Yoga Relieves Neck Pain Review of Research Shows
Chronic neck pain and neck pain-related disability are a major public health problem. In light of escalating rates of opioid addiction, more healthcare providers are prescribing complementary therapies like yoga to patients seeking pain relief. Now, a systematic review and analysis of the research in Clinical Rehabilitation shows that yoga may be an effective treatment option. (1)
A team of German researchers examined all of the published randomized controlled studies in which adults with chronic neck pain were assigned to either a yoga intervention or a usual care, exercise, or non-pharmacological treatment control group. Yoga sessions included either physical movement, breath exercises, meditation, yogic lifestyle recommendations, or a combination of these skills. At the end of treatment, yoga, and control group participants were compared on neck pain intensity or related neck-pain disability, as well as mood and quality of life.
A total of 3 studies including 188, predominantly female (82.4%) adults (mean age 47.5 years) were included in the analysis. On average, yoga interventions were held weekly for 9-weeks. Sessions were provided by either experienced yoga educators, or offered on audiotape.
Yoga Relieves Chronic Neck Pain
Analyses revealed that yoga provides superior results to usual care in the relief of neck pain intensity and neck pain-related disability. What’s more, yoga group participants reported better quality of life, and improved mood compared to controls. Short-term reductions in pain, disability, and negative mood were found for both movement-based, and meditation-based yoga interventions.
There are a number of potential explanations for these results. First, movement-based yoga practices often emphasize relaxation, isometric muscle strengthening, stretching, and exploring range of motion. This may be particularly useful for those whose pain is based on chronic, stress-related muscle contraction or for whom relaxation may be beneficial. Yoga postures may also contribute to changing dysfunctional movement patterns or altering a habitual, maladaptive posture that contributes to a person’s neck pain or muscle tension.
In addition to movement, meditation-based yoga practices have the potential to change a person’s relationship to his or her pain. Specifically, meditation techniques focusing on attention and introspection can draw attention to negative judgments or ruminations about pain or its source that contribute to the intensity of a person’s suffering. In recognizing the role of thoughts in shaping experience, practitioners are empowered to question their significance and transition to more adaptive beliefs.
Although we have much more to learn about the role of yoga in the treatment of chronic neck pain, results of this review are cause for optimism.
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Dr. B Grace Bullock is a behavioral health, education, and organizational strategist and policy advisor, psychologist, educator, research scientist, book author and science writer. She serves as the Director of Mental and Behavioral Health for the Oregon Department of Education.
Grace has dedicated her career to health promotion, prevention, intervention, research, and developing policies, programs, and practices that ensure that all children and families have equitable access to culturally responsive mental health services and educational supports. She champions the creation of safe, welcoming, and inclusive school systems, cultures, and climates that honor diversity and intersectionality, fully recognize all ways of being and knowing, and ensure that all belong. This means working in partnership to realize detailed, actionable policies that drive sustainable systems to change.
Dr. Bullock strives to be a trusted partner, bringing the values and principles of mind-body medicine into strategic planning, education, and health policy, and program design, development, training, and the evaluation/research of offerings and policies that promote personal, interpersonal, and systemic well-being, effective and equitable leadership, decision-making and social change.
An educator at heart, she teaches courses and workshops on strengths-based, trauma-informed, equity-centered principles and practices, interpersonal relationships, stress resilience, and clinical practice at colleges, universities, professional schools, school districts, and organizations across the USA and Canada. She has spent more than two decades teaching and studying physiological and psychological interventions to reduce stress and support resilient, healthy relationships and systems, and is the author of the acclaimed book, Mindful Relationships: 7 Skills for Success – Integrating the science of mind, body & brain. Her research has been published in numerous empirical journals and featured in Psychology Today and The Greater Good Science Center, among others. She is the science writer for Mindful Magazine and Mindful.org and former Editor in Chief of the International Journal of Yoga Therapy.
She received a BA Highest Honors in Psychology, Summa Cum Laude from the University of California at Los Angeles, an MS and Ph.D. in Clinical Psychology from the University of Oregon, and completed her clinical residency at the University of Washington School of Medicine.
Sources
- Cramer, H., Klose, P., Brinkhaus, B., Michalsen, A., & Dobos, G. (2017). Effects of yoga on chronic neck pain: A systematic review and meta-analysis. Clinical Rehabilitation. https://doi.org/10.1177/0269215517698735
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