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Neck Cracking and Massage - Question & Answer

Updated: Feb 3



Neck cracking and massages are one of the most popular ways to fix sore muscles and stiff necks. That being said, many people have questions and concerns when it comes to these procedures.


While neck cracking can provide temporary relief for some, others may wonder if it is truly safe. Similarly, massages are often sought for relaxation and pain relief. So how safe are these procedures? 


Here are popular questions and answers regarding neck cracking and massages:




Q & A: Neck Cracking and Massages


Is it safe to crack your neck?

Cracking your neck is not advisable in medical context due to potential complications and damage to the joint and important structures nearby.


Why does my neck make a cracking sound?

Neck cracking is the process of providing pressure to the joints in your neck, causing a popping or cracking sound. This happens due to changes in pressure within the joint or the movement of ligament over the bones. 


The popping sound may be a natural occurrence. However, if the cracking sound is accompanied by pain, please visit a professional immediately. 


Should I see a chiropractor for neck cracking?

A chiropractor or a licensed healthcare professional like a physiotherapist can help with your neck issues, which may or may not involve neck massage. Nonetheless, we highly recommend visiting an experienced physiotherapist for any neck issues. 


Are there risks to neck massages?

Neck massages usually are not dangerous when done by a qualified professional. However, people with certain conditions (like cervical spine instability or vascular issues) should consult a doctor before undergoing a neck massage.


Do neck massages help to relieve headaches?

Yes, headaches can be commonly caused by tight muscles in the neck and shoulders. In this case, massages can help loosen up the muscles, promoting relaxation and circulation.

However, if the headache persists, seeking professional medical assistance is recommended. 


What should I avoid during a neck massage?

As the neck is an area with important structures like the cervical spine, brachial plexus and carotid arteries, avoid applying excessive pressure to avoid potential injuries. It is advisable to seek proper medical advice or professional consultation with physiotherapists before going for a neck massage.



We were featured on CNA


Here are more tips for protecting ourselves from potential injuries: 


A report on a Thai woman noted she had pain in the back of her neck two days after receiving a shoulder massage and neck twisting. This was followed by weakness in her right arm and partial paralysis many weeks later. 


She eventually passed away. 



Question 1: Why is the neck considered a potentially risky area to massage or twist on your own?


Answer: The neck serves as the critical connection between the head and body. It contains important structures like blood vessels, carotid arteries that supply blood to the brain, and nerves that supply the arms. 



Question 2: What are common injuries that can occur due to massage or neck twisting? 


Answer: Injuries happen when the techniques are not performed properly. Common injuries include: 

  • Brachial plexus injury - This occurs when trauma to the brachial plexus—a network of nerves connecting the spine to the arm—results in numbness, weakness, or even paralysis in the arm.

  • Stroke - Aggressive neck manipulation can damage the blood vessels in the neck such as the vertebral arteries, particularly if there is pre-existing atherosclerosis. The reduced blood flow to the brain can lead to a stroke. 



Question 3: Have you encountered clients with muscle-skeletal problems post-massage? How often do you see such cases? What help do you typically render seeing that massage was what caused their problem?


Answer: It is not uncommon to see such cases in GP clinics or the hospital.  To assess the symptoms, red flags such as severe pain or numbness would need to be ruled out, and tests like an CT scan or MRI might be conducted if necessary. 


Based on the results, a referral to an orthopaedic spine specialist, a neurosurgeon or a physiotherapist may be necessary.  



Question 4: What are the risks of developing those symptoms and potentially dying from cervical spine adjustment at a massage parlour, or even self-administered neck twisting? 


Answer: The risk of developing fatal complications are rare but not impossible.  Hence, we recommend seeking medical advice or consultation from experienced physiotherapists. In some cases, the physiotherapists may advise on gentle stretches, heat therapy, or improving posture.



Question 5: Would you advise not to ask for neck massages or manipulations? What can we ask for at a massage place if we are feeling sore in the neck and shoulders?


Answer: Yes, we would advise against doing neck massages on your own. The best solution is to seek medical attention or consult a medically accredited physiotherapist.



Question 6: What can we do if we have a habit of twisting our necks to relieve tightness?


Answer: It is strongly discouraged to twist the neck as a habit for relieving neck tightness. Instead, if you are experiencing neck discomfort, it is best to consult a physiotherapist or medical professional. 


It is important to note that whether a patient should be referred to a general practitioner, specialist, or physiotherapist depends on the individual case. Chiropractors, osteopaths, and sports massage therapists each serve different purposes and are indicated for specific conditions.


If you are experiencing any soreness in your neck and seeking a solution, please seek proper medical advice or consult a qualified allied health professional such as a physiotherapist.





Founder & CEO Alpaca Health

MBBS (Singapore) , MRCS (Ireland) , MPHMMED Surgery (Singapore) , GDFM (Singapore)


Phone Number : +65 8089 1839


 
 
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