What does neck alignment mean?

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Neck alignment refers to the positioning and orientation of the cervical spine, which is the portion of the spine that makes up the neck.

Normal lordotic curvature represents the ideal state for the cervical spine.

Proper alignment is important for maintaining good posture and reducing the risk of neck pain or injury.

Here are some key aspects of neck alignment:

  1. Neutral Position:
    • The natural, neutral position of the neck is when it is aligned with the rest of the spine, forming a gentle curve.
    • This position helps distribute the weight of the head evenly and reduces stress on the neck muscles and joints.
  2. Head Position:
    • The head should be balanced over the shoulders, not tilted too far forward, backward, or to the sides.
    • Keeping the head in line with the spine helps prevent strain on the neck and upper back.
  3. Posture:
    • Maintaining good posture involves keeping the spine, including the neck, in a straight and aligned position.
    • Slouching or hunching can lead to poor neck alignment and result in discomfort or pain.
  4. Ergonomics:
    • When sitting at a desk or using a computer, the height and position of the screen, chair, and keyboard can impact posture.
    • Proper ergonomics aim to minimize strain on the neck and other parts of the body.
  5. Exercise and Stretching:
    • Regular exercise and stretches can help strengthen the muscles and maintain good alignment.
    • Additionally, stretching and strengthening exercises may be recommended by a physical therapist to improve neck posture.


Poor cervical alignment can lead to various issues, including neck pain, headaches, and dizziness.  This is normally examined with an x-ray (from the side), which can show the amount of lordosis present in your cervical spine.

A movement alignment analysis looks more into the strength, endurance and proper activation of muscles that provide balance and control of the neck.

Physical therapist in the United States cannot order x-rays to actually measure curvature lines.  However, a skilled physical therapy can examine asymmetries that will hinder alignment.

If you’re experiencing chronic neck pain or are concerned about your alignment, it’s advisable to consult with a healthcare professional, such as a physical therapist or chiropractor, who can provide guidance on improving neck alignment and overall neck health.

Treatment options for neck alignment

When most people think of alignment, they think of chiropractic care or adjustments.  The good news: You can improve neck alignment without the neck being popped!

We utilize our Feel it to Heal it Examination to find asymmetries in muscle activation, imbalances in cervical curvature and undercover the various factors that are causing you to have symptoms.

At PhysioFit of NC, we have the expert team in cervical spine conditions to help you to the fullest.

We provide a comprehensive treatment approach through our Neck Alignment Program. This includes manual therapy and exercises to improve neck posture, improve sagittal positioning and promote proper stability. The primary goal of treatment is to address the underlying cervical spine issues that are giving you symptoms.

Don’t hesitate to contact us today so we can help you!