What this article covers
Neck pain is common and hard to treat once chronic. Improper sleeping posture is a primary cause. Lifestyle changes matter, not only procedures.
Dr. Nitish Mandal
Change what provokes it, keep moving in a range that is not painful, and know when a knot or a neck joint needs clinic care.

Avoid looking-down and low-pillow positions that increase the pain. Keep moving the neck in a range that is not painful. Absolute rest for weeks weakens supporting muscles.
This article is from Dr. Nitish Mandal, Consultant Pain Physician in Bangalore, with clinics in Koramangala and J.P. Nagar. Reviewed by Dr. Nitish Mandal, MBBS, MD, FIPM, TIPM (Nashville).
Published 2025-06-01 · Updated 2026-09-22
Neck pain is common and hard to treat once chronic. Improper sleeping posture is a primary cause. Lifestyle changes matter, not only procedures.
Avoid the looking-down and low-pillow positions that increase the pain. Keep moving the neck in a range that is not painful.
A firm knot in trapezius may be a trigger point. Wear in the small joints of the neck may be spondylitis. The neck pain page explains how those are sorted.
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Dr. Nitish Mandal
Typically replies on WhatsApp
I have tried tablets and physiotherapy. What is different here?
Find the source of the pain, then treat that source with a clinic injection, block, or infusion. You are typically able to go home the same day.
Where are the clinics, and do I need an appointment?
Koramangala and J.P. Nagar. Prior appointment is preferred. You can book from this website.