Summary of Recommendations for neck intervention (Continued): NECK PAIN WITH HEADACHES Acute: - Clinicians should provide supervised instruction in active mobility exercise. - Clinicians may provide C1-2 self-sustained natural apophyseal glide (self-SNAG) exercise. Sub acute: - Clinicians should provide cervical manipulation and mobilization. - Clinicians may provide C1-2 self-SNAG exercise. Chronic: - Clinicians should provide cervical or cervicothoracic manipulation or mobilizations combined with shoulder girdle and neck stretching, strengthening, and endurance exercise.
NECK PAIN WITH RADIATING PAIN Acute: - Clinicians may provide mobilizing and stabilizing exercises, laser, and short-term use of a cervical collar. Chronic: - Clinicians should provide mechanical intermittent cervical traction, combined with other interventions such as stretching and strengthening exercise plus cervical and thoracic mobilization/ manipulation. - Clinicians should provide education and counseling to encourage participation in occupational and exercise activities.
