Can't Lift My Neck: Neurological Issues After a Fall - Neurosurgery

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Inability to lift the neck?


A few days ago, I slipped on a wet floor and now I can't lift my head when lying flat.

Xiao Lan, 10~19 year old female. Ask Date: 2016/10/08

Dr. Zhang Junwei reply Neurosurgery


Please schedule an appointment for the neurosurgery outpatient clinic!

Reply Date: 2016/10/08

More Info


Experiencing difficulty lifting your neck after a fall can be concerning and may indicate underlying neurological or musculoskeletal issues. When you fall, especially if you land on your back or neck, there can be various injuries that occur, including muscle strains, ligament sprains, or even more serious conditions like cervical spine injuries.
First and foremost, it's essential to understand that the neck, or cervical spine, is a critical area of the body that supports the head and protects the spinal cord. The muscles and ligaments in this area can be injured during a fall, leading to pain, stiffness, and difficulty moving. If you are unable to lift your neck, it could be due to muscle spasms or strains that have developed as a protective mechanism following the injury.
In addition to muscle injuries, it's also important to consider the possibility of a more severe injury, such as a fracture or dislocation of the cervical vertebrae. These types of injuries can lead to neurological symptoms, including weakness, numbness, or tingling in the arms or legs, and in severe cases, they can affect breathing or other vital functions. If you experience any of these symptoms, it is crucial to seek immediate medical attention.

Another potential issue could be a concussion or other traumatic brain injury, especially if you hit your head during the fall. Symptoms of a concussion can include confusion, headache, dizziness, and difficulty concentrating, among others. If you have any of these symptoms, it’s important to consult a healthcare professional for a thorough evaluation.

Given your current inability to lift your neck, I recommend the following steps:
1. Seek Medical Attention: It is vital to see a healthcare provider as soon as possible. They may perform a physical examination and possibly imaging studies, such as X-rays or an MRI, to assess for any fractures, dislocations, or other injuries.

2. Rest and Ice: While waiting for medical evaluation, try to rest your neck and apply ice to reduce any swelling or pain. Avoid any activities that may exacerbate your symptoms.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help alleviate pain and inflammation. However, consult with a healthcare provider before taking any medication, especially if you have other health conditions or are taking other medications.

4. Physical Therapy: If your healthcare provider determines that your injury is not severe, they may recommend physical therapy to help strengthen the neck muscles and improve mobility.

5. Monitor Symptoms: Keep track of any changes in your symptoms. If you notice worsening pain, new neurological symptoms, or if you develop difficulty breathing, seek emergency medical care.

In summary, difficulty lifting your neck after a fall can stem from various causes, ranging from muscle strain to more serious injuries. It is crucial to seek medical evaluation to determine the exact cause and receive appropriate treatment. Early intervention can significantly improve outcomes and help prevent long-term complications.

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