Neck pain can stem from spinal and non-spinal causes, including tension headaches, rotator cuff tears, myofascial pain syndrome, and torticollis. Management involves lifestyle modification, physical therapy, analgesics (NSAIDs, topical diclofenac), psychological interventions, and occasionally prophylaxis (e.g., amitriptyline). Trigger point injections and botulinum toxin may be considered. Referral is needed for non-responsive torticollis, mechanical injury with neurological signs, WAD grade IV, cervical radiculopathy with persistent or severe symptoms, and suspected cervical myelopathy. Early recognition and appropriate treatment improve outcomes and reduce chronicity. Avoid opiates in non-spinal disorders and emphasize patient education, posture, and early mobilization.