Why does it feel worse on the second day after cervical spine realignment?

Generally, the main reasons for increased discomfort on the second day after cervical realignment include neck muscle adaptation response, improper movement after realignment, cervical facet joint disorder, worsening of cervical disc herniation, and neck-shoulder fasciitis. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Specific explanations are as follows:

1. Neck Muscle Adaptation Response

After realignment, changes in cervical position require neck muscles to readjust, which may lead to muscle tension or mild spasms, resulting in increased discomfort on the second day. Limit neck movements, avoid prolonged head-down postures, use a cervical collar to immobilize the neck, and apply warm compresses to the neck and shoulder area with a heated towel for 15–20 minutes per session to relieve muscle tension.

2. Improper Activity After Realignment

Excessive neck rotation or lifting heavy objects too soon after realignment can strain neck tissues and increase cervical load, thereby worsening discomfort. Strictly control the range of neck motion, avoid sudden head turning or looking upward, perform daily activities slowly, refrain from lifting heavy items, and ensure adequate rest for the neck.

3. Cervical Facet Joint Disorder

During realignment, the small cervical joints may not fully return to their normal positions, causing minor misalignment that irritates surrounding tissues and leads to discomfort. Under medical guidance, medications such as celecoxib capsules, diclofenac sodium sustained-release tablets, or eperisone hydrochloride tablets may be taken. Professional manual therapy can also help correct joint positioning. Avoid excessive neck movement during this period.

4. Worsening of Cervical Disc Herniation

If the realignment procedure irritates the cervical intervertebral disc, it may exacerbate disc protrusion, leading to nerve compression and intensified symptoms. Under medical supervision, medications such as ibuprofen sustained-release capsules, mecobalamin tablets, or vitamin B1 tablets may be used. In severe cases, an anterior cervical discectomy and fusion surgery may be required, followed by rehabilitation exercises as directed by a physician.

5. Neck-Shoulder Fasciitis

After realignment, the fascia in the neck and shoulder area may be stretched or irritated, triggering an aseptic inflammation that increases pain and stiffness. Under medical advice, nonsteroidal anti-inflammatory drugs such as loxoprofen sodium tablets, naproxen sodium tablets, or etoricoxib tablets may be prescribed. Local physical therapy can also help. Avoid exposure to cold temperatures in the neck and shoulder region and minimize stimuli to the fascia.

In daily life, after cervical realignment, maintain warmth in the neck area to prevent chilling; strictly follow medical instructions regarding neck movement restrictions and avoid improper motions; choose a pillow with appropriate height to maintain the natural curvature of the cervical spine; schedule regular follow-up evaluations to monitor cervical status and adjust treatment plans promptly; and avoid overuse of the neck and shoulders to reduce factors that may trigger discomfort.