Neck Strains and Sprains: Causes, Symptoms, and Treatment

Cervical sprain and strain?

I apologize if I accidentally submitted the consultation form twice.
Doctor, I have some questions I would like to ask you.

1.
About a month and a half ago, I was rolling in bed after just waking up, and while I was in a position with my head against the pillow and rolling to the left, I twisted my neck to the right.
At that moment, I only felt mild pain that quickly went away, so I didn't pay much attention to it.
However, after a day or two, I started to feel discomfort in my shoulders and neck, so I went to see a doctor.
The doctor took X-rays and said there were no issues.
Since then, the discomfort in my shoulders and neck has gradually improved, and for the past month and a half, I have only occasionally experienced pain or discomfort.
However, whenever I sleep on my right side at night, I feel neck pain and a sensation similar to pressure.
If I wake up after sleeping on my right side, the pain persists for a while.
Additionally, sometimes I feel a slight tightness or soreness in the lower part of my right arm.
Could it be possible that there is nerve compression from a herniated disc or something similar that the X-rays did not reveal, which is why I haven't fully recovered in over a month? I occasionally feel slight weakness in my limbs (though I do not rule out the possibility that it could be a psychological effect from my constant attention to it), and about five minutes after the injury, I felt a tingling sensation on the back of my left hand, although it went away quickly and I haven't felt it since.
I researched online and found that nerve compression can cause symptoms of numbness, pain, and weakness, but I do not have any obvious numbness or pain.
Is it possible to have compression on the cervical spine or nerves that only results in weakness without any noticeable numbness or pain?
2.
A few days ago, while I was looking down, someone pulled my neck down.
At that moment, I did not feel any pain, but the next day when I woke up, I felt pain between my shoulder blades.
The symptoms become more pronounced when I lower my neck or perform certain movements.
It has improved quite a bit over the last two days, but sometimes I still feel discomfort.
Do you think I need to schedule an appointment for an examination? Thank you for your patience in reading this.
Wishing you all the best.

Wang Mingshu, 20~29 year old female. Ask Date: 2016/06/13

Dr. Shi Guozheng reply Orthopedics

Typically, if a cervical spine bone spur compresses a nerve, there will be sensations of numbness and pain in the upper back.
If these symptoms have improved, it may not be necessary to see a doctor.

Reply Date: 2016/06/13

More Info

Neck strains and sprains are common injuries that can occur due to various activities, including sudden movements, awkward sleeping positions, or even minor accidents. Understanding the causes, symptoms, and treatment options for these conditions is crucial for effective recovery and prevention of future issues.

Causes of Neck Strains and Sprains
Neck strains typically occur when the muscles or tendons in the neck are stretched or torn. This can happen due to:
1. Sudden Movements: Quick, jerking motions, such as turning the head suddenly or rolling over in bed, can strain neck muscles.

2. Poor Posture: Prolonged periods of poor posture, especially while sitting or sleeping, can lead to muscle fatigue and strain.

3. Injuries: Accidents, falls, or sports injuries can cause significant strain or sprain to the neck.

4. Overuse: Repetitive activities, such as looking down at a phone or computer for extended periods, can lead to muscle fatigue and strain.

Symptoms of Neck Strains and Sprains
The symptoms of neck strains and sprains can vary in intensity and may include:
- Pain and Discomfort: This can range from mild discomfort to severe pain, often exacerbated by certain movements or positions.

- Stiffness: A feeling of tightness in the neck muscles, making it difficult to turn the head.

- Radiating Pain: Pain may extend to the shoulders, upper back, or arms, sometimes accompanied by tingling or numbness.

- Weakness: Some individuals may experience weakness in the arms or hands, which can be concerning.

Diagnosis
In your case, the initial X-ray did not show any significant issues, which is common as X-rays primarily reveal bone structures and may not detect soft tissue injuries like muscle strains or disc herniations. If symptoms persist, further imaging, such as an MRI, may be warranted to assess for potential nerve compression or disc issues that X-rays cannot reveal.

Treatment Options
1. Rest: Allowing the neck to rest is crucial. Avoid activities that exacerbate the pain.

2. Ice and Heat Therapy: Applying ice can help reduce inflammation, while heat can relax tight muscles.

3. Physical Therapy: Engaging in physical therapy can help strengthen neck muscles, improve flexibility, and promote better posture.

4. Medications: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation.

5. Ergonomic Adjustments: Ensuring proper posture while sitting or sleeping can prevent further strain. Consider using supportive pillows and adjusting your workstation to promote better neck alignment.

6. Gradual Return to Activity: Once symptoms improve, gradually reintroduce activities, ensuring to maintain proper form and posture.

When to Seek Further Evaluation
Given your symptoms of persistent pain, occasional weakness, and the recent incident where your neck was pulled, it may be prudent to consult a healthcare professional for a thorough evaluation. This is especially important if you experience:
- Worsening pain or new symptoms, such as numbness or tingling.

- Difficulty with coordination or balance.

- Symptoms that do not improve with conservative treatment.

In conclusion, while neck strains and sprains can often resolve with conservative management, persistent or worsening symptoms warrant further investigation to rule out more serious conditions such as nerve compression or disc herniation. Always listen to your body and seek medical advice when in doubt.

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