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Neck Stiffness That Radiates to the Head? Don't Ignore It—It Might Be More Than Office Syndrome

“Woke Up with a Stiff Neck and Headache? Don’t Ignore This Silent Alarm”
“Woke Up with a Stiff Neck and Headache? Don’t Ignore This Silent Alarm”

By Dr. Phumlarp Caulo | Caulo Care Forest Hills, New York | June 29, 2025


Have you ever woken up with a stiff neck, unable to turn your head comfortably, with pain radiating toward your head or shoulder? What may seem like a minor annoyance could reflect deeper physiological, emotional, or energetic imbalances.


In the Middle Ages, our understanding of the human body was riddled with misconceptions. Many believed that movement was controlled by “bile” or “spirit” flowing through blood vessels. But in 1543, the world of medicine changed forever when Andreas Vesalius published De Humani Corporis Fabrica, or The Fabric of the Human Body.


For the first time, muscles of the neck—such as the sternocleidomastoid, trapezius, and scalenes, along with the cervical vertebrae (C1–C7)—were accurately described. His work laid the foundation for modern anatomical understanding and remains fundamental in diagnosing conditions like neck stiffness today.


What is Neck Stiffness?

Neck stiffness refers to the abnormal tightening or spasm of muscles in the neck, particularly the sternocleidomastoid, trapezius, and levator scapulae, making movement difficult or painful, especially when turning the head.


Common Causes of Neck Stiffness

From a Western Medical Perspective:

  1. Poor posture – Looking down at phones or computers for prolonged periods

  2. Torticollis – Involuntary twisting of the neck

  3. Muscle strain – Overuse or sudden movement

  4. Cervical disc herniation – Disc impinging on a nerve

  5. Infections – Meningitis can cause neck stiffness, fever, and headache

  6. Trauma – Injuries from accidents or falls

  7. Cervical arthritis – Degenerative changes in neck joints

  8. Stress-related muscle tension

  9. Swollen lymph nodes – Due to infection or inflammation

  10. Whiplash injury – Rapid forceful movement of the neck


From a Traditional Chinese Medicine (TCM) Perspective:

  1. Wind-Cold Invasion – External cold constricting neck meridians

  2. Liver Qi Stagnation – Emotional stress causing muscle tension

  3. Blood Stasis – Poor blood circulation leading to pain and rigidity

  4. Kidney Deficiency – Weak tendons and bones from deficient kidney energy

  5. Cold-Damp Accumulation – Dampness causing heaviness and stiffness

  6. Qi and Blood Stagnation from Trauma – Blocked flow due to injury


Anatomy & Physiology Involved

  • Muscles: Trapezius, Sternocleidomastoid (SCM), Levator scapulae

  • Nerves: Cervical spinal nerves (C1–C8), Brachial plexus

  • Bones: Cervical vertebrae (C1–C7), intervertebral discs

  • Circulatory & Lymphatic: Carotid arteries, cervical lymph nodes

  • Meridians (TCM): Gallbladder, Bladder, Small Intestine meridians


Treatment Approaches

Western Medicine

  • Medications:

    • NSAIDs (e.g., ibuprofen, naproxen) – Reduce inflammation and pain

    • Muscle relaxants (e.g., cyclobenzaprine) – Relieve spasms

    • Topical agents – Analgesic creams and patches

  • Physical therapy: Ultrasound, TENS, guided stretching

  • Ergonomic correction: Posture training, screen height adjustment

  • Surgical intervention (if the herniated disc compresses nerves)


Traditional Chinese Medicine

  • Acupuncture: Target points like GB20, LI4, SI3, UB10

  • Cupping and Gua Sha: Improve circulation and release tension

  • Herbal Formulas:

    • Du Huo Ji Sheng Tang – For cold and damp invasion in the neck

    • Xiao Yao San – For stress-induced Liver Qi stagnation

    • Shu Jing Huo Xue Tang – Promotes circulation and dispels cold

  • Topical remedies: Herbal balms, hot compresses with warming herbs


Prevention and Holistic Care

Postural & Lifestyle Adjustments

  • Use an ergonomic pillow for proper neck support

  • Adjust the screens to eye level

  • Avoid prolonged downward gazing at phones

  • Practice light neck exercises regularly


Holistic Self-Care

  • Drink warm water daily

  • Avoid exposing the neck to cold wind

  • Eat warm, easily digestible foods

  • Gentle exercise to stimulate Qi flow

  • Enjoy herbal teas like ginger, cinnamon, or hawthorn


A “stiff neck” may seem like a minor inconvenience, but it's often the body's early warning sign. If left untreated, it can progress into more serious dysfunctions involving nerves, muscles, and even your body's core vitality. By integrating both modern biomedical knowledge and Traditional Chinese Medicine, we can treat and prevent neck stiffness more deeply and sustainably, healing not just the symptom, but the root.


Dr. Phumlarp Caulo LAc,MsAc,OM,DAHM,Pre-RN

Integrative Medicine Practitioner, bridging Eastern and Western Wisdom.


“Rooted in ancient wisdom, guided by modern science

On this page, we look back at history so you can move forward with health.

I believe in Mother of the Earth, the timeless healer of body and soul.”


This information is only educational and should not be construed as medical advice.

Everything must be balanced, and the suggestions may not apply to you.

A specialist doctor should be consulted for any medical advice or diagnosis.


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Dr. Phumlarp Caulo LA,c, MAc. OM, DAHM

Doctor of Acupuncture/Chinese Medicine

Caulo Care Acupuncture

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☎️+1 (929) 269-4549

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