Why Your Neck Hurts—And How to Treat It

Physical therapist Carol Passarelli reveals the truth about “tight upper traps” in cyclists, what the usual causes are, and how to fix neck pain.

neck pain, or "tight upper traps" in cyclists
Photo: Shutterstock

If you ride a bike long enough, chances are you’ve felt that familiar “tight upper traps” feeling: heavy, achy tension at the top of your shoulders or along the side of your neck. Most people jump straight to one conclusion: 

My traps are tight. I need to go get a massage or foam roll.

But here’s the truth: You’re usually not tight because something needs to be loosened. You feel tight because something deeper needs to be stabilized, strengthened, or retrained. 

This muscle group is often overworking to hold your head up in the riding position. This could be because the muscle is operating in a shortened position, or it could be that other muscles aren’t helping out as much as they could. Or perhaps both. 

So, let’s break down what’s actually going on, how to assess it, and what to do that provides real, lasting relief. 

Why Cyclists Feel Neck Tightness (Hint: It’s Not Just Stiff Muscles)

  1. Muscles feel “tight” when they’re doing too much for too long.
    Your upper traps and levator scapulae are working overtime to keep your head up while you’re in a forward-leaning, eyes-forward position. After 1–3 hours of sustained isometric contraction, these muscles feel tense, sort of like your hand would if you held a grocery bag for too long.

    Tightness = fatigue + over-recruitment, not a sign that something is “wrong” with the muscle.
  2. Weakness in the right places = tightness in the wrong places.
    To be good at what you do on the bike, your body adapts to the required posture. This means that you’re more susceptible to things like weak deep neck flexors: When those muscles in the front of your neck are held in a lengthened position for a long time, you can start to feel like your head posture is more forward than it used to be.

    You also could have underactive lower and middle trapezius muscle activation because of how your shoulder blades are positioned when you ride. Again, this isn’t a problem, but it can cause a lot of tightness in your upper back and neck.

    Specifics aside, the result is that you might start to notice these muscles start to aggravate either in the saddle or when you’re off the bike.
  3. You get temporary relief from massage, but the tension returns.
    Massage or stretching feels amazing (and has value!), but relief is short-lived if you don’t follow it with motor control work that teaches the right muscles to help out.

    This is the primary mistake I see with my athletes: They work to reduce tension in the muscles, but they don’t retrain the system. Thus, the tightness returns because that’s the position that the body is “used” to.

Releasing tightness without retraining the system simply doesn’t break the cycle.

How to Fix Neck Pain: Start with Self-Assessment and Physical Therapy

First off, let’s make this clear: If you were to get an X-ray or MRI on your neck today, even without any symptoms, chances are something abnormal would show up: a disc bulge, some joint narrowing, maybe a bit of arthritis, or the dreaded “DJD” (degenerative joint disease).

While this can be nuanced, the big takeaway is that these findings just mean you’re human, and they aren’t necessarily the source of your symptoms.

Here’s the key:

Positive imaging findings are incredibly common in pain-free people.

So, unless you have true red-flag symptoms, there is no need to rush into imaging. Pain is rarely caused by one structural “thing” and far more often by load tolerance, motor control, and regional mobility.

Particularly for cyclists, there’s strong evidence that you should start with musculoskeletal movement assessment instead of looking at the structures first. Find a physical therapist with experience with cyclists.

Neural Symptoms Are Not Always Dangerous

You are not alone if you’ve ever noticed:

  • A little tingling down the arm
  • Mild numbness in the hand
  • A “zinger” when turning your head a certain way

This can be alarming, but remember, nerves are similar to muscles: They need to be able to stretch, and sometimes need to get mobilized. If they’re irritated or compressed temporarily (e.g., holding one posture too long, i.e. on a long ride), they get cranky. This doesn’t automatically mean a disc injury or pinched nerve emergency.

I often recommend starting with these movements to see if you can reduce that tingling/numbness:

Try these out. If you notice no change after doing these prior to riding for 1-2 weeks or if symptoms worsen, become constant, or involve arm weakness, get checked out by your PT.

But for many cyclists, these sensations are just tissues asking for movement, not danger.

A Simple, Reassuring Self-Assessment for Cyclists

You don’t need a full clinic setup when you start to notice some neck irritation. Give these a try first:

  • Check Your Range of Motion
    Ask yourself: does turning your head each way feel limited compared to your “normal”? Mild stiffness after long rides is normal. Sharp, blocked motion is not.
  • Do a Quick Thoracic Mobility Check
    Can you rotate your spine left and right without your lower back doing all the movement? If not: your neck might be compensating. 
  • Deep Neck Flexor Check
    Try a gentle chin-nod (double-chin movement) while laying on the ground. Keep that chin tuck and try to lift your head an inch off the ground and hold. If it feels shaky, weak, or immediately triggers tension up top → your upper traps have been doing too much.
  • Scapular Control Check
    Lift your arms overhead. Watch if your shoulders hike up in front of a mirror. If they do → lower traps/serratus need to help more.

None of these findings mean something is “wrong.” They simply highlight opportunities for improvement and give you an idea of what type of warmup movements you should consider adding to “calm down” the system.

What Actually Helps (and What Doesn’t)

Stretching and massage are a great first step to reducing your pain. The second step, though, is to retrain your movements in a way that keeps your muscles feeling balanced and able to support one another. One of the worst things we can do for this area is to completely stop moving.

Remember: motion is lotion, and adding variety to those movements often solves a lot of neck stiffness.

If you self-assess and notice asymmetries or challenges, try these:

  • Deep Neck Flexor Endurance Work
    Think: gentle chin-nods and holds. This retrains the front-of-neck muscles to take pressure off the upper traps.
  • Lower Trap & Serratus Strengthening
  • Thoracic Extension and Rotation Exercises
    Because a stiff thoracic spine forces the neck to do too much. 
  • Nerve-Gliding (if needed)
    Gentle nerve-mobility movements can calm down mild tingling or discomfort.
  • Pre-Ride Mobility Prep
    A 2–3-minute routine can dramatically reduce neck load:
    • Chin-nods 
    • Thoracic rotation
    • Scapular setting (simple movements like pulling and squeezing your shoulder blades together and down, or more dynamic exercises like wall slides and scapular push-ups)

Prepping the system before you get into position matters more than people think.

At the end of the day, “tight upper traps” in cyclists rarely mean something is broken or needs to be aggressively stretched—they’re usually a sign that your system needs better stability, strength, and balance.

Massage or stretching can help you feel better in the moment, but without retraining how your neck, shoulder blades, and thoracic spine work together, the tension almost always returns.

And while imaging can reveal all kinds of “abnormalities,” most of these findings don’t explain neck pain in cyclists. Nor are occasional neural symptoms automatically a reason to panic.

More often, these are tissues asking for movement, not danger. The most reliable long-term solution is building strength, control, and mobility through the neck, scapular stabilizers, and thoracic spine—giving your body the support it needs to ride stronger, more comfortably, and with far less neck fatigue.