McKenzie Neck Exercises

Here are how to do the McKenzie neck exercises correctly. They are by far the best exercises to do for your neck pain for a couple of very good reasons.

The first reason is that they are designed to put extension forces onto the lower cervical vertebrae which is exactly what you should be doing. The reason that i say this is because all day people are getting neck pain from poor postural habits( sitting and standing with a forward head posture) which puts the lower cervical area into flexion for prolonged periods of time. I have gone into great depth about this in previous posts and you can read more about this in the links below or check out this.(The major cause of Neck Pain)

The one thing that i would like to add is that these are very good exercises but they are simply that, exercises. They must be used in conjunction with good postural habits, that is sitting and standing ‘tall’. I have again written a many posts on how to do this.(please read: what causes my neck ache)

I have been specializing in treating necks for 20 years throughout the world and the majority of people have the same problem with their necks. It is easy to fix once you know how and why. The major reason people have neck problems are from poor posture.

The estimates are around 80% of neck problems are due to poor posture. That’s the good news! After all, if 80% of neck pain was due to something like cancers then the news would be much worse as cancers are obviously much more difficult to treat. And I am certain if we didn’t have cars and whiplash injuries then the incidence of neck pain due to poor posture would be up around 90 plus percent.

So if the good news is that we pretty much all have neck pain due to postural problems then how do we go about fixing it? We need to firstly adjust our posture and secondly do some McKenzie neck exercises, find more info.

 The neck exercises however must be not only done correctly but also must be chosen correctly. After all, the last thing you want to do is worsen your condition by doing the wrong ones. And this happens unfortunately all of the time. I see it in my clinic nearly every day. People come in with disc bulges that are getting worse and worse and have been trying to help it by doing exercises like bringing their chin to their chest. This is one of the worst neck exercises you could possibly do to a posterior neck disc bulge (which the majorities are- more of that later) as it pushes the disc further in the wrong direction.

So we now know that your neck pain is quite easy to fix if you do two things: remove the causes-bad posture and do some corrective exercises that help your neck and don’t push the structures in the wrong direction worsening your condition.

Our posture is worst at computers, reading and even driving. Now we have a major problem with neck problems due to text messaging.However, the good news is still that it is all postural therefore habitual and therefore under our control. In other words, if you can slouch at your computer you can also sit upright at your computer and remove your cause of your neck pain-it’s a choice. You have got into the habit of sitting and even standing poorly and you can change that habit simply by being more conscious of your posture and sitting and standing TALL.

When you slouch at your computer or when you are reading or driving with your head in what is known as a forward head posture you create enormous stresses on your neck. In fact, every inch your head moves out of correct postural position (your ears should be directly over the centre or midline of your shoulders) and into the forward head posture you create an extra 10lbs of weight for your neck to carry. Your head weighs about 8-10lbs but when you slouch you can create an extra 20-30lbs of weight from poor posture on your neck!

 Think what it would be like if I asked you to hold a 25lb weight in your hand with your arm outstretched for an hour or two. Firstly, you would never be able to do it because it would be too much strain on your shoulder. However, this is exactly what you ask of your neck every day when you are in poor posture.

This is why the Mayo clinic also say that ‘a forward head posture leads to long term muscle strains, disc herniations and pinched nerves’. They don’t even say could lead to or may lead to or even might lead to, it is straight forward ‘the FHP leads to…’ no ‘if’s’, ‘buts’, or ‘maybe’s’.

The forward head posture is also known as a protracted posture. Your head is in a protracted position. The opposite of this movement is retraction. So if protraction is worsening your neck we need not only to be keeping our heads in a neutral position to remain in good posture at all times but also give our necks some exercises to remove the stresses from all of this long term protracted positioning.

If you are in pain do these exercises every hour until you are out of pain and then continue to do them 2-3 times a day as maintenance.

This should be done every waking hour, 10 repetitions with 3 second holds.

retract your head, eyes facing forward, feel like your head is on horizontal train tracks

McKenzie exercise No 1( also commonly known as the double chin exercises)


  • Draw your head backwards without your chin lifting up. Keep your chin tucked in and down you may need to look into a mirror a first to do this. Draw it back as far as you can comfortably. You want to repeat this 10 times and hold for 3 seconds. Draw it back as far as you can, hold for 3 seconds and release.
  • Remember to breathe and relax.


  • Lift your chin up
  • Forget to breathe and relax

If pain allows include McKenzie neck exercise No.2  as well.

 Do 10 repetitions and turn your head about an inch each side 3 times. If it is too painful just continue with the No.1 exercises until you can do the second exercise

McKenzie neck exercises No.2

•  Please note that if your pain is still too severe, just stick with No.1 until you can progress to this one.

start be sitting comfortably tall

retract your head

keep your head retracted and look as far behind you as you comfortably can

turn your head gently to the left and right

  • Start by doing the double chin exercises( No.1) and then look toward the sky without letting the chin jut forwards. Look up as far as possible and then look to the left and right as if you were watching a tennis match. Don’t do it too slowly nor too quickly, should it be about the pace of watching tennis match in a baseline rally and only allow the head to move a little way each side (you nose moves about an inch to the left and right).
  • As you do this, try to extend your head further and further back as far as you can you are trying to look further and further behind you on the ceiling.
  • Look upwards and turn your head side to side 3 times and then return your head to the starting position.
  • Repeat this 10 times
  • Remember to breathe and relax


  • Allow your head to jut forward when you extend. This is a common mistake, you must retract your head backwards first (creating the double chin) and then look upwards.
  • Forget to extend your head back as far as possible( as pain permits)
  • Forget to breathe and relax

What to do if you still have some pain.

These 2 exercises are fabulous at removing pain in their own right.