Neck and Scalp Numbness: Causes and Relief Strategies - Neurology

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Numbness in the neck (tight and tingling) and a tingling sensation in the scalp?


Hello doctor, while I was relaxing in my flexible computer chair and leaned back to get up, I heard a popping sound from my cervical spine.
When I turned my head, there was another sound, making it a total of two pops.
After quickly getting up, I noticed that the back of my neck felt very tight and numb with a bit of tingling, my scalp was numb, and there was some numbness behind my left ear.
Although I felt a bit better after sleeping, my neck still doesn't feel as relaxed as before and I still have that tingling sensation.
What can I do to relieve this? Will it heal on its own, or should I seek medical attention promptly?

Cheng, 20~29 year old female. Ask Date: 2016/05/04

Dr. Jiang Junyi reply Neurology


Hello, based on your description, the most common cause of neck pain is cervical myofascial pain.
Prolonged periods of looking down can lead to overuse of the trapezius muscle in the back of the neck, resulting in neck and shoulder discomfort.
If a nerve root is compressed, it may cause symptoms such as numbness, pain, or tingling.
I recommend the following: 1.
Change positions: Alter your posture every 15 minutes to allow the neck tissues to rest.
Maintaining any position (including a normal one) for an extended period can lead to tissue fatigue and inflammation, so moving around briefly can reduce the risk of muscle inflammation.
2.
Rest: Resting allows the muscles to utilize their self-repair capabilities; avoid vigorous exercise during this time.
3.
Neck heat therapy: Apply a warm compress for 15 to 20 minutes, ensuring the temperature is safe to prevent burns.
4.
Muscle stretching exercises: After the acute pain phase, develop a habit of gently stretching the neck up, down, left, and right every 15 to 20 minutes at angles that do not cause discomfort.
I suggest consulting with a neurologist or a rehabilitation physician for evaluation and treatment.
Wishing you good health and peace.

Reply Date: 2016/05/04

More Info


Understanding neck and scalp numbness can be quite concerning, especially when accompanied by sensations like tightness, tingling, or pain. Based on your description, it seems that you experienced a sudden movement of your neck that resulted in an audible pop, followed by symptoms of tightness and numbness in the neck and scalp. This could potentially indicate a few underlying issues that warrant attention.


Possible Causes
1. Cervical Strain or Sprain: The sudden movement may have strained the muscles or ligaments in your neck. This can lead to muscle tightness and discomfort, which might explain the sensations you're experiencing.

2. Nerve Compression or Irritation: The cervical spine houses nerves that can become compressed due to muscle tightness, herniated discs, or degenerative changes. The popping sound you heard could indicate a shift in the cervical vertebrae or a change in the position of the discs, which might irritate the nerves.

3. Cervical Spondylosis: This is a common age-related condition where the discs and joints in the cervical spine degenerate, leading to stiffness and potential nerve compression. If you have a history of neck issues, this could be a contributing factor.

4. Cervical Radiculopathy: If the numbness and tingling are radiating down into your arms or fingers, it could suggest that a nerve root is being compressed, leading to cervical radiculopathy.

5. Muscle Tension: Stress and poor posture, especially when sitting for long periods, can lead to muscle tension in the neck and shoulders, contributing to the symptoms you're experiencing.


Relief Strategies
1. Rest and Positioning: Avoid any activities that exacerbate your symptoms. When sitting, ensure that your posture is correct, and consider using ergonomic furniture to support your neck and back.

2. Gentle Stretching: Once the acute pain subsides, gentle neck stretches can help alleviate tightness. Try slowly tilting your head from side to side and forward and backward, but avoid any movements that cause pain.

3. Heat Therapy: Applying a warm compress or heating pad to the neck can help relax tight muscles and improve blood circulation.

4. Cold Therapy: If there is swelling or acute pain, applying ice packs wrapped in a cloth for 15-20 minutes can help reduce inflammation.

5. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation.

6. Physical Therapy: If symptoms persist, consulting a physical therapist can provide you with tailored exercises and treatments to strengthen the neck muscles and improve flexibility.

7. Mindfulness and Relaxation Techniques: Stress management techniques such as deep breathing, meditation, or yoga can help reduce muscle tension and improve overall well-being.


When to Seek Medical Attention
If your symptoms do not improve within a few days, or if you experience worsening pain, weakness in your arms or hands, or any loss of bladder or bowel control, it is crucial to seek medical attention promptly. A healthcare provider may recommend imaging studies, such as an MRI or X-ray, to assess for any structural issues in the cervical spine.

In conclusion, while your symptoms may improve with conservative measures, it is essential to monitor your condition closely. If in doubt, consulting with a healthcare professional for a thorough evaluation and personalized treatment plan is always a wise choice.

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