Neck Issues: When to Seek Rehabilitation Care - Rehabilitation

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Neck problems


Hello, doctor.
For the past two weeks, I've been feeling tightness in my neck when turning my head to the left, and I have a sensation of not being able to turn it fully.
When I turn to the right, there is a slight friction sound in the back of my neck.
Additionally, when I lift my arms to the side or in front, I can feel a bone friction sensation in my shoulders.
What could be the issue, and which specialty should I consult? Thank you.

Chen, 30~39 year old female. Ask Date: 2016/12/01

Dr. Yin Xinbei reply Rehabilitation


Rehabilitation Medicine

Reply Date: 2016/12/01

More Info


Hello! It sounds like you're experiencing some discomfort and tightness in your neck, which can be quite concerning. Based on your description, it seems you may be dealing with a few potential issues related to your cervical spine or the surrounding musculature. Let's break down your symptoms and discuss when it might be appropriate to seek rehabilitation care.


Symptoms Analysis
1. Neck Tightness and Limited Range of Motion: The tightness you're feeling, especially when turning your head to the left, could indicate muscle strain or tension. This is often due to poor posture, prolonged sitting, or stress, which can lead to muscle stiffness and discomfort.

2. Creaking or Grinding Sounds: The noise you hear when moving your neck could be related to the joints in your cervical spine. This is sometimes referred to as "crepitus," which can occur due to various reasons, including the movement of tendons over bones or the presence of osteoarthritis.
3. Pain or Discomfort with Arm Movements: The sensations you're experiencing when lifting your arms could suggest that the issue might not be limited to your neck but could also involve the shoulder girdle or upper back. Conditions like rotator cuff injuries or shoulder impingement can cause referred pain or discomfort that feels like it originates in the neck.


When to Seek Rehabilitation Care
Given your symptoms, it would be advisable to seek care if:
- Pain Persists: If the discomfort continues for more than a few days or worsens, it's important to consult a healthcare professional.

- Functional Limitations: If you're finding it difficult to perform daily activities due to pain or limited range of motion, rehabilitation can help restore function.

- Neurological Symptoms: If you experience numbness, tingling, or weakness in your arms or hands, this could indicate nerve involvement, and you should seek immediate medical attention.

- Impact on Quality of Life: If your symptoms are affecting your sleep, work, or overall quality of life, it's time to get help.


Recommended Specialists
For your symptoms, you might consider seeing:
- Primary Care Physician: They can perform an initial evaluation and refer you to a specialist if necessary.

- Orthopedic Specialist: They focus on musculoskeletal issues and can assess any structural problems in your neck or spine.

- Neurologist: If there are signs of nerve involvement, a neurologist can evaluate for conditions affecting the nervous system.

- Physical Therapist: They can provide rehabilitation care, including exercises to improve strength, flexibility, and range of motion, as well as techniques to manage pain.


Rehabilitation Care
If you are referred to a physical therapist, they will likely conduct a thorough assessment of your neck and shoulder mechanics. Treatment may include:
- Manual Therapy: Techniques to relieve muscle tension and improve joint mobility.

- Therapeutic Exercises: A tailored exercise program to strengthen the neck and shoulder muscles, improve flexibility, and enhance posture.

- Education: Learning about proper ergonomics and body mechanics to prevent future issues.


Conclusion
In summary, your symptoms warrant attention, especially if they persist or worsen. Seeking care from a healthcare professional can help identify the underlying cause and guide you toward appropriate rehabilitation. Early intervention can often lead to better outcomes, so don't hesitate to reach out for help. Take care, and I hope you find relief soon!

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