Military neck is a common term for issues with the curve of the neck. It happens when the cervical spine (neck) moves out of its normal alignment with the spine, and the unusual curves can hugely affect your quality of life.
"Military neck is a common term applied to neck posture when you lose the natural sway back that exists in the neck that allows the head to rest comfortably over the shoulders," says Rahul Shah, MD, board-certified orthopedic spine surgeon at Premier Orthopaedic Associates in Vineland, New Jersey.
When your head is out of alignment with your spine, your body needs to work harder to hold up your neck, which can lead to pinched nerves and other complications, Shah adds.
Despite its name, military neck is not related to the military.
How Does Military Neck Look?
Military neck is an unusual curve in your cervical spine (this is your neck) called cervical kyphosis.
Normally, your neck has a slight backward C-shaped curve. If you have military neck, also called cervical kyphosis, your neck has lost some of its normal curvature. This makes your neck abnormally straight, which can cause your head to tilt forward.
What Causes Military Neck?
Both children and adults can get cervical kyphosis. There are several causes for this condition.
Degenerative disk disease
In degenerative disk disease, the disks in your spine wear down over time, causing them to collapse and get thinner. As that happens, your head tilts forward and your neck curves forward or straightens. Since the head is heavy, if it's not balanced on your spine, it can push your neck forward until you get kyphosis. This can happen slowly over time.
Congenital kyphosis
Some babies are born with disabilities or have unusual spine development. The spine might not be fully formed, or the bones might grow in a triangular shape. When this happens, the bones aren't stacked correctly, causing the neck to curve forward.
Cervical spondylosis
This condition is a type of arthritis of the neck. As your disks wear down with age, your bones begin to rub against each other and break down. This causes the spine to collapse, your head to tilt forward, and your neck to curve. Degenerating disks can cause arthritis.
Trauma
Serious injury to the neck or spine can cause a compression fracture in your vertebrae or a dislocation. This leads to spine deformity and kyphosis. Serious injuries can include:
- Accidents in cars or other vehicles
- Falling from heights
- Falling off horses
- Hard impact during sports
Iatrogenic kyphosis
This type of neck problem is caused by medical procedures. Laminectomy surgery is the most common cause. This is a surgery in which part of the vertebral bone is removed to ease pressure on your spinal cord.
Infection
Spine infections like tuberculosis or osteomyelitis can cause spine problems. These are rare, but can lead to a spinal curve deformity.
What Are the Symptoms of Military Neck?
The most common symptom of military neck is pain. When the bones wear down and the spine curves, it puts more pressure on the spine, which can cause severe pain.
Spine deformities or unusual curvatures can cause lots of other problems, especially as the curve worsens. These can include:
- Trouble swallowing
- Trouble breathing
- Back pain
- Spinal cord compression
- Head bending forward
- Trouble lifting your head or moving your neck
- Vision problems
- Muscle spasms in your back and neck
- Headaches
In severe cases, your chin might eventually rest on your chest. Your neck also might put pressure on your spinal cord roots, leading to other problems, including:
- Weakness in your arms and legs
- Loss of control over bowels and bladder
- Trouble gripping
- Less grip strength
- Paralysis (in extreme cases)
- Falls
How is Military Neck Diagnosed?
Diagnosing military neck requires a thorough exam that can include:
- Complete medical history
- Physical exam
- X-rays
- MRI scan
Your doctor will want to check how well you can bend and twist your neck and roll your head in all directions, and whether you experience tenderness or muscle spasms in your neck. Testing your reflexes, checking for numbness in your arms and hands, and checking muscle strength in your arms, hands, and legs is also important to check if your military neck is affecting the nerves around your spine.
Imaging tests, including X-rays and MRI, will help your doctor see if there is any degeneration in the spine, herniated disks, or soft tissue disorders.
How Is Military Neck Treated?
The treatment for military neck involves managing your symptoms and correcting the spine.
"Cervical deformities are treatable," Shah says. "Depending on their progression over time and the resultant impacts to quality of life, [several] measures can be taken to address the deformity."
How to treat military neck with surgery
Surgery is the main treatment, but it is usually only done if your neck issue is getting worse. Your doctor might add a metal plate and rods to give your neck stability or might fuse your bones.
Cervical traction for military neck
Your doctor might use cervical traction, which is a method of applying counterforce to your neck. Cervical traction with a halo ring uses gravity to help move the spine and ease pressure on the cord. This can especially help children who have severe cervical kyphosis. It is usually done before surgery.
Several conservative treatments can help manage some of your symptoms and may be better for less severe kyphosis.
Physical therapy and exercises
A physical therapist can give you exercises to stretch, extend, and rotate your neck. This might also help ease spasms and teach you how to avoid other injuries.
If you have surgery, you might have physical therapy before and after to help gain movement and strength.
Neck braces for military neck
Wearing a neck brace can help with neck stability. This keeps your neck in the right position and can help ease pain.
Is chiropractic care effective for military neck?
Chiropractic care can help reduce pain and disability and offer short-term relief, but ongoing sessions are needed to maintain the benefits.
Other treatment options for military neck
Easing pain is a big part of treatment. Your doctor might recommend:
- Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen or naproxen
- Steroid injections
- Over-the-counter pain relievers (acetaminophen or aspirin)
- Prescription pain medication
- Chiropractic care
You can also use ice and heat packs to help with pain and muscle soreness. Good posture can also help relieve stress on your neck.
How to Live With Military Neck
Military neck can cause significant pain and disability. In addition to treatment options like medication, physical therapy, and surgery, some lifestyle tips could help you live more comfortably:
Exercise. An exercise routine that includes neck retractions and stretching the shoulder and pectoral muscles can improve posture and ease pain.
Quit smoking. Smoking is a major risk factor for degenerative spinal diseases. Smokers are more likely to need surgery for spinal disease and have higher rates of pain and wound-healing problems after surgery.
Maintain a healthy weight. Obesity not only speeds up the worsening of degenerative disk disease and disability due to spinal disorders, but it also increases the odds of developing infections after surgery for cervical deformities.
Takeaways
Military neck is a type of cervical deformity that results in an abnormal neck posture, which can greatly affect your quality of life. Also called cervical kyphosis, military neck can lead to lots of other problems. If you have pain in your neck or changes in posture, make sure to talk to your doctor and stay positive.
The conditions, Shah adds, "have a myriad of solutions which are quite effective."
Military Neck FAQs
Is military neck a form of scoliosis?
No, military neck is not a form of scoliosis. Military neck is a rounding of the cervical spine (neck) that causes your shoulders to curve forward, giving you a "humpback" appearance. Scoliosis causes the spine to curve from side to side in an S-shape instead of being straight.
Can military neck be reversed?
Yes, military neck can be reversed. Physical therapy might be enough to fix the abnormal curvature in the spine in mild cases. In more severe cases, you would need surgery to correct military neck.
