Neck Pain from Cycling: Causes, Prevention, and Solutions

Neck Pain from Cycling: Causes, Prevention, and Solutions

For many of us, cycling stands as a symbol of freedom, health, and environmental responsibility. Whether you’re racing down trails, commuting to work, or indulging in a weekend leisure ride, the joys of cycling are numerous. However, like with all physical activities, it’s not without its set of challenges. One common issue faced by both novice and seasoned cyclists alike is neck pain. But fear not! Understanding the causes, preventive measures, and solutions for neck pain related to cycling can help you get back on the saddle with renewed confidence and comfort.

Why Does My Neck Hurt From Cycling?

Why Does My Neck Hurt From Cycling?Neck pain from cycling can arise from various causes. Here are some primary reasons:

  • Poor Bike Fit

One of the most common reasons for neck pain is an improperly fitted bike. If the handlebars are too low, too high, or too far away, you might strain your neck while trying to maintain a comfortable gaze on the road.

  • Poor Riding Posture

Slouching, rounding the shoulders, or locking the elbows can place undue strain on the neck muscles. Ideally, your spine should be neutral. And you should be able to look forward without excessively tilting your head up.

  • Helmet Position

If your helmet isn’t correctly adjusted, it can force you to tilt your head at an awkward angle to see the road, leading to neck strain.

  • Muscular Imbalance

Over time, some muscle groups might become dominant while others become weaker, leading to postural imbalances. For cyclists, the muscles at the front of the neck can become weak, while those at the back can become tight and overworked.

  • Holding Tension

Sometimes, riders unconsciously hold tension in their shoulders and neck, especially when navigating tough terrains or during intense sessions. This tension can lead to muscle fatigue and pain.

  • Overtraining

Just like any other muscle group, the muscles supporting your neck can become overworked and fatigued. Especially if you’re pushing yourself hard without adequate rest.

  • External Factors

Riding on rough terrains or into a strong headwind can cause you to jut your head forward, placing strain on your neck. Similarly, carrying a heavy backpack while riding can shift your posture and strain the neck.

  • Duration

Long rides without taking breaks to stretch and move can cause stiffness and pain.

If you’re experiencing persistent neck pain from cycling, it might be worth consulting with a sports physiotherapist or a professional bike fitter. They can provide guidance on improving your bike fit, posture, and riding techniques to alleviate or prevent neck discomfort.

How Do I Stop My Neck Pain From Cycling?

How Do I Stop My Neck Pain From Cycling?Relieving neck pain from cycling involves addressing the root causes, whether they’re related to your bike, your body, or external factors. Here are some steps you can take to alleviate or prevent neck pain:

1. Physical Therapy

A trained physiotherapist can provide targeted exercises and stretches to strengthen the neck and upper back muscles. And, improving posture and relieving pain.

2. Rest and Recovery

If the pain is due to muscle fatigue or overuse, ensure you’re getting enough rest between rides. Remember, recovery is a crucial part of training and overall health.

3. Heat and Cold Therapy

  • Cold Packs: Apply ice packs or cold compresses for 20 minutes at a time during the first 48 hours after an acute onset of pain. This can help reduce inflammation.
  • Heat Therapy: After the initial 48 hours, or for chronic pain, using a warm towel or heating pad can help relax. And loosen tissues and stimulate blood flow to the area.

4. Over-the-counter Pain Relievers

Non-prescription medications like ibuprofen or acetaminophen can help reduce inflammation and pain. However, always consult with a doctor before starting any medication.

5. Massage

A professional massage can help release tension in the neck and shoulder muscles. Consider finding a masseuse familiar with treating cyclists or athletes.

6. Posture Correction

Even off the bike, maintaining good posture can prevent further strain. Consider ergonomic chairs and setups if you work at a desk.

7. Strengthen Your Core

A strong core can reduce the strain on your neck by providing better overall stability when you’re riding. Regular core exercises, including planks, bridges, and leg raises, can be beneficial.

8. Stay Hydrated

Dehydration can exacerbate muscle tightness and cramps. Ensure you’re drinking enough water before, during, and after your rides.

9. Consider Chiropractic Care

Some cyclists find relief from chiropractic adjustments. This can help address any misalignments in the spine that could be contributing to neck pain.

10. Check Your Sleep Position

Ensure that you’re sleeping in a position that doesn’t strain your neck. A neutral spine is ideal. Sometimes, an orthopedic pillow can help.

Remember, if the pain persists or is severe, it’s essential to seek medical attention. Chronic or sharp pain could be a sign of a more serious condition that requires medical intervention.

How Do You Strengthen Your Neck When Cycling?

