Surgical alternatives exist for persistent or severe neck pain; generally deemed when other treatments have failed. Addressing the basis causes of neck pain, together with pain from sleeping positions, is important for helpful treatment and prevention approaches. Waking up by using a stiff, painful neck likely suggests a muscle spasm. https://www.theorthopaedicandpainpractice.com/why-do-i-have-neck-pain-understanding-neck-pain/