The most common cause of neck sprain or strain are minor neck injuries, which include bending or twisting the neck.

Causes of serious neck sprains and strains include:

• Diving accident
• Falls
• Motor vehicle accidents:
• Whiplash
• Sports injuries
• Work-related injuries

Chronic strains and sprains may occur when repeated minor injuries damage the muscles and ligaments of the neck. This results in a cycle of chronic neck pain, inflammation, and stiffness.