Strengthening your neck for cycling is crucial to avoid discomfort and injury, especially for those who engage in longer rides or competitive events. Here are some exercises and stretches specifically designed to bolster the neck muscles and provide relief:


Isometric Neck Exercises:

  • Forward Press: Place your hand on your forehead. Push your head forward against your hand without letting your head move. Hold for 10 seconds, then relax.
  • Side Press: First, place your right hand against the right side of your head. Try pushing your head to the right while resisting the motion with your hand. Hold for 10 seconds, then repeat on the left side.
  • Rear Press: Place your hands on the back of your head and try pushing your head backward, resisting the motion with your hands. Hold for 10 seconds.

Neck Flexion (with resistance):

Sit or stand straight. Place both hands at the back of your head. Gently push your head back as you provide resistance with your hands, then slowly tuck your chin to your chest against the resistance. Repeat 10 times.

Neck Extension (with resistance):

Sit or stand straight. Place your hands on your forehead. Gently push your head forward while resisting with your hands, then slowly tilt your head backward against your hands’ resistance. Repeat 10 times.

Shrug and Hold:

Elevate your shoulders in a shrug, then draw them down and back. Hold for 10 seconds. This engages the trapezius muscles.


  1. Neck Tilt Stretch: Sit or stand straight. Slowly tilt your head towards one shoulder until you feel a stretch on the opposite side. Hold for 15-30 seconds, then switch sides.
  2. Neck Turn Stretch: With a straight back, turn your head to one side until your chin is over your shoulder. Hold for 15-30 seconds. Repeat on the other side.
  3. Neck Flexion Stretch: Gently bend your head forward, bringing the chin towards the chest until you feel a stretch in the back of the neck. Hold for 15-30 seconds.
  4. Levator Scapulae Stretch: Turn your head to one side and look down, aiming to bring your chin towards your armpit. You should feel a stretch on the back and side of your neck. Hold for 15-30 seconds, then switch sides.
  5. Trapezius Stretch: Sit on one hand, and gently tilt your head to the opposite side, feeling a stretch along the side of the neck and top of the shoulder. Hold for 15-30 seconds and repeat on the other side.

Incorporate these exercises and stretches into a daily routine or at least several times a week for best results. Before starting any new exercise regimen, it’s always a good idea to consult with a physical therapist or another specialist. They will ensure you’re doing the exercises correctly and safely.

What Is The Best Position For Cycling?

What Is The Best Position For Cycling?The best cycling position is one that optimizes power output, minimizes air resistance (for speed-focused cyclists), and most importantly, reduces the risk of injury while ensuring comfort. The ideal cycling position can vary based on the type of cycling you’re doing. But here’s a general guide for a good road cycling position:

Saddle Height

Your leg should have a slight bend (about 25-30 degrees) when the pedal is at its lowest position. An overly high saddle can cause you to rock side to side. Potentially leading to discomfort in the lower back or hips. Conversely, a saddle set too low can put excessive pressure on your knees.

Saddle Position

Adjust the saddle forward or backward (saddle fore/aft position) so that when the pedal is at the 3 o’clock position, a plumb line from the bony point just below your kneecap (the tibial tuberosity) falls directly over the pedal axle.

Handlebar Height

For a more aerodynamic position, the handlebars can be lower than the saddle, but this can put more strain on your hands, arms, and back. For comfort, especially over long distances, many riders prefer handlebars level with or slightly above the saddle height. This can reduce pressure on the hands and wrists.

Handlebar Reach

When you’re holding the handlebars, there should be a slight bend in your elbows. Your arms and torso should form an angle of around 90 degrees. If the handlebars are too far away, you may strain your back, shoulders, and neck.

Hand Position

For road bikes, there are multiple hand positions available on drop bars. Learn to switch between the tops, hoods, and drops for varied grip. And to alleviate hand and wrist pressure during long rides.

Knee Position

Viewed from the front, your knees should track straight up and down as you pedal, not splay outwards or inwards.

Foot and Pedal Position

The ball of your foot should be directly over the pedal spindle. Using clipless pedals or toe clips can help maintain consistent foot positioning and improve power transfer.

Back and Neck Position

Your back should be relatively flat, with a slight forward lean from the hips, not the waist. The neck should be neutral, with eyes looking forward, not craned upwards.

Remember, the ideal position can vary between individuals based on body proportions, flexibility, and specific cycling goals. If you’re serious about optimizing your bike fit, consider getting a professional bike fitting. They’ll take detailed measurements. And use specialized equipment to dial in the best position for you.


In conclusion, maintaining an optimal cycling position is pivotal for harnessing maximum power, ensuring comfort during rides, and most importantly, preventing potential injuries. From saddle height to handlebar reach, each element plays a crucial role in shaping the overall riding experience. While the guidelines provided offer a general roadmap, individual variations in body proportions and cycling goals can affect the ideal position for each cyclist.

Therefore, for a tailored fit, seeking a professional bike fitting remains invaluable. If you’re experiencing Neck pain, physical therapy for neck pain at PhysioMantra can help: Book an online physical therapy session.