Neck and Upper Back Exercises Level 1 - v2

Version 3  |  Updated 04th March 2026
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Neck and Upper Back Exercises - Level 1

Patient Information

Musculoskeletal (MSK) Physiotherapy Services

 

  • Author ID: GE
  • Leaflet Ref: Tpy 023
  • Version: 2
  • Leaflet title: Neck and Upper Back Exercises Level 1
  • Date Produced: December 2023
  • Expiry Date: December 2025
 

Disclaimer

Not all exercises are suitable for everyone and while every precaution was taken in selecting these exercises, they do not come without risks. If you have any concerns regarding injury, or whether or not you should partake in the exercises, then you should consult your General Practitioner (GP) or Physiotherapist prior to commencing any exercises shown here.

It is quite normal to feel some discomfort following exercise, but it is important that this discomfort eases within 2 hours of finishing the exercise and doesn’t have an overall negative effect on your symptoms. 

The exercise plans shown here are designed to be used as a guide and a point of reference, they are not exhaustive and can be modified and progressed under the supervision of your physiotherapist.

Instructions

  • Aim to do the exercise plan 3 to 4 times per week, with at least 1 day off in between to allow for recovery.
  • Each exercise is repeated a number of times (for example, 5 or 10 times) to build up strength and flexibility. The repetitions make a ‘set’.
  • The number of repetitions is a guide and can be increased or decreased according to pain levels. If the exercise causes pain that lasts for more than 2 hours after finishing the exercise, then decrease the repetitions.
  • Complete each exercise slowly and in a controlled manner, you should take your time and not rush. Take 30 seconds rest in between each set.

Contact the Physio department if you find the exercises are making your pain worse overall.

Contact Information

Leigh Health Centre
Telephone: 0300 707 1597
Email: wwl-tr.leighphysio@nhs.net

 

Platt Bridge Health Centre
Telephone: 0300 707 1772
Email: wwl-tr.mskphysio-bostonhouse@nhs.net

 

Wigan Health Centre, Boston House
Telephone: 0300 707 1113
Email: wwl-tr.mskphysio-bostonhouse@nhs.net

 

Therapy Department- Wrightington Hospital
Telephone: 01257 256305
Email: wwl-tr.therapyadmin@nhs.net

Neck and Upper Back Level 1 - Exercises 1 to 6

 

1. Chin Retraction

 

Sit straight-backed.

 

Pull your chin in, as if you are gliding your entire head straight backwards. Keep your neck and back straight (not tipping your head forwards or backwards).

 

Hold at the end position for 1 to 2 seconds and feel the stretch in your neck.

 

Repeat 10 times.

Sets 2

 

Stop if the exercise makes you feel dizzy or unwell.

 

2. Side Flexions

 

Do in a sitting position.

 

Tilt your head toward one shoulder until you feel the stretch on the opposite side.

Hold approx. 1 - 2 secs. Repeat to other side. Repeat 5 times each side

Sets 2

 

Stop if the exercise makes you feel dizzy or unwell.

 

3. Extensions

 

Sit, and if possible, place your hands behind your head. Bend your head backwards as far as is comfortable.

Hold approx. 1 - 2 secs.

Repeat 10 times.

Sets 2

 

Stop if the exercise makes you feel dizzy or unwell.

 

4. Flexions

 

Do in a sitting position.

 

Bend your head forward until you feel a stretch behind your neck.

Hold for approx. 1 - 2 secs. Repeat 10 times.

Sets 2

 

Stop if the exercise makes you feel dizzy or unwell.

 

5. Trunk Rotations

 

Sit up straight on a chair. Fold your arms across your chest.

 

Twist your trunk, until you feel a stretch in your side and back.

 

Hold for 1 to 2 seconds.

 

Repeat 5 times each side Sets 2

 

Stop if the exercise makes you feel dizzy or unwell.

 

6. Shoulder Rolls

 

Sit or stand.

 

Roll your shoulders in both directions.

 

Repeat 10 times forwards and backwards. Sets 2

 

Last modified 04th March 2026 12:15:58 pm