medication directly into the outer layer of the spinal canal around the spinal nerves to reduce inflammation and pain. These can provide short-term relief from neck pain and allow you to engage more fully in physiotherapy. Pain relief may be immediate or gradual and can last several months.
A same-day procedure performed under light sedation or anesthesia, RFA uses heat to block signals responsible for chronic pain. The doctor first performs a nerve block to determine the exact source of the pain. A needle is then inserted to target the nerve causing the pain, and heat is applied. This heat creates a lesion that blocks pain signals.
Platelet Rich Plasma (PRP), Bone Marrow Aspirate, and similar Autologous Biologics stimulate tissue regeneration and healing. These treatments help repair damaged discs, ligaments, and joints, which reduces pain and improves mobility.
These injections are usually done using a very thin needle.
With this treatment, the nerve supply to the area of discomfort in the neck can be temporarily blocked with a local anesthetic (numbing medication).
These include interventions that are done to relieve pain caused by the intervertebral disc. These include Biacuplasty, Annuloplasty, and Intra-Discal injections.
A low-level electrical current to your skin near your nerves to disrupt the pain signal causing discomfort.
Many patients have found significant to complete relief from chronic back pain through Nivaan’s multidisciplinary pain management approach:
Regular assessment of pain levels using a Numerical Rating Scale (0-10) helps guide treatment effectiveness and patient satisfaction. Pain can be documented at rest, during activity, and at night, helping identify patterns and tailoring interventions. Patients rate their pain on a scale from 0 to 10, where 0 denotes no pain and 10 is rated for worst pain imaginable. This scale is used:
International scales like WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index) and KOOS (Knee Injury and Osteoarthritis Outcome Score) help evaluate mobility and balance, joint flexibility and range of motion, ability to perform ADLs (Activities of Daily Living) like dressing, bathing, walking, climbing stairs, and endurance and strength during functional tasks
WOMAC Index assesses 3 key domains:
KOOS Score is useful for active individuals and those undergoing rehabilitation.
It includes:
Periodic evaluations of nutritional parameters (vitamin levels, etc.).
In case of overweight and obese patients
Patient feedback on changes in pain, energy levels, and overall well-being.
Short-term rest may help, but prolonged rest is discouraged as it can weaken your muscles and worsen pain. Movement and light activity aid recovery.
Non-surgical treatment options for neck pain include physiotherapy to strengthen muscles, pain-relieving medications, and targeted interventions like nerve blocks or epidural steroid injections to reduce inflammation. Advanced techniques like Radiofrequency Ablation (RFA) and Regenerative Medicine may also be highly effective. Other supportive measures include nutrition, lifestyle modifications, and pain counseling to enhance recovery. Together, these approaches aim to reduce pain, restore function, and help patients avoid or delay surgery.
See a doctor if your pain is severe, doesn’t improve with home treatment, radiates down your arm, shoulder or fingers, or is accompanied by numbness, weakness, or bowel/bladder problems.
Occasional noises without pain are usually harmless, but consult a clinician if there’s associated pain or reduced movement.
Yes, psychological factors can substantially influence pain intensity and recovery, making stress management essential for chronic conditions.
Contact the Nivaan team: Call, visit the website, or use the online contact form for guidance and appointment scheduling.
Aspect
Nivaan
Traditional Treatment
Approach
Root-cause focused, long-term recovery
Symptom-based, short-term relief
Care Team
Multidisciplinary team of pain specialists, physiologists, psychologists, and nutritionists
Single-specialist with minimal collaboration
Treatment Style
Non-surgical, personalized care with custom care plans
Often surgery-led, one-size-fits-all protocols
Mind-Body Connection
Includes dietary, mindset, and lifestyle coaching
Includes dietary, mindset, and lifestyle coaching rarely addresses emotional or psychological factors
Follow-up and Support
Continuous progress tracking and adjustments
Limited or no ongoing support
The pain specialists are
dedicatedly trained to help
treat your pain – they understand, evaluate and treat your pain’s root cause. Our doctors are trained to improve the quality of your life through medications, rehabilitative therapy, pain relief
interventions, and counseling.
Understanding your pain is the first step towards getting rid of it. Our emotional counsellors will guide you and equip you with tools to manage your pain. They will support you to make meaningful changes in your daily lifestyle.
The right exercises can go a long way in a non surgical treatment plan. Our highly experienced physiotherapists help you get on the road to recovery with a plan that’s tailored to your pain diagnosis and your recovery goals.
Our care manager is here to hold your hand through your journey of pain relief. They are here to coordinate all your medical interactions and guide you towards a pain-free life
We now understand that nutrition and pain are much more deeply connected than previously thought. Hence, we have world-class nutritionists who can help you eat right, create the right diet, and guide you towards a pain-free life.
If you’re ready to explore non-surgical treatments for back pain, Nivaan is here to help. Our holistic approach focuses on relieving pain, restoring function, and improving your quality of life.
Don’t let lower back pain limit your life. Contact Nivaan to schedule an appointment and take the first step toward finding lasting relief. We’re here to help you get back to doing the things you love.
Pioneering Interventional Pain Management
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