Before my crisis I had it bad some mornings upon waking I couldn't even lift my head out of bed...enter mestinon syrup or pill and I could move. In the hospital when i had phemnonia and my lungs collapsed I was at the nurses mercy could not lift my head at all...some days now after my 10 plasmas I still feel neck weakness but it goes away. I try to fight it. Neck brace might be good idea though if its too bad..