The Great British Pain in the Neck

  • Britons are more likely to suffer from neck pain
  • Massaging the spine is more effective than medicine in short and long term

People living in Britain are among those most likely to suffer neck pain according to an article published this month.  It states that those living in high-income countries are more susceptible to the problem than those living in low or middle-income countries.


The study of neck pain treatment, published in Annals of Internal Medicine earlier this month, also reveals that women are more likely than men to experience neck pain and that the problem is particularly prolific among office and computer workers.

Britons are exceptionally hardworking and driven,  with the UK ranked as the 13th most prosperous country out of the 130 countries measured in the 2011 Legatum Prosperity Index.  Much of the work in high-income countries, including the UK, is conducted at a desk where ergonomics and stress are common factors that can result in neck pain and exacerbate existing conditions.

According to the article, spinal manipulation, which is practiced by osteopaths and some other health practitioners, was more effective at relieving symptoms than medication.  Medication, whether over-the-counter or prescribed by GPs, is often a popular choice among time-poor workers who are reluctant to take time off for expert treatment.  However patients who were taught self-massage techniques rather than solely having to rely on treatment provided by professionals also benefitted more than those taking medication.

Kelston Chorley, Head of Professional Development at the British Osteopathic Association (BOA) says: “These research findings are positive for individuals, employers and employees.  Pain relief medication can be expensive and learning self-massage techniques mean individuals can be empowered to help manage their pain.  Further, where medication is ineffective, this can result in on-going problems that could have been resolved earlier and may even worsen as a result.  This can mean people have to take time off work for extended periods.

“An osteopath will usually provide some initial treatment to help correct any underlying cause for the condition and will always provide self-help strategies for neck pain so patients can manage their condition in the future.”

The article also says that mobilisation, described by the BOA as repetitive movements of joints to free up restrictions and increase the movement of joints and surrounding tissues, may be a better first treatment for non-specific neck pain than manipulation, described as unlocking restricted joint and surrounding tissues with a single highly specific movement, which can be an uncomfortable experience for some patients.

Kelston concludes: “In many cases of acute or chronic neck problems manipulation is not always the first line of treatment by an osteopath. Using a combination of soft tissue massage, mobilisations and self-help exercises often proves to be a more appropriate solution than the “neck clicking” commonly associated with manipulation.”

To read the article in full, please visit:



Could your driving position increase your chances of whiplash injury in the event of a collision?

Drivers who fail to wear seat belts correctly are at risk of injury according to the British Osteopathic Association.

While most people are fully aware that wearing a seat belt saves lives, the majority are not aware that the way they sit in a car plays a huge part in their personal safety.

The results of a survey by the BOA has found over one in ten drivers (13%) sit too far back for their seat belt to offer effective protection in a frontal crash.
To be effective, the belt should be sitting over the bones of the pelvis and not the stomach preventing internal injuries. It should be in contact with the shoulder to prevent serious neck injury. Sitting too far from the belt can often lead to submarining – where the occupant slips under the belt which can cause catastrophic injuries.

Approximately half, that is around 15 million of all UK drivers, do not drive in a position where their head is close enough to the head restraint, or they sit too far back for their seat belt to be effective.
This means that in an accident, they would be at risk of sustaining a serious whiplash injury.
Furthermore, only 6% of people adjust the head restraint regularly, despite the fact that most people travel in a variety of vehicles (as drivers, passengers and in taxis for example) and half of all drivers surveyed (51%) said they never adjusted their head rest at all.

Head restraints work by catching and supporting the head in the event of a rear end collision, and so reduce the chance of permanent soft tissue damage.
A correctly adjusted head restraint should be as close to the back of the head as possible and as high as the top of the occupant’s head. This means that the head movement in relation to the body is reduced as the car and seat are shunted forwards when hit from behind.  In addition, the drivers’ seat should be at the correct distance from the steering wheel.

Receiving a serious chest injury as a result of being hit by an airbag during an accident is also a very real possibility for one in seven drivers (14%) who admitted sitting too close to the steering wheel.
Drivers with a gap of less than 12 inches between themselves and the steering wheel when driving are at risk of receiving the full force of an airbag deploying in a crash involving the front of the vehicle.
Airbags have to inflate very quickly (some at over 200 mph) in order to protect the head and chest of drivers and passengers in the event of a frontal crash.

Therefore an airbag needs enough space in front of the steering wheel in order to inflate properly.
People who are shorter than around 5’’ 2” (1.57m) often sit too close to the steering wheel and may be injured by the inflating airbag.
A safe distance is around 12 inches – the size of an A4 piece of paper placed lengthways.

Danny Williams, BOA Council Member, said: “While most of us are aware that seat belts save lives, it’s fair to say that the majority of us don’t know that the way we sit in a vehicle also plays a huge part in our safety and well-being.
“The position of the head restraint, how far or close we sit to the steering wheel and how long we spend sitting at the wheel without having a break are can cause long-lasting neck and back injuries.”

Matthew Avery, Crash Research Manager at Thatcham, said: “Vehicle safety has moved on at a pace with numerous new technologies now available designed to help avoid or mitigate injury during a collision. Whilst many seats and head restraints perform well in protecting the occupant, this research goes to show that too many drivers are still subject to avoidable risks by not taking the time to adjust their head restraints correctly.”

Planning a new car purchase? These are certainly points for consideration – the car should fit you, not the other way around!

Are you suffering from injuries sustained in a road traffic collision?
Perhaps osteopathic treatment could help with your recovery – please do get in touch to see if one of our friendly team could help.

With practices situated in Amesbury, Devizes and Pewsey, we can be contacted via 07737 416906 (24hrs) or email