Can performing cardiopulmonary resuscitation (CPR) cause cervical arthritis?

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Last updated: June 23, 2025View editorial policy

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From the Guidelines

There is no evidence that performing cardiopulmonary resuscitation (CPR) causes cervical arthritis. While CPR is a physically demanding activity that involves chest compressions and can put strain on the rescuer's body, particularly the shoulders, arms, and back, it has not been linked to the development of cervical (neck) arthritis. Cervical arthritis typically develops due to age-related wear and tear, previous neck injuries, genetic factors, or certain medical conditions like rheumatoid arthritis. If you experience neck pain after performing CPR, it's more likely to be temporary muscle strain or fatigue rather than arthritis. To minimize potential discomfort when performing CPR, maintain proper positioning with your shoulders directly over the victim's chest, keep your arms straight, and use your body weight rather than arm strength to deliver compressions. If you regularly perform CPR as part of your job, practicing good body mechanics and core strength exercises can help prevent musculoskeletal strain 1.

Some key points to consider when performing CPR include:

  • Maintaining proper positioning to avoid straining your back and neck
  • Using your body weight to deliver compressions, rather than relying on arm strength
  • Avoiding excessive ventilation, which can be harmful and increase the risk of complications
  • Practicing good body mechanics and core strength exercises to prevent musculoskeletal strain

It's also important to note that CPR is a lifesaving technique that can help improve outcomes for individuals who experience cardiac arrest. While there may be some physical demands associated with performing CPR, the benefits of this technique far outweigh the risks. If you have concerns about performing CPR or experiencing neck pain after performing CPR, it's best to consult with a healthcare professional for guidance and support 1.

From the Research

Cervical Arthritis and CPR

  • There is no direct evidence to suggest that performing cardiopulmonary resuscitation (CPR) causes cervical arthritis.
  • Studies have focused on the treatment and management of neck pain and cervical spine conditions, rather than the potential causes of cervical arthritis related to CPR 2, 3, 4.
  • Cervical spine injuries and conditions can be caused by various factors, including trauma, degenerative changes, and chronic conditions 5, 6.
  • The management of cervical spine conditions typically involves early mobilization, physical therapy, and potentially surgery, depending on the severity and nature of the condition 2, 3, 4, 5, 6.

Related Studies

  • A study on thoracic spine thrust manipulation versus cervical spine thrust manipulation in patients with acute neck pain found that patients who received cervical spine thrust manipulation demonstrated greater improvements in neck disability and pain scores 2.
  • Another study developed a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise, which may be relevant to understanding the potential risks and benefits of different treatments for cervical spine conditions 3.
  • A multi-center randomized clinical trial examined the validity of a clinical prediction rule to identify patients with neck pain likely to benefit from thoracic spine thrust manipulation and a general cervical range of motion exercise, but found no support for the rule's validity 4.

Cervical Spine Conditions

  • Cervical spine injuries and conditions can have significant effects on athletes and non-athletes alike, and require careful management to minimize the risk of re-injury or long-term damage 5.
  • A variety of causes of neck pain, including trauma and degenerative changes, can be managed with early mobilization, physical therapy, and potentially surgery, depending on the severity and nature of the condition 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Development of a clinical prediction rule to identify patients with neck pain likely to benefit from cervical traction and exercise.

European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2009

Research

Cervical Spine Injuries in the Athlete.

The Journal of the American Academy of Orthopaedic Surgeons, 2016

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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