What are the benefits of neck support?

What to Know About Neck Collars

Neck collars: we've all seen them. They're the soft squishy collars that people wear after car accidents or neck surgery. Or they're the stiff plastic things paramedics are always yelling for on TV shows, just before someone gets strapped to a board.

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But what is a cervical collar really for? And when should you really use one?

What Is a Neck Collar?

A neck collar, also known as a neck brace or cervical collar, is a device used to support the neck and spine and limit head movement after an injury. Its primary purpose is to prevent you from moving your head and neck until the injury has healed.

What Are the Types of Neck Collars?

There are generally three types of neck collars:

Soft collars. Made of foam rubber, polyethylene, or inflatable cuff, these collars fit around the neck. They allow for some range of movement, mostly forward and backward, while limiting side-to-side movement.

Soft collars are used in the rehabilitation of whiplash and neck sprains, and in providing support for chronic neck pain, especially in older individuals.

Rigid collars. These collars consist of a plastic shell over a foam or vinyl core. They are the most restrictive among all neck collars and are used to stop almost all movement of the neck in any direction.

A rigid collar is used after surgery or severe trauma, such as cervical fractures, where healing will take a long time. Rigid collars usually extend from the jaw to the collarbone.

Sport Collars. These are specialized types of rigid collars. They are used by racecar drivers, motocross riders, and ATV riders to prevent neck damage in cases of collisions or sudden stops.

Sport collars are extremely effective in saving lives and preventing the need for other types of neck collars.

Do You Need a Neck Collar?

Your neck is the most delicate part of your spine. Imagine it as a thin bundle of spaghetti holding up a 12-pound bowling ball. If any of those strands of spaghetti are cracked or broken—by a car accident or a sports injury—then the other strands have to bear extra weight to hold up that bowling ball.

Cervical Collar for Neck Support: Uses, Tips, Side Effects

Cervical collars, also known as neck braces or C collars, are used to support your spinal cord and head. These collars are a common treatment option for neck injuries, neck surgeries, and some instances of neck pain.

There are different types of cervical collars. Which one you need will depend on your type of neck injury or the underlying cause of your neck pain.

Read on to learn more about the benefits of a cervical collar and the potential side effects, especially if it’s worn long-term. If you want tips on how to sleep or bathe with a cervical collar, we’ve got that covered too.

What are cervical collars used for?

The purpose of a cervical collar is to support your neck and spinal cord, and to limit the movement of your neck and head. They’re typically meant for short-term use while you recover from an injury, surgery, or pain.

Some conditions that may require the use of a cervical collar include:

• Whiplash and trauma. After a car accident or other injury, a cervical collar may protect your neck and prevent further injury.
• Neck surgery. A cervical collar helps to prevent injury after surgery by limiting rotation, as well as side-to-side and back-and-forth movements.
• Nerve compression. Cervical collars are occasionally used to reduce pressure on the nerves in the neck.
• Cervical spondylosis. A cervical collar may provide temporary relief from pain caused by cervical spondylosis, which is an age-related condition caused by wear and tear of cartilage and bones in the neck.
• General neck pain or stiffness. A cervical collar may help to take some strain off your neck muscles.

Are there different types?

Cervical collars come in soft and hard varieties. Soft collars are usually made from materials such as felt, foam, or rubber. They fit snugly around your neck and sit below your jaw. Some doctors may prescribe them for temporary relief from moderate neck pain.

Soft collars are unlikely to help manage more serious neck injuries. One study found that the soft collar reduced movement by an average of just over 17 percent in whiplash patients. The researchers concluded that this wasn’t enough to provide adequate immobilization for clinical benefits.

Hard collars, usually made from plexiglass or plastic, restrict head rotation and side-to-side movement more than softer collars. They often have a chin support to allow the neck muscles to relax.

Hard neck braces are often prescribed for severe neck pain, spinal fractures, and trauma injuries.

Are there side effects to wearing a cervical collar?

