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Neck Injury: How to Care for Your Child

Most neck injuries in kids are not serious and get better with rest, cold compresses, and over-the-counter pain medicines.

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Neck injuries are common in kids, especially athletes. They usually affect the soft tissues of the neck, such as the muscles and tendons. Types of injuries include:

  • Strains: Overstretching of the muscle or tendon (which connects muscle to bone).

  • Sprains: Overstretching of the ligaments (which connect two bones).

  • Contusions (bruises): Injured tissue that results in blood leaking out and getting trapped under the skin.

  • Whiplash: An injury caused by an abrupt jerking motion of the head. It can involve muscles, ligaments, and other types of tissue.

Most neck injuries are caused by an impact to the head or neck during a fall, blow, or auto accident. Some occur over time from repeated stress. Treatment may include a combination of rest, pain medication, and special exercises to help the neck tissue heal. In some cases, the health care provider may suggest wearing a cervical collar, a soft brace that supports the neck as it heals.

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  • Apply ice or a cold compress wrapped in a towel to the sore area of the neck for 15–20 minutes four times a day for the first 2–3 days following the injury to reduce any swelling. After 3 days, apply a warm, moist cloth to the neck instead.

  • If your child is uncomfortable, a medication may help. You may give acetaminophen OR ibuprofen, if recommended by your health care provider. 

  • If the health care provider has prescribed any special exercises, your child should do them as instructed.

  • Your child should not participate in contact sports or carry a backpack until after the injury has healed and your health care provider says it's OK.

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  • If the health care provider has suggested a soft cervical collar, your child should wear it only for the amount of time specified. Wearing it for longer periods can weaken the neck muscles and cause additional problems.

  • The health care provider may refer your child to a physical therapist to learn special exercises to help the neck heal.

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  • Your child has pain that gets worse.

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Your child:

  • Has difficulty moving the arms or legs.

  • Has numbness, tingling, or burning in the neck, shoulders, arms, or hands.

  • Has trouble breathing.

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