A New Focus on the Neck: Understanding Pain, Treatment and Prevention

From long hours on computers or mobile devices to sports injuries and even the natural aging process, neck pain has become an increasingly common medical concern. While the natural tendency may be to dismiss it as a minor annoyance, a simple “pain the neck” can turn into something far more serious if left untreated.

“Discs can wear out and collapse,” says Dr. Eric Oberlander, board-certified neurosurgeon and spine specialist. “This causes neck pain and eventually arm pain.”

As the discs between the vertebrae lose height and flexibility, they can place pressure on surrounding nerves, leading not only to localized discomfort, but also radiating symptoms such as numbness, tingling or weakness in the arms.

“Another common cause of neck pain is arthritis of the neck joints,” Oberlander says.

Over time, wear and tear on the joints of the cervical spine can lead to stiffness, inflammation and reduced range of motion.

Surgery is rarely the first step. Oberlander’s practice is known for its conservative, step-by-step approach to treatment.

“We usually throw the kitchen sink at our patients,” he says.

That starts with the least invasive options such as physical therapy or chiropractic care to improve strength, flexibility and alignment. These therapies can help relieve pressure on the spine while addressing underlying movement patterns that contribute to pain.

If symptoms persist, patients may be referred for targeted injections to reduce inflammation and provide relief.

“The goal is to calm things down and give the body a chance to heal,” Oberlander says.

For many patients, this combination of therapies is enough to avoid surgery altogether. In more advanced cases—particularly when nerves are compressed or conservative treatments fail—surgical intervention may be recommended.

“If conservative therapy fails and there is a surgical solution, we will offer it,” Oberlander says.

Common procedures focus on relieving pressure on the spinal cord or nerves.

“We typically perform a decompressive surgery in which we unpinch the crushed nerves,” he explains.

In some cases, damaged discs may need to be removed and replaced with a spacer to restore stability and function.

While the idea of spine surgery can be intimidating, advances in technique and technology have made many procedures more precise and less invasive than in the past, often resulting in shorter recovery times and improved outcomes.

Oberlander has the training and expertise to treat even the most complex spine conditions.

“I am known for taking on cases that many other surgeons have passed on,” he says.

His approach prioritizes proven, evidence-based treatments over early-stage innovations. For all the advancements in care, the most effective strategy is the same as it has always been: prevention and early intervention, before soreness turns into chronic pain.

That starts with making smart choices about physical activity. High-impact exercises like jogging can place added stress on the spine, while lower-impact options such as cycling or swimming are often better suited for long-term joint health.

Simple adjustments to posture, ergonomics and daily habits can make a meaningful difference—especially for those who spend long hours at a desk or on digital devices.

“Don’t abuse your spine,” Oberlander says. “See a therapist early to learn how to properly exercise the neck.”