Neck Strains: When to Seek Medical Advice and Its Effects

Neck sprain?

Hello Doctor, I apologize for bothering you again.
I am the person who asked the question 106295.

1.
In your response, you mentioned that if there is improvement, there is no need to seek medical attention.
Currently, my situation is that I experience slight pain at the junction of my neck and shoulders when I wake up in the morning or in certain specific positions.
The feeling of weakness in my limbs seems to have improved (at least I can't feel it if I don't pay attention to it), or it could be a psychological effect.
Given this situation, do I need to schedule another follow-up appointment? It has been several weeks since the injury occurred, and I am asking this question now.
2.
I forgot to ask you last time: is there a relationship between cervical spine issues and sexual function? Because some time ago (before the injury), I felt that my sexual function was slightly off, sometimes experiencing difficulty achieving an erection or having a less firm erection.
However, the day after the injury, I noticed that it seemed to return to normal, with erections being much firmer than before the injury.
But during masturbation, it seems that I have less sensation than before, often leading to a soft erection before completion.
Could this be due to cervical spine compression affecting the nerves or spinal cord?

Liu Mingcheng, 20~29 year old female. Ask Date: 2016/05/31

Dr. Lai Zhaokang reply Neurosurgery

Hello! 1.
Improvement is a good thing.
However, if you are still worried, it’s best to make an appointment with a doctor nearby! 2.
Generally, there is no significant relationship between cervical spine nerves and sexual function.
If you have issues with sexual function, you can consult a urologist.
Wishing you a speedy recovery! /// Dr.
Lai Chao-Kang, Neurosurgery, Changhua Hospital.

Reply Date: 2016/05/31

More Info

When it comes to neck strains, understanding when to seek medical advice is crucial for effective management and recovery. Based on your description, it seems like you are experiencing mild pain at the junction of your neck and shoulder, particularly upon waking or in certain positions. Additionally, you mentioned an improvement in the sensation of weakness in your limbs, which is a positive sign. However, it is essential to consider a few factors before deciding whether to return for a follow-up appointment.

1. Duration and Severity of Symptoms: Since it has been several weeks since your injury, and you are still experiencing discomfort, it may be wise to consult your healthcare provider again. Persistent pain, even if mild, can indicate that the injury has not fully healed or that there may be underlying issues that need to be addressed. A healthcare professional can perform a thorough examination and possibly recommend imaging studies, such as X-rays or an MRI, to rule out any serious conditions like herniated discs or nerve impingement.

2. Functional Impact: If your symptoms are affecting your daily activities or quality of life, it is advisable to seek medical advice. Even if the pain is manageable, any functional limitations or concerns about your overall health should be discussed with a physician.

3. Psychological Factors: You mentioned that the improvement in your symptoms might be psychological. While the mind can influence physical sensations, it is essential to differentiate between genuine physical recovery and psychological perception. A healthcare provider can help clarify this and provide appropriate interventions if needed.

Regarding your second question about the relationship between cervical spine issues and sexual function, there is indeed a connection. The cervical spine houses the spinal cord, which transmits signals between the brain and the rest of the body, including the pelvic region. If there is nerve compression or irritation in the cervical area, it could potentially affect sexual function. However, the fact that you experienced a temporary improvement in erectile function after your injury suggests that other factors may also be at play, such as psychological stress or fatigue.

It is not uncommon for individuals to experience fluctuations in sexual performance due to various factors, including stress, anxiety, fatigue, and even physical injuries. If you are experiencing ongoing concerns about erectile function or changes in sexual sensation, it would be beneficial to discuss these issues with a healthcare provider. They can evaluate your symptoms in the context of your overall health and provide guidance or referrals to specialists if necessary.

In summary, while some improvement in your neck strain symptoms is encouraging, it is advisable to consult your healthcare provider if you continue to experience pain or functional limitations. Additionally, if you have concerns about sexual function, discussing these with a medical professional can help identify any underlying issues and provide appropriate support. Remember, open communication with your healthcare provider is key to addressing your concerns effectively.

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