Why does your neck hurt after a concussion?
The force behind a concussion stresses the neck much like a whiplash event, so the neck itself can be injured (Kinney, 2024). A concussion can involve several systems, so our team checks each one, including eye movements, balance, the neck and brain blood flow.
How Common Is Neck Pain After a Concussion?
In 2,163 concussions in college athletes, nearly half came with new or worse neck pain. Neck pain was linked to how the injury happened, what the athlete collided with, the athlete's sex (more often in women) and confusion right after the injury (King, 2024). That study covered athletes, so it can't tell you how often the same thing happens after a car crash or a fall at home.
Can You Have Whiplash and a Concussion at Once?
The same can happen outside sport: a car accident can injure the brain and sprain the neck. Many people with blurry vision, dizziness, headaches or brain fog don't connect those symptoms to their neck, and the clinic calls that reasonable. Neck problems can produce headaches, dizziness and thinking symptoms that look like post-concussion syndrome, as the neck section of post-concussion syndrome treatment explains. One patient's case shows how our team separated the neck's part in the dizziness from the inner ear's.
Why Can Neck Problems Last After a Concussion?
The clinic's video describes the neck's joint signals telling the brain where your head is in space, and how those signals work with the balance and visual systems. In a small study, 25 people about 5 months after a concussion on average had few symptoms left but were measurably worse than their peers at returning the head to a target, a test of joint position error (Kinney, 2024). In that study's 15 people with pain on testing, the error was larger still and the lower neck joints moved less (Kinney, 2024).
In 38 healthy young adults with no neck injury, holding the chin down toward the chest for 10 minutes made head repositioning less accurate and delayed when the neck muscles switched on ahead of a quick arm movement (Mousavi-Khatir, 2018). That study didn't test people with a concussion or whiplash.
In our team's view, a neck that's off is at a minimum not helping a brain that's recovering from injury, and it can add to dizziness, vision trouble and brain fog.
How Long Does Neck Pain Last After a Concussion?
In the college athlete study, those with new or worse neck pain had about 11 days of symptoms versus about 9 and were less likely to be symptom-free within a week (King, 2024). In 108 people aged 15 to 30 with high levels of post-concussion symptoms 2 to 6 months after a blow to the head, neck movement was slightly lower than in a published healthy reference group, mostly because of a small subset of patients, and how far the neck could turn didn't track how severe the symptoms were (Stenbro, 2025). Range of motion is one part of the picture, and position sense can be off in people with few symptoms left (Kinney, 2024).
Our team's approach to rest and the return to activity is in post-concussion syndrome treatment.
What Does a Neck Exam After a Concussion Check?
One research group calls screening the neck for joint mobility and joint position error a reasonable recommendation after a concussion (Kinney, 2024). Another suggests a systematic neck exam after a mild brain injury and notes that more research is needed before it becomes routine (Stenbro, 2025); that study measured neck range of motion and tenderness in the muscles around the head. Joint position error is how far, in centimeters, your head lands from center when you return it to a target (Kinney, 2024).
The neck as a contributor to symptoms more broadly is the subject of Your Neck Might Be Part of the Problem. Instability at the top of the neck is a separate question, with its own page on craniocervical instability.
Neck pain and symptoms still there after a concussion? See how our team tests and treats lingering concussion symptoms.
See concussion careNeck Pain After a Concussion: FAQ
Can post-concussion syndrome cause neck pain?
Neck pain after a concussion can come from the injury itself: the force behind a concussion loads the neck much like whiplash (Kinney, 2024). In young people with lasting symptoms, those with less neck movement also had more tender muscles around the head (Stenbro, 2025).
Can whiplash cause concussion symptoms?
In our team's view, an injured neck can add to dizziness, blurry vision and headaches that look like concussion symptoms. A concussion can involve several systems, so our team checks each one, including eye movements, balance, the neck and brain blood flow.
How do you treat neck pain after a concussion?
Our team tests the eyes, the balance system and the neck as separate sources and picks the rehab from what each test shows. Rest, the return to activity and treatment options are in post-concussion syndrome treatment.
Sources
- Kinney AET, Richmond SLK, Mizner RL. Cervical spine sensorimotor deficits persist in people post-concussion despite minimal symptoms. Annals of Medicine. 2024;56(1):2422048. doi:10.1080/07853890.2024.2422048
- King JA, Nelson LD, Cheever K, et al. The Prevalence and Influence of New or Worsened Neck Pain After a Sport-Related Concussion in Collegiate Athletes: A Study From the CARE Consortium. The American Journal of Sports Medicine. 2024;52(7):1845-1854. doi:10.1177/03635465241247212
- Stenbro LW, Hellemose LA, Kothari SF, et al. Cervical Range of Motion and Pericranial Muscle Tenderness in Patients With Persistent Post-Concussion Symptoms: A Cross-Sectional Study. Journal of Head Trauma Rehabilitation. 2025;40(5):E391-E400. doi:10.1097/HTR.0000000000001040
- Mousavi-Khatir R, Talebian S, Toosizadeh N, et al. Disturbance of neck proprioception and feed-forward motor control following static neck flexion in healthy young adults. Journal of Electromyography and Kinesiology. 2018;41:160-167. doi:10.1016/j.jelekin.2018.04.013