A Complete Guide by Dr. Vishal Sahni, Orthopaedic Specialist in Nagpur
Neck and shoulder pain is a common yet often ignored condition that can significantly affect your daily life. Whether you’re a working professional stuck at a desk, a student preparing for exams, or a homemaker managing chores, neck and shoulder stiffness, pain, or restricted movement can leave you feeling drained and irritable.
So, what is the best treatment for neck and shoulder pain?
To answer this question properly, let’s explore the causes, symptoms, treatments, and advanced care options available under the expert guidance of Dr. Vishal Sahni, senior Orthopaedic and Shoulder Specialist at London Orthopaedic Clinic, Dhantoli, Nagpur.
🌐 Understanding Neck and Shoulder Pain: Why It Happens
Before jumping into treatments, it is important to understand why neck and shoulder pain happens in the first place. Your neck and shoulders are closely connected through muscles, tendons, ligaments, and nerves. Any disturbance in one area often affects the other.
🔹 Common Causes of Neck and Shoulder Pain
- Poor Posture
The most common modern cause. Long hours of sitting with slouched shoulders or looking down at your phone can strain the muscles and joints. - Cervical Spondylosis or Arthritis
Age-related wear and tear of the neck vertebrae can cause neck stiffness and referred pain to shoulders. - Muscle Strain or Spasms
Sudden jerks, lifting heavy objects incorrectly, or even sleeping in the wrong position can cause pain. - Frozen Shoulder (Adhesive Capsulitis)
Limited shoulder joint movement that often begins with pain in the upper arm and spreads to neck. - Nerve Compression (Cervical Radiculopathy)
A pinched nerve in the neck can cause radiating pain into the shoulder, arm, or fingers. - Shoulder Impingement or Rotator Cuff Injury
Painful shoulder condition that restricts movement and leads to associated neck stiffness. - Stress and Mental Tension
Emotional stress often causes tightening of the neck and shoulder muscles, leading to chronic pain.
👩⚕️ Why Accurate Diagnosis Is Important
Not all neck and shoulder pain is the same. Some people have muscular pain, others may suffer from nerve pain, while some may be dealing with joint-related issues.
That’s why a proper diagnosis from an experienced Orthopaedic doctor is essential. Dr. Vishal Sahni at London Orthopaedic Clinic uses advanced diagnostic tools like:
- Physical examination and clinical tests
- Digital X-rays
- MRI or CT Scan (if required)
- Nerve conduction studies (for suspected nerve compression)
Only after identifying the root cause can the correct treatment be given.
💊 Step-by-Step: Best Treatments for Neck and Shoulder Pain
Treatment depends on the cause, severity, and duration of your pain. Below are the best treatments in a step-wise manner, used by specialists like Dr. Vishal Sahni.
1. Rest and Activity Modification
The first step is giving rest to the affected area. This doesn’t mean complete bed rest but avoiding aggravating movements such as:
- Lifting heavy objects
- Using mobile for long periods
- Sleeping without neck support
- Continuous computer usage without breaks
Activity modification helps prevent further damage and reduces inflammation.
2. Hot or Cold Therapy
Both heat and cold packs are commonly recommended:
- Cold therapy helps in acute pain or injury to reduce swelling and inflammation.
- Heat therapy helps in chronic pain by relaxing the muscles and improving blood flow.
Dr. Sahni usually suggests using a hot towel or heating pad for 15–20 minutes twice a day for chronic muscle stiffness.
3. Medication for Pain Relief
Medicines are used to reduce pain, inflammation, and muscle spasms. These may include:
- NSAIDs (e.g., ibuprofen, diclofenac)
- Muscle relaxants (e.g., tizanidine or thiocolchicoside)
- Neuropathic pain medications (e.g., pregabalin or gabapentin)
- Vitamin B12 supplements (for nerve healing)
All medicines must be taken under the guidance of your orthopaedic doctor.
4. Physiotherapy: The Most Effective Long-Term Treatment
Physiotherapy plays a central role in long-term recovery. At London Orthopaedic Clinic, patients undergo customised physiotherapy plans supervised by trained experts.
Physiotherapy includes:
- Neck and shoulder mobility exercises
- Muscle strengthening routines
- Postural correction techniques
- Ultrasound or TENS therapy (to reduce inflammation)
- Nerve gliding exercises (for pinched nerve cases)
Physiotherapy not only provides relief but also prevents recurrence of pain.
5. Trigger Point or Local Injections
For patients who have stubborn pain or severe spasms, local injections may be considered.
These include:
- Corticosteroid injections into the shoulder joint
- Trigger point injections for muscle knots
- Cervical epidural steroid injections (for nerve-related neck pain)
These are done with precision and are highly effective in pain management.
6. Posture Correction and Ergonomic Advice
In modern times, poor posture is the silent culprit behind most neck and shoulder issues.
