Pain occurs when extending the head towards the right rear?
When I extend my head backward to the right, I experience pain on the left side, at a height level with my scapula and close to the spine.
The pain feels deeper, but it does not occur when I am not stretching.
Could you please explain what might be happening? Thank you.
Pingguo, 10~19 year old female. Ask Date: 2017/12/23
Dr. Li Weiqiang reply Rehabilitation
Hello: It may be related to muscle tension.
Try applying a warm compress to the affected area for 15-20 minutes, twice a day, to see if there is any improvement.
If not, you may need to undergo physical therapy.
Wishing you peace and health.
Sincerely, Dr.
Li Wei-Chiang, Attending Physician, Department of Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2017/12/23
More Info
When you experience pain while stretching your head back to the right, particularly on the left side near the spine and at the level of the shoulder blade, it can be indicative of several underlying issues. This type of pain is often related to muscular or skeletal problems, particularly involving the neck and upper back.
One common cause of this type of pain is muscle strain or tension. The muscles in the neck and upper back can become tight or strained due to poor posture, repetitive movements, or even stress. When you stretch your neck, these tight muscles may be pulled, leading to discomfort or pain. This is particularly true if you have been sitting for long periods, such as working at a computer, which can lead to muscle imbalances and tension.
Another possibility is that you may be experiencing a condition known as cervical radiculopathy. This occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spur. The pain can radiate down the arm or into the shoulder blade area, and certain movements, such as stretching your neck, can exacerbate the pain.
Additionally, the pain could be related to a condition called myofascial pain syndrome, which involves trigger points in the muscles that can cause referred pain in other areas. In your case, the trigger points in the neck or upper back muscles may be causing discomfort when you stretch your head back.
It's also important to consider the role of posture. If you tend to slouch or have a forward head posture, this can lead to muscle imbalances and increased strain on certain muscles when you attempt to stretch. Ensuring that you maintain good posture throughout the day can help alleviate some of the discomfort.
In terms of management, there are several approaches you can take. First, gentle stretching and strengthening exercises for the neck and upper back can help improve flexibility and reduce muscle tension. Physical therapy may also be beneficial, as a therapist can provide tailored exercises and techniques to address your specific pain.
Heat therapy, such as using a warm compress or heating pad on the affected area, can help relax tight muscles and alleviate pain. Conversely, if there is any swelling or inflammation, ice therapy may be more appropriate.
If the pain persists or worsens, it would be advisable to consult a healthcare professional, such as a neurologist or orthopedic specialist. They may recommend imaging studies, such as an MRI or CT scan, to rule out any structural issues in the cervical spine or surrounding tissues.
In summary, the pain you are experiencing when stretching your head back to the right could be due to muscle strain, nerve irritation, or myofascial pain. Addressing posture, engaging in appropriate exercises, and seeking professional guidance if necessary can help manage and alleviate your symptoms. Always listen to your body, and if the pain is severe or persistent, do not hesitate to seek medical attention.
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