The pain can be managed ~ what works for me ~ 1) buckwheat pillow, 2) water aerobics classes at YMCA, 3) putting door stops under my featherwieght so my machine is tilted towards me ( this made a huge difference! ), 4) massage, 5) rice heating pads, 6) Glucosamine Chondroitin .............now I think I will add the GIN raisins just for fun !!!!! Somewhere I read our heads weight about 10lbs, just think of the neck holding up that weight everyday ~ yet it does it !!!! Amazing !!