Neck Strain: When to Seek Further Medical Advice

Q: Neck Strain: When to Seek Further Medical Advice

Hello： Based on what you described, "Currently, when I gently clench my right fist, I experience a slight sensation similar to having just had a cramp (a bit like weakness). <br>My right foot also has this sensation, but it’s not that I can’t exert force; I can still apply streng

Neck sprain?

Hello, Doctor.
I would like to consult you about something.
Two weeks ago, on a Sunday morning, when I just got up, my head was still resting on the pillow, and I propped myself up with my hands and elbows, similar to a horse stance, while my head was against the pillow.
After being pushed slightly, I fell to the left, and my neck twisted to the right.
In the following days, I felt some pain in my neck and shoulders, so I went to see a doctor.
He took an X-ray and said there were no issues with the bones.
However, I’m not sure if it’s psychological, but now when I gently clench my right fist, I feel a slight sensation similar to having just cramped (a bit like weakness).
My right foot has a similar feeling, but it’s not that I can’t exert force; I can still use it without affecting its function.
My left hand and left foot do not have this issue.
I looked online, and it said that if there is nerve compression or injury, there would be numbness or tingling.
I don’t have any obvious numbness or tingling sensations.
Do you think I need to make another appointment to discuss this with a doctor? The sensation is mild and not very severe, which is why I’m asking.
Thank you, Doctor.

Liu Mingcheng, 20~29 year old female. Ask Date: 2016/05/19

Dr. Lai Zhaokang reply Neurosurgery

Hello: Based on what you described, "Currently, when I gently clench my right fist, I experience a slight sensation similar to having just had a cramp (a bit like weakness).
My right foot also has this sensation, but it’s not that I can’t exert force; I can still apply strength, and it doesn’t affect functionality.
My left hand and left foot do not have this issue...
Since the sensation is mild and not very severe." If there is gradual improvement, it should not be a major concern.
You can start taking vitamin B complex, particularly B12, and observe the situation.
However, if the symptoms persist for 2-4 weeks without improvement, it is advisable to consult a neurosurgeon for an evaluation to assess whether there is any injury to the cervical nerves.
Wishing you a speedy recovery.
Dr.
Lai Chao-Kang, Department of Spine and Neurosurgery, Changhua Hospital.

Reply Date: 2016/05/19

More Info

Based on your description, it seems that you may be experiencing symptoms related to a neck strain or soft tissue injury following the incident where you twisted your neck. The fact that your X-ray showed no bony abnormalities is reassuring, but it does not rule out soft tissue injuries such as muscle strains, ligament sprains, or even nerve irritation.

Neck strains can occur when the muscles or ligaments in the neck are stretched or torn, often due to sudden movements or awkward positions, as you described. The symptoms you are experiencing, such as mild weakness or a cramping sensation in your right hand and foot, could be related to muscle fatigue or tension in the neck area. While you do not report any significant numbness or pain, which are common signs of nerve compression, it is still important to monitor your symptoms closely.

Here are some considerations regarding your situation:
1. Symptoms Monitoring: Since your symptoms are mild and not significantly impacting your daily activities, it may not be necessary to seek immediate medical attention. However, if you notice any worsening of symptoms, such as increased pain, numbness, tingling, or weakness that affects your ability to use your hand or foot, you should definitely consult a healthcare professional.

2. Physical Therapy: Engaging in physical therapy can be beneficial for neck strains. A physical therapist can provide you with exercises to strengthen the neck muscles, improve flexibility, and reduce pain. They can also teach you proper posture and ergonomics to prevent future injuries.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage any discomfort you may be experiencing. Applying heat or cold packs to the affected area can also provide relief.

4. Follow-Up: If your symptoms persist for more than a few weeks without improvement, or if they worsen, it would be wise to follow up with your doctor. They may recommend further imaging studies, such as an MRI, to assess for any soft tissue injuries or nerve involvement that may not have been visible on the X-ray.

5. Psychological Factors: Sometimes, anxiety or stress can exacerbate physical symptoms. If you feel that your symptoms may be related to stress or anxiety, discussing this with a healthcare provider could be helpful.

In summary, while your current symptoms do not seem to warrant immediate concern, it is important to keep an eye on them. If you experience any changes or if the symptoms do not improve with conservative measures, do not hesitate to seek further medical advice. Your health and well-being are paramount, and staying proactive about your symptoms is key to recovery.

Similar Q&A

Severe Neck Pain: When to Seek Emergency Care?

Sudden neck pain that makes it difficult to breathe, with pain persisting even at rest, inability to move the head, weakness in the neck, and a sensation of breathlessness, along with significant pain when attempting to move, suggests a serious condition. The presence of a notice...

Dr. Jiang Junyi reply Neurology
Hello, You mentioned 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. Initially, resting may alleviate the pain, but over time, it can worsen and affect da...

Should I Seek Further Medical Attention for Neck Pain and Dizziness?

Hello, I would like to ask whether I should continue seeking medical attention regarding my situation. Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unsteady. A day or two later, I had intermittent neck pain, specific...

Dr. Jiang Junyi reply Neurology
Dear Mr. Mason, You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wa...

Neck Injury: When to Seek Neurology Care for Persistent Pain

I often experience restricted neck movement due to sneezing, and I can only maintain a fixed position. Generally, outpatient care provides muscle relaxants and anti-inflammatory medications to temporarily alleviate the pain. Currently, if I look straight at one spot for more than...

Dr. Ye Boshou reply Neurology
To: Wang 1842 Based on the described condition, it appears to be a tendon strain. You may start with heat therapy; additionally, consider using muscle relaxants and pain relievers. Furthermore, if you experience neck pain after sleeping, pay attention to whether the height of you...

Understanding Neck Pain: Causes, Self-Assessment, and When to See a Doctor

Hello doctor, I have been experiencing severe soreness in the back of my neck for the past month. I haven't engaged in any intense physical activities, and my neck hasn't been injured. My job requires me to drive for long periods, and I'm wondering if that could be...

Dr. Ye Boshou reply Neurology
The most common cause of posterior neck pain is muscle tension. Self-assessment of neck mobility should be conducted to check for any restrictions. Applying a warm compress may help improve the condition. If symptoms persist, it is recommended to consult a neurologist or a rehabi...