Should I Exercise in Pain?


It is okay to push into some discomfort during your exercise programme. This is because we are pushing the muscles and soft tissues to adapt to a new stress or strain. Aim to avoid causing pain that does not settle back to baseline within 24 hours. Pain does not mean you have caused damage; it is often your body letting you know that you have challenged it.


When exercising with an injury, it is often thought that pain equals harm. This is not necessarily true.We often use a 0-10 scale to grade how bad the pain is that you are experiencing.


This graphic shows this as a traffic light system.When you are completing your exercises consider how the pain feels.


0-3 or green is regarded as a safe zone and activity should continue.


4-5 or orange is an acceptable level of discomfort to be feeling when exercising and is safe to continue with and should settle within 24 hours of stopping.


6-10 or the red zone is seen as too much and you should think about modifying the exercise, reducing the weight being used or avoiding that exercise all together and trying again the next day.


Staying active during injury will not do harm, it is important to be aware of what is considered reasonable. If the worsening pain persists for a few days after exercise please consult your physiotherapist or healthcare professional.


What if I Have a Flare Up?

Flare ups of pain are a common part of the recovery process. Be reassured, this is a temporary increase in pain that will often improve with rest and by gradually resuming your activities. Using ice packs or a warm pack can help to reduce pain and inflammation. Try these, covered in a thin towel for 15 minutes, a few times per day. Sometimes you may need pain relief to help your pain to settle. You should discuss this with your GP or pharmacist if you have any questions.

Do I need to wear a collar for my neck pain?

Neck collars are no longer recommended for neck pain or injury unless you’ve been told to wear one by a specialist for a specific reason as they have been shown to actually slow recovery. It’s better to keep you neck moving despite some pain initially to avoid any lasting problems and get back to normal as soon as possible.
Muscles and joints in the neck can stiffen up very quickly if they are being kept still so avoid using a collar and get the neck moving again straight away. Remember – Motion is lotion!

Does posture play a part in my neck pain?

Yes – Prolonged sitting, whether at work or at home, can certainly contribute to neck pain and stiffness persisting. Slouched sitting postures or when you’re continually looking down can lead to greater muscle tension in the neck and shoulder region.
It is essential that you regularly change your position, move your neck in different directions and get up from your desk if at work at frequent intervals throughout the day. So make sure you set yourself a reminder to get up and move around every hour if you’re sitting at work all day.
Check out this video for ideas on postural exercises for neck pain.

Do I need painkillers for my neck pain?

Painkillers may be necessary for a short period if neck pain is severe although this will not speed up your recovery.
They should only be used in conjunction with other measures, such as exercise, and even then just as a short-term option as they can bring side effects.
Exercise, which is safer and cheaper, is considered the preferred option. Movement is the best medicine for neck pain!

Can I exercise with neck pain?

Yes, absolutely! Exercise and activity reduces and prevents neck pain. Exercise is shown to be very helpful for tackling neck pain and is also the most effective strategy to prevent future episodes.

Start slowly and build up both the amount and intensity of what you do and don’t worry if it’s sore to begin with – you won’t be damaging your neck.

No one type of exercise is proven to be more effective than others so just pick an exercise you enjoy, that you can afford to maintain in the long-term and that fits in with your daily schedule.

Do I need a scan to diagnose my neck pain?

You rarely need a scan and it can do more harm than good. This is because seeing perfectly normal changes to their spine related to age which are not predictive of neck pain can cause people to avoid the activities they should be doing to get better, such as exercise and movement in general.
Studies have shown that a scan does not show the exact reason for neck pain in 95% of cases and will not guide further management.
However, there are extremely rare cases of neck pain where immediate medical advice and need for scanning may be required. See Further Support section for the list of symptoms associated with neck pain that might require you to see you GP sooner.

Should I rest or stop activity if I have neck pain?

No – Scientific studies now indicate prolonged rest and avoidance of activity for people with neck pain actually leads to higher levels of pain, greater disability, poorer recovery and longer absence from work.
In the first few days of a new episode of neck pain, avoiding aggravating activities may help to relieve pain. However, staying as active as possible and returning to all usual activities gradually is actually important in aiding recovery – this includes staying in work where possible.
While it is normal to move differently and more slowly in the first few days of having neck pain, this altered movement can be unhealthy if continued in the long-term.
Skip to content