Effective Cervicalgia Treatment: Strengthening Exercises, NSAIDs, Cervical Collars, and Physiotherapy for Pain Management

Middle-aged Hispanic woman in a modern physiotherapy clinic, performing gentle neck stretching exercises. In the background, a Hispanic physiotherapist demonstrates another exercise using a cervical spine model. Nearby, a cervical collar and a bottle of pain relief gel are visible. The image conveys a professional and welcoming environment focused on therapeutic treatment for cervicalgia, including strengthening exercises, NSAIDs, and ergonomics.

Dear colleagues, cervicalgia is a common condition that affects a significant portion of the population at some point in their lives. Effective management is crucial for improving our patients' quality of life. In this article, we will explore the most effective strategies for cervicalgia treatment, focusing on strengthening exercises, the use of a cervical collar, and pain management.

Therapeutic Approach to Cervicalgia

The treatment of cervicalgia should be multimodal, combining physiotherapy, strengthening exercises, and, in some cases, the use of a cervical collar. Evidence suggests that supervised exercises, such as qigong and Iyengar yoga, are effective for managing persistent neck pain [1]. These exercises not only improve mobility but also strengthen the neck muscles, which is essential for preventing future injuries.

The use of a cervical collar should be limited and only in specific cases. According to clinical practice guidelines, prolonged use can be counterproductive, leading to dependency and muscle weakness [2]. In cases of acute cervicalgia with radiculopathy, the collar may provide temporary relief but should be complemented with strengthening exercises and physiotherapy [3].

Pain management is another crucial component in the treatment of cervicalgia. NSAIDs are frequently used to relieve pain and inflammation. However, it is important to consider the long-term side effects of these medications and assess the need for their continued use [4]. Patient education on ergonomics and the importance of maintaining proper posture are also fundamental aspects of managing cervical pain.

Conclusions

In conclusion, the management of cervicalgia should be comprehensive, combining therapeutic exercises, prudent use of the cervical collar, and effective strategies for pain management. Physiotherapy and education in ergonomics are fundamental pillars in treatment, helping our patients achieve effective recovery and prevent recurrences. It is essential that we continue to stay updated with the latest evidence to provide the best possible care for our patients.

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Created 5/1/2025