@bigredak Hello and welcome to Connect. I am a cervical spine surgery patient. Having heart palpitations because of cervical neck tightness can happen with a spine condition or possibly thoracic outlet syndrome. I have both of those, and had a fusion of C5/C6.

Have you been seen by a doctor for this? A doctor needs to determine if there is another cause for heart palpitations such as a thyroid condition, breathing problem like asthma, or a heart issue, etc. It is too easy to think you know what's wrong when there can be overlapping symptoms from different problems, and you don't know what you don't know.

If the problem does turn out to be neck related, perhaps a physical therapist can help. It's best to see a spine surgeon who will do some imaging such as an MRI. Even if that doesn't find anything, a physical therapist who also does myofascial release can help a problem like this. Tightness in muscles, spasms and tight fascia can compress nerves which can cause palpitations. Nerves exit the spinal cord between every vertebrae to go everywhere in the body, and if those nerves are affected by tight neck muscles, they can be compressed. That can happen to me, but I also have asthma that contributes when allergies cause inflammation, and other spine patients have said the same thing that they have had palpitations related to the neck.

Here is our discussion on myofascial release.

Myofascial Release Therapy (MFR) for treating compression and pain: https://connect.mayoclinic.org/discussion/myofascial-release-therapy-mfr-for-treating-compression-and-pain/

The change in neck position that brings on symptoms can be a warning sign of a spine problem, and should be investigated by a specialist. It would be worth a call to your insurance to find in network spine surgeons because if you do end up needing a procedure, it can be very expensive.

Have you been seen by a doctor for this condition?