Acute Nerve Root Pain

What is apophyseal wry neck?

Apophyseal wry neck is a condition characterized by sudden pain and restricted movement in the neck, typically caused by dysfunction or irritation in one or more of the apophyseal (facet) joints between the cervical vertebrae. It often results in the head being held in a fixed, tilted position. Physiotherapy is highly effective in relieving pain, restoring mobility, and addressing the underlying joint dysfunction associated with this condition.

Above: Mobilisation and stretches applied to the cervical spine by therapist

What Causes Apophyseal Wry Neck?

Apophyseal wry neck typically develops after a sudden or awkward movement of the neck, such as turning too quickly or sleeping in an unusual position. This can irritate or lock one of the facet (apophyseal) joints, leading to a sudden onset of neck pain and stiffness.

What Are the Symptoms of Apophyseal Wry Neck?

Apophyseal wry neck often presents with a sharp, localized pain on one side of the neck. This discomfort may also radiate into the head, shoulder, or arm. The pain is usually aggravated by movement and can significantly restrict the ability to turn the head fully in one direction. Additional symptoms may include:

  • reduced range of movement
  • swelling/inflammation
  • stiffness
  • weakness
  • numbness
  • spasm
  • tingling / pins and needles s

Above: Mobilisations of the cervical vertebrea to relieve pain and stiffness

Physiotherapy for Apophyseal Wry Neck

Physiotherapy plays a key role in effectively managing apophyseal wry neck. Your physiotherapist will begin by assessing your condition to confirm the diagnosis and evaluate the severity of joint restriction or irritation. Based on this, a tailored treatment plan will be created. Initial sessions often focus on reducing pain and easing muscle spasm. As your condition improves, further physiotherapy techniques may include:

  • Electrotherapy
  • Manipulation / Mobilisation
  • Exercise Programmes
  • Balance Exercises
  • Proprioceptive Exercise
  • Vestibular rehabilitation

Above: Mobilisations of the cervical vertebrea to relieve pain and stiffness

Does Apophyseal Wry Neck Have Any Long-Term Effects?

When correctly diagnosed and managed with appropriate physiotherapy, apophyseal wry neck rarely leads to long-term complications. Most individuals experience a full recovery within a few days. However, one of the most common concerns with this type of neck pain is its tendency to return, especially if underlying factors such as poor posture or joint stiffness are not addressed through rehabilitation and lifestyle changes.

Above: Assessment of the cervical spine, muscles and connective tissues in the neck performed by an experienced Physiotherapist

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