Stiff neck
Hello, last week I accidentally slipped and fell backward, and I'm not sure if I hit the back of my head.
Since then, I've been experiencing mild dizziness, but in the last two days, I've started to feel tingling in my scalp and soreness in my shoulders and neck.
Additionally, I'm unsure if it's psychological, but I'm hesitant to turn my neck.
Taking a hot shower helps relieve some discomfort.
Is this normal, and will resting for a few days help? Lastly, what is the difference between seeing an orthopedic specialist and a neurosurgeon for this situation? Thank you!
pinggu, 10~19 year old female. Ask Date: 2018/09/06
Dr. Li Yongheng reply Orthopedics
Hello, based on the symptoms you described, if your symptoms persist, it is recommended that you consult a neurosurgeon, as dizziness and head and neck injuries fall within the scope of neurosurgery.
Wishing you a speedy recovery.
Reply Date: 2018/09/06
More Info
Hello! It sounds like you're experiencing some concerning symptoms following your fall, including dizziness, scalp numbness, and neck pain. These symptoms can indeed be related to a variety of underlying issues, and it's important to approach them with care.
First, let's address your symptoms. After a fall, especially one that may have involved a blow to the back of the head, it's not uncommon to experience dizziness and neck stiffness. The dizziness could be due to a number of factors, including vestibular issues (related to balance), cervical spine problems, or even mild concussion symptoms. The numbness in your scalp and the neck pain could indicate irritation or injury to the cervical spine or the surrounding muscles and nerves.
In terms of whether this is "normal," it's important to note that while some discomfort and stiffness can be expected after a fall, persistent or worsening symptoms should not be ignored. If your symptoms are improving with rest and heat application, that is a positive sign, but if they continue or worsen, it would be wise to seek medical attention.
Now, regarding when to see an orthopedic surgeon versus a neurosurgeon:
1. Orthopedic Surgeons specialize in the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles. If your symptoms are primarily related to neck pain, stiffness, or musculoskeletal issues, an orthopedic surgeon would be the appropriate specialist to consult. They can evaluate for conditions such as cervical strain, herniated discs, or other orthopedic injuries.
2. Neurosurgeons, on the other hand, focus on the nervous system, including the brain and spinal cord. If there is a concern about nerve damage, spinal cord injury, or other neurological issues stemming from your fall, a neurosurgeon would be the right choice. They can perform more specialized evaluations, such as imaging studies (like MRI or CT scans) to assess for any potential damage to the spinal cord or nerves.
In your case, if you are experiencing significant numbness, weakness, or if your dizziness persists or worsens, it may be prudent to see a neurosurgeon to rule out any serious neurological issues. If your symptoms are more localized to neck pain and stiffness without neurological deficits, an orthopedic evaluation may suffice.
In summary, while some recovery time and conservative management (like rest and heat) may help, keep a close eye on your symptoms. If they do not improve or if you experience new symptoms, do not hesitate to seek medical attention. Early intervention can often prevent more serious complications down the line. Take care, and I hope you feel better soon!
Similar Q&A
Understanding Neck Pain: When to See a Neurologist or Orthopedist