Dr. Vishal Sahni and his team provide personalised ergonomic advice, such as:
- Correct chair and desk height for computer users
- Mobile usage habits (avoid neck bending)
- Shoulder relaxation exercises during work breaks
- Ideal sleeping posture and pillow use
Making small corrections in posture can have huge impact on long-term relief.
7. Advanced Non-Surgical Treatments
In some chronic cases, patients may be recommended advanced procedures, such as:
- Platelet-Rich Plasma (PRP) Therapy
- Dry Needling or Prolotherapy
- Radiofrequency Ablation (RFA) for chronic nerve pain
These are offered at advanced orthopaedic centres like London Orthopaedic Clinic and are minimally invasive yet highly effective.
8. Surgical Treatment (Only if Absolutely Necessary)
Surgery is considered only in rare cases when:
- There is a severely herniated disc in the neck
- Rotator cuff tear is not healing
- Frozen shoulder is not responding to therapy
- Bone spur or impingement is blocking movement
Dr. Vishal Sahni specialises in shoulder arthroscopy, decompression surgery, and cervical spine procedures, ensuring safe and successful recovery when surgery is needed.
✅ When Should You Visit a Specialist for Neck and Shoulder Pain?
It’s time to consult a shoulder and neck specialist if:
- Pain lasts more than 7–10 days
- There is numbness or tingling in the arms or fingers
- You feel weakness in the shoulder or grip
- The pain disturbs your sleep
- Your range of motion is limited
- You’ve had repeated episodes of neck or shoulder pain
Delaying treatment may lead to complications, including permanent stiffness or nerve damage.
🏥 Best Orthopaedic Specialist for Neck and Shoulder Pain in Nagpur
Dr. Vishal Sahni is one of Nagpur’s most trusted Orthopaedic Shoulder Surgeons with 24+ years of experience in India and London.
At London Orthopaedic Clinic, he provides:
- Personalised consultation
- State-of-the-art diagnostic facilities
- Advanced non-surgical and surgical treatment
- Integrated physiotherapy and rehabilitation
- Ethical and transparent treatment approach
📍 Clinic Address: Ground Floor, Berar House, Mehadia Square, Dhantoli, Nagpur
📞 Phone/WhatsApp: 9529552938
🌐 Website: www.londonorthopaedicclinicngp.com
🧘♀️ Prevention: What You Can Do to Avoid Neck and Shoulder Pain
A few lifestyle changes can go a long way in preventing future pain episodes:
- Take regular breaks while working on screens
- Keep your monitor at eye level
- Avoid bending your neck for long periods (while using mobile)
- Do daily neck and shoulder stretches
- Use a firm pillow for sleeping
- Maintain healthy weight to avoid joint stress
- Stay hydrated and active
✍️ Final Thoughts
Neck and shoulder pain may seem minor at first but can become debilitating if not treated on time. The best treatment is a combination of correct diagnosis, targeted therapy, and lifestyle correction—something that only a qualified orthopaedic expert like Dr. Vishal Sahni can provide.
If you’re tired of temporary fixes, it’s time to visit London Orthopaedic Clinic in Nagpur and get the right treatment that heals—not hides—the problem.
FAQs Neck and Shoulder Pain
1. What is the most effective treatment for neck and shoulder pain?
The most effective treatment depends on the cause of the pain. For many patients, a combination of rest, physiotherapy, posture correction, ergonomic changes, and anti-inflammatory medication works well. In chronic or severe cases, advanced treatments like injections, PRP therapy, or surgery may be required. Consulting an orthopaedic specialist like Dr. Vishal Sahni ensures you receive the right treatment tailored to your condition.
2. How do I know if my neck and shoulder pain is serious?
If your pain persists for more than a week, spreads to your arms or fingers, causes numbness, tingling, or weakness, or disturbs your sleep and daily activities, it’s time to see an orthopaedic specialist. These could be signs of nerve compression, a rotator cuff injury, or cervical spine issues requiring medical attention.
3. Can poor posture cause neck and shoulder pain?
Yes, poor posture is one of the most common causes. Sitting hunched over a desk, slouching on the sofa, or looking down at your mobile for long periods can strain your neck and shoulder muscles. This leads to stiffness, tightness, and even nerve impingement if not corrected.
4. What exercises help with neck and shoulder pain?
Gentle stretching and strengthening exercises can be helpful, such as:
- Neck tilts and rotations
- Shoulder rolls
- Chin tucks
- Wall angels
- Resistance band exercises for shoulder muscles
It’s best to follow a customised exercise plan from a physiotherapist to avoid further strain.
5. Should I see a physiotherapist for neck and shoulder pain?
Yes, physiotherapy is often the most effective non-surgical treatment. A trained physiotherapist helps restore mobility, reduce inflammation, and strengthen muscles through targeted exercises, electrotherapy, ultrasound, and manual therapy. Dr. Vishal Sahni’s clinic offers integrated ortho-physio care.
