Neck pain trigger points exercises

Picture of Dr. Pasquale X. Montesano
Dr. Pasquale X. Montesano

Principal Orthopedic Spine surgeon at Montesano Spine & Sport.

Neck pain trigger points exercises

Neck pain can creep up slowly or hit suddenly. Whether it comes from poor posture, long hours at a desk, or even stress, one thing is clear: it limits how we move and feel.

Most neck pain is linked to tiny knots in our muscles called trigger points. These spots are tender and can send pain to nearby areas. But there’s good news. With the right exercises, you can ease the tension, improve movement, and reduce pain.

This guide will walk you through the most helpful neck pain trigger point exercises. You do not need fancy equipment or expert-level fitness. Just a few minutes and gentle effort can make a big difference.

What are trigger points?

Trigger points are tight, sensitive spots in your muscles. They feel like small lumps or knots under the skin. When pressed, they can cause pain right at the point or even send pain to other areas. This is called referred pain.

Common trigger points for neck pain are found in:

  • Upper trapezius
  • Levator scapulae
  • Suboccipital muscles
  • Sternocleidomastoid (SCM)

If you often feel tension in the base of your skull, the side of your neck, or even behind your eyes, trigger points could be the cause.

Signs you have trigger points in your neck

It’s not always easy to know if trigger points are behind your neck pain. Here are some common signs:

  • A dull ache that doesn’t go away
  • Pain when you turn your head
  • Stiffness in the neck or upper back
  • Headaches that start from the neck
  • Tender spots in the muscle

If these sound familiar, the exercises below can help break the pain cycle.

Best exercises for neck pain trigger points

These exercises target the common trigger point zones in the neck. Always move slowly and stop if you feel sharp or shooting pain.

1. Upper trapezius stretch

This muscle runs from your shoulders up to the back of your head. It holds a lot of tension.

How to do it:

  1. Sit up straight in a chair.
  2. Drop your right ear toward your right shoulder.
  3. Gently press down on your head with your right hand.
  4. Hold for 30 seconds.
  5. Switch sides.

Repeat 2 to 3 times on each side.

2. Levator Scapulae Stretch

This muscle connects the neck to the shoulder blade. It’s a common source of pain when your posture is off.

How to do it:

  1. Sit or stand tall.
  2. Turn your head to look into your armpit.
  3. Place the same-side hand over your head and gently press down.
  4. Hold for 30 seconds.

Repeat 2 times per side.

3. Suboccipital Release with a Ball

This area at the base of the skull can cause tension headaches and neck pain.

What you need: A massage or tennis ball.

How to do it:

  1. Lie on your back on a firm surface.
  2. Place the ball under the base of your skull.
  3. Let your head rest on the ball.
  4. Slowly turn your head side to side for 1 to 2 minutes.

Do this once per day to ease pressure.

4. SCM Self-Massage

This large muscle runs from behind your ear to your collarbone.

How to do it:

  1. Sit upright and find the muscle with your fingers.
  2. Gently pinch and roll it between your thumb and fingers.
  3. Move up and down the muscle.

Massage for 1 to 2 minutes per side.

5. Chin Tucks

This move helps improve posture and takes stress off your neck.

How to do it:

  1. Sit or stand with your back straight.
  2. Gently tuck your chin backward as if making a double chin.
  3. Hold for 5 seconds and release.

Do 10 reps twice a day.

Breathing and Relaxation

Stress can make trigger points worse. Deep breathing helps calm the body and relax tight muscles.

Try this:

  1. Sit in a quiet space.
  2. Inhale slowly through your nose for 4 seconds.
  3. Hold for 4 seconds.
  4. Exhale through your mouth for 6 seconds.
  5. Repeat for 5 minutes.

Make it a daily habit to support your recovery.

Tips to Prevent Neck Trigger Points

Once you feel better, it’s important to stop the pain from coming back. Here are a few tips:

  • Check your desk and chair height
  • Use a pillow that supports your neck
  • Avoid looking down at your phone for long periods
  • Stretch during breaks at work
  • Stay active with regular movement

When to See a Professional

Final Thoughts

Neck pain from trigger points can be frustrating, but it’s not something you have to live with. A few simple stretches and self-care habits can help release those tight spots, ease your pain, and give you better movement.

Stay consistent. Most people start to feel relief within a week or two when they practice these exercises daily.