If you’ve spent any time in Italy, you’ve probably heard someone lamenting, “Ho la cervicale!” The tone is grave, the expression pained, and the diagnosis… well, mysterious. To the uninitiated, it sounds like a dire medical condition. To Italians, it’s a household term—a condition so feared and respected that it’s almost a national identity.
But here’s the twist: if you try to explain la cervicale to an American, you’ll get a blank stare, followed by, “Is that… a thing?” Let’s unravel the mystery of this uniquely Italian ailment.
What Is La Cervicale?
In medical terms, cervicale refers to the cervical vertebrae—the bones in your neck. But in Italy, la cervicale has evolved into a catch-all term for neck pain, headaches, stiffness, and general malaise localized anywhere near your upper spine. It’s less a specific diagnosis and more a state of being.
Symptoms of la cervicale include:
A stiff neck
Headaches
Feeling “under the weather”
An unshakable belief that you should never go outside without a scarf
The Causes: Drafts, Drafts, and More Drafts
Ask an Italian what causes la cervicale, and you’ll get a one-word answer: colpo d’aria (a draft). That’s right. According to Italian wisdom, any breeze—whether from an open window, air conditioning, or sitting in the shade—is a one-way ticket to la cervicale. It’s why Italians treat scarves as year-round essentials. A balmy 70 degrees? Doesn’t matter. That scarf is staying on.
Common culprits include:
Leaving the house with wet hair (gasp)
Sleeping under a ceiling fan (double gasp)
Sitting near an air conditioner set below 80 degrees
The Remedies: Nonna Knows Best
When it comes to treating la cervicale, Italians don’t mess around. Forget ibuprofen; this ailment demands a more comprehensive approach:
Scarves: Even indoors, especially in winter. The logic? Keep the neck warm, and you’ll heal faster.
Hot Water Bottles: Applied directly to the neck, these magical pouches of warmth are said to undo the damage caused by those rogue drafts.
Massages: Performed by Nonna or a trusted family member, often involving olive oil because, of course, olive oil.
Complaining: A key part of the healing process. Sharing your woes about la cervicale is practically therapeutic.
Why Doesn’t La Cervicale Exist in America?
Italians will tell you Americans don’t get la cervicale because they simply don’t understand the dangers of drafts. Americans walk around with wet hair, blast air conditioning, and laugh in the face of breezes. To Italians, this is reckless behavior bordering on self-sabotage.
But here’s the real kicker: la cervicale might not exist in America because Americans don’t have the cultural framework to diagnose it. Without Nonna insisting you cover your neck and without a societal reverence for scarves, how could such a condition thrive?
Is La Cervicale Real?
Science might argue that la cervicale is just a fancy way of describing muscle tension or a pinched nerve, but don’t tell that to an Italian. For them, it’s as real as pasta al dente. And honestly, who’s to say they’re wrong? If bundling up in scarves and avoiding drafts keeps you happy and healthy, maybe la cervicale is less of a mystery and more of a life philosophy.
Embrace the Fear
So, the next time you’re in Italy and feel a breeze on your neck, don’t laugh it off. Grab a scarf, pour a glass of wine, and join the ranks of those who live in constant vigilance against la cervicale. Because in Italy, it’s not just an ailment—it’s a way of life.


