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The health care system of South Africa is growing exponentially and providing patients with various treatment options. Recently, Ayurveda has become popular because of its nature-based and spiritual approach to ailments. Neck pain has been researched to a great extent in allopathic medicine, but not in the context of Ayurvedic medicine. Although there is a wealth of information regarding Ayurveda and its basic principles, there are limited publications on the Ayurvedic approach to common musculoskeletal conditions such as neck pain. Therefore, the aim of this study was to determine the Ayurvedic approach to the diagnosis and management of neck pain by Ayurvedic practitioners in South Africa.