How Does Physical Exercise Impact Craniovertebral Repair and Reduce Neck Pain?
- Julian Simpson
- Jun 2
- 3 min read
How Does Physical Exercise Impact Craniovertebral Repair and Reduce Neck Pain?

The craniovertebral (CV) joint, often referred to as the CV junction, represents a highly intricate anatomical structure that is essential for a variety of functions. This junction consists of the skull bones and the first two cervical vertebrae in the spine, specifically the atlas (C1) and the axis (C2). These components work together to allow for a range of movements while providing stability and support to the head and neck.
The CV junction is crucial for
maintaining head support, enabling mobility, and protecting the upper spinal cord from injury or damage.
Problems in the CV junction can lead to severe symptoms including
persistent neck pain,
restricted movement,
and various neurological issues such as debilitating headaches, dizziness, and balance disturbances that can significantly impair one’s quality of life.
So what happens when we move the body with exercise after our chiropractic care?
Engaging in physical exercise can significantly improve neck mobility and flexibility. This enhancement is particularly beneficial in reducing stiffness and improving overall joint function, which can help ensure that the benefits of chiropractic adjustments are maintained for a longer duration. Regular movement and exercise promote blood flow to the affected areas, which aids in the healing process and can help alleviate discomfort.
How long do you have to exercise?
According to current research, most rehabilitation programs have shown success when patients commit to performing exercises at least three times a week for a duration of ten weeks. This consistent engagement in physical activity is critical for achieving optimal results and ensuring that the body adapts positively to the changes being implemented.
When combining thoracic spine and neck adjustments, studies have found that patients typically experience positive outcomes within a timeframe of four to six weeks. This suggests that the integration of chiropractic care with targeted physical exercise can lead to enhanced recovery and symptom relief.
For strengthening exercises, focusing on specific muscle groups, including the rhomboids, neck muscles such as the scalenes and sternocleidomastoid (SCM), and the pectoral muscles is recommended. Research indicates that performing six repetitions for each exercise, twice a week over four weeks, can yield significant benefits in terms of strength and stability in the neck region.
In summary, the interplay between regular physical exercise and chiropractic care is essential for the repair of the craniovertebral junction and the reduction of neck pain. By committing to a structured exercise regimen, individuals can enhance their recovery, improve mobility, and ultimately lead a more comfortable and active life.
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Reference
Nazwar TA, Bal'afif F, Wardhana DW, Mustofa M. Impact of physical exercise (strength and stretching) on repairing craniovertebral and reducing neck pain: A systematic review and meta-analysis. J Craniovertebr Junction Spine. 2024 Jul-Sep;15(3):266-279. doi: 10.4103/jcvjs.jcvjs_107_24. Epub 2024 Sep 12. PMID: 39483836; PMCID: PMC11524567.




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