Although cervical collars can help support and protect your neck in the short term, research has shown that long-term use may lead to weakening and stiffening of the neck muscles.

In cases of acute injury, this is largely unavoidable. However, if you’re dealing with moderate neck pain, you may want to minimize the amount of time you wear a collar or ask your doctor about alternative treatments.

In recent years, many medical professionals have discouraged the use of cervical collars for people dealing with traumatic injuries. This change in opinion is largely due to safety concerns and a lack of research showing that the use of cervical collars leads to beneficial health outcomes.

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Some safety concerns with traumatic injury include potential breathing obstruction, increased brain pressure, and increased jugular blood pressure.

Tips for wearing a cervical collar

If you need to wear a cervical collar, your healthcare provider will likely give you specific instructions about what you should and shouldn’t do while wearing it. Generally, when wearing a cervical collar, it’s best to:

• Move instead of resting or sitting too much. Gentle movement, like walking, can help prevent your neck muscles from stiffening up, which may prolong your recovery.
• Focus on good posture. Try not to slouch or hunch over. Keep your back straight, shoulders back, and head straight with your ears over your shoulders.
• Avoid sitting in soft, low chairs. This can affect your posture and put extra pressure on your neck.
• Avoid lifting or carrying anything heavy. Also avoid strenuous activity, like running, or other high-impact movements.
• Leave your collar on at all times, except when cleaning it or as directed by your healthcare provider.
• Make sure your collar fits tightly but is comfortable. If the collar doesn’t fit tightly enough, it likely won’t provide the support you need, which could cause further pain or injury. If it’s too loose, it could rub against your skin and cause irritation or blisters.

How to sleep with a cervical collar

Here are a few tips for sleeping with a cervical collar:

• Make sure your mattress offers good support. A mattress that’s too soft may not give your neck the support you need.
• Try to keep your neck in a neutral position, not bent forward, backward, or to the side.
• Don’t sleep in a twisted position. Try to keep your neck aligned with your body.
• Try sleeping on your back with a thin pillow. Using extra pillows can put extra pressure on your neck.
• To get out of bed, first, roll gently onto your side. Then, swing your legs over the side of the bed and push up with your arms.

How to bathe with a cervical collar

It’s usually easier to take a bath rather than a shower when wearing a cervical collar. You can bathe as you normally would, but it’s important to keep the cervical collar dry and out of the water. Placing plastic wrap around the collar may help to keep it dry.

If you take a shower, using a handheld shower nozzle can help to minimize neck bending and movement.

How to clean a cervical collar

It’s important to wash your collar daily to prevent bacteria growth. Not cleaning your collar frequently can lead to skin irritation due to bacteria growth.

You can wash most soft collars in a sink with warm water and gentle soap, then lay the collar out to dry. Don’t use harsh soaps, detergents, or bleach, as these may cause skin reactions. You can clean hard collars by replacing dirty pads and rinsing the front and back panels.

When you put your cervical collar back on, it’s important that it fits properly. If the collar isn’t tight enough, it can cause your skin to rub, leading to pressure sores and irritation.

How long do you need to wear a cervical collar?

The length of time you need to wear a cervical collar depends on your specific condition.

For moderate neck pain not caused by a sudden injury, it’s often recommended not to wear a cervical collar for more than a week. Extended use can cause your neck muscles to stiffen and weaken.

If you’re wearing a cervical collar for serious neck pain or a sudden injury, talk with your doctor about how long you need to wear it.

The bottom line

A cervical collar is used to support and protect your neck and spinal cord. These collars are typically used for the treatment of neck injuries, neck surgeries, and some instances of neck pain.

Cervical collars come in soft and hard varieties. The soft type is often used for moderate neck pain, while the hard collar is typically used for severe neck pain, spinal fractures, and injuries.

Although a cervical collar may be useful for short-term treatment, research has shown that wearing one for an extended period may lead to weakening and stiffening of the neck muscles.

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