Numbness and tingling in the neck?
Hello Dr.
Lai, I have intermittent tingling and numbness in the left side of my neck, behind my ear, and at the back of my head.
Sometimes my neck feels stiff and numb, but it tends to be less numb when I lie down.
Could these symptoms be related to cervical spine issues? Which specialty should I consult for this? Thank you, Dr.
Lai!
Mr. Huang, 40~49 year old female. Ask Date: 2016/07/17
Dr. Lai Zhaokang reply Neurosurgery
Hello, it could be a cervical spine issue or another problem.
It is advisable to seek medical attention.
Wishing you a speedy recovery.
// Dr.
Lai Chao-Kang, Chief of Spine Neurosurgery, Changhua Hospital.
Reply Date: 2016/07/17
More Info
Hello! Thank you for reaching out with your concerns regarding your neck pain and numbness. Based on the symptoms you've described—intermittent stabbing sensations and numbness in the left side of your neck, behind your ear, and at the back of your head—it does indeed suggest that there may be an underlying issue related to your cervical spine (neck region).
Neck pain and associated numbness can arise from various conditions, including cervical radiculopathy, which occurs when a nerve in the neck is compressed or irritated. This can lead to symptoms such as pain, tingling, or numbness that radiates into the arms or other areas. The fact that your symptoms lessen when lying down may indicate that certain positions relieve pressure on the affected nerves or structures.
Given your symptoms, it would be advisable to consult a specialist. The most appropriate first step would be to see a neurologist or an orthopedic specialist who focuses on spine issues. They can perform a thorough clinical evaluation, which may include a physical examination and a review of your medical history. Depending on their findings, they might recommend imaging studies such as X-rays, MRI, or CT scans to assess the condition of your cervical spine and any potential nerve involvement.
In addition to structural issues, your symptoms could also be related to muscle tension or strain, particularly if you have a history of poor posture or prolonged periods of sitting, which is common in many professions today. Muscle tension can lead to referred pain and sensations in the neck and head, contributing to the symptoms you're experiencing.
If your symptoms are indeed related to cervical spine issues, treatment options may include physical therapy, which can help strengthen the muscles supporting your neck, improve flexibility, and alleviate pain. In some cases, medications such as anti-inflammatory drugs or muscle relaxants may be prescribed to help manage pain and reduce inflammation.
It's also worth noting that lifestyle modifications can play a significant role in managing neck pain. Ergonomic adjustments to your workspace, regular breaks to stretch, and exercises to improve posture can be beneficial. Additionally, stress management techniques, such as mindfulness or yoga, may help reduce muscle tension.
In summary, your symptoms are suggestive of a potential cervical spine issue, and it would be prudent to consult a neurologist or orthopedic specialist. They can provide a comprehensive evaluation and guide you toward the most appropriate treatment options. Remember, early intervention can often lead to better outcomes, so don't hesitate to seek help. Wishing you the best in your journey toward relief and recovery!
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