6. When should I consult a specialist for neck and shoulder pain?
Consult a specialist if your pain:
- Lasts longer than 7–10 days
- Is accompanied by numbness or tingling
- Limits your range of motion
- Affects your ability to work or sleep
- Occurs frequently despite rest
Early diagnosis can prevent chronic damage or complications.
7. Can cervical spondylosis cause shoulder pain?
Yes. Cervical spondylosis is age-related degeneration of the neck vertebrae. It can irritate or compress nearby nerves, causing radiating pain to the shoulder, arm, and even fingers. Proper diagnosis and imaging are necessary to confirm this.
8. What is frozen shoulder and how is it treated?
Frozen shoulder (adhesive capsulitis) is a condition where the shoulder joint becomes stiff and painful, often progressing over months. Treatment includes pain management, physiotherapy, joint mobilisation, and in severe cases, injections or arthroscopic surgery. Early treatment improves outcomes significantly.
9. Can stress cause neck and shoulder pain?
Yes, emotional stress often leads to muscle tension, especially in the neck and upper back. Prolonged tension causes knots, spasms, and fatigue in the muscles. Managing stress, doing relaxation exercises, and stretching can help reduce this pain.
10. What type of pillow is best for neck and shoulder pain?
A memory foam or orthopaedic pillow that supports the natural curve of your neck is ideal. It should not be too high or too flat. Sleeping on your back or side with proper alignment also helps prevent strain during the night.
11. Is surgery required for neck and shoulder pain?
In most cases, surgery is not required. Conservative treatments like physiotherapy, medication, and ergonomic correction are effective. Surgery is considered only when there’s a severe tear, nerve compression, or failed response to non-surgical treatments. Dr. Vishal Sahni performs advanced procedures when needed.
12. What is PRP therapy for shoulder pain?
PRP (Platelet-Rich Plasma) therapy uses your own blood to extract growth factors, which are injected into the painful shoulder joint or tendon to promote healing. It’s a non-surgical treatment for rotator cuff injuries, tendonitis, and frozen shoulder.
13. What is the fastest way to relieve neck and shoulder pain?
Apply a cold or hot compress, rest the area, and avoid aggravating activities. Take prescribed painkillers or muscle relaxants. If pain is persistent, get evaluated by an orthopaedic specialist for targeted treatment and physiotherapy.
14. Can neck pain cause numbness in fingers?
Yes, when a nerve root in the cervical spine is compressed or inflamed, it can cause tingling, numbness, or weakness in the arms and fingers. This condition is known as cervical radiculopathy and needs prompt medical evaluation.
15. Is shoulder pain linked to heart problems?
Sometimes, pain in the left shoulder or arm may be a symptom of a heart attack. But typically, if the pain is sharp, movement-related, or linked with stiffness, it is orthopaedic in nature. If in doubt, consult a doctor immediately.
16. What lifestyle changes help prevent neck and shoulder pain?
- Improve sitting posture at work
- Use ergonomic chairs and desks
- Take regular stretch breaks
- Avoid using mobile phones in bed
- Do strengthening exercises for the neck and upper back
These habits reduce the chances of strain and pain.
17. How long does it take to recover from neck and shoulder pain?
Recovery time varies. Minor strain may heal in a few days, while chronic pain may take weeks. With the right treatment plan, physiotherapy, and lifestyle correction, most people see significant improvement in 2 to 4 weeks.
18. Can I use over-the-counter painkillers for neck and shoulder pain?
You may take mild NSAIDs like paracetamol or ibuprofen for temporary relief. However, prolonged self-medication is not advisable. If the pain is recurrent, consult an orthopaedic doctor for a proper diagnosis and safe treatment.
19. What is the role of an orthopaedic doctor in treating shoulder and neck pain?
An orthopaedic doctor evaluates the root cause using clinical examination and imaging, prescribes the right medicines, refers for physiotherapy, and recommends advanced treatments or surgery if needed. They guide your entire recovery process.
20. Can I work out if I have neck and shoulder pain?
Avoid intense workouts or lifting weights until you’re pain-free. Low-impact stretches or guided physiotherapy exercises can be helpful. Always follow your orthopaedic doctor or physiotherapist’s advice before resuming workouts.
21. Where can I find the best neck and shoulder pain treatment in Nagpur?
You can visit Dr. Vishal Sahni, a highly experienced Shoulder Specialist and Orthopaedic Surgeon, at London Orthopaedic Clinic, Dhantoli, Nagpur. The clinic offers expert diagnosis, physiotherapy, injections, advanced therapies, and surgical options when required—all under one roof.
📍 Address: Ground Floor, Berar House, Mehadia Square, Dhantoli, Nagpur
📞 Phone/WhatsApp: 9529552938
🌐 Website: www.londonorthopaedicclinicngp.com