Neck Pain in Elderly Patients: Causes, Risks, and How Physical Therapy Can Help

Neck pain is a common issue among older adults, often affecting daily activities, posture, and even balance. As we age, natural changes in the body can lead to discomfort and stiffness in the neck, making movement more challenging. Understanding the causes of neck pain and how to manage it can help improve mobility, reduce discomfort, and lower the risk of falls.

How Forward Head Posture Increases Fall Risk

Forward head posture does more than cause neck pain—it also affects balance and stability. When the head moves forward, the body’s center of gravity shifts, increasing the likelihood of instability. This posture reduces the ability to make quick postural corrections, increasing fall risk, particularly in older adults with pre-existing balance challenges.

A key measure used to assess this risk is the Occiput-to-Wall Distance (OWD) test. This test measures how far the back of the head is from a wall when standing upright. A greater distance indicates postural misalignment, which has been linked to an increased risk of falls. Addressing forward head posture can significantly enhance stability and reduce fall risk.

A physiotherapist will ask you about your current level of activity and any particular problems you’re having. They will also examine your joints to assess your muscle strength and the range of movement in your joints. Exercises and activities to meet your individual needs.

Common causes of neck pain in older adults

  • Degenerative Arthritis (Osteoarthritis) – Wear and tear on the joints in the cervical spine can lead to inflammation, stiffness, and pain.
  • Loss of Muscle Strength – Weakness in the neck and upper back muscles reduces support for the spine, increasing strain on the joints and soft tissues.
  • Forward Head Posture – With aging, many individuals develop a forward head posture, where the head shifts in front of the shoulders. This increases strain on the vertebral column and surrounding muscles, leading to chronic pain and tension.
  • Loss of muscle flexibility-Reduced mobility in the cervical spine can limit movement and contribute to stiffness and discomfort.

How Physical Therapy can help

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Pain reduction

Hands-on therapy, gentle mobilization, and targeted exercises help relieve stiffness and discomfort.

Muscle Strengthening

Strengthening the neck and upper back muscles improves posture and reduces strain on the cervical spine.

Postural Correction

Guided exercises help realign the head and shoulders to reduce excessive forward head posture.
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Fall prevention

Balance training and postural adjustments reduce fall risk and improve confidence with mobility.

Improved Overall Wellbeing

By reducing pain and enhancing movement, patients can return to daily activities with greater ease and independence.

Take the First Step Toward Pain Relief.

If neck pain is affecting your quality of life, the specialized team at Asara Physical Therapy and Balance Clinic is here to help. Our experienced therapists create individualized treatment plans to address your specific needs, improve posture, and reduce fall risk. Call us today to schedule an appointment and take the first step toward a healthier, pain-free life!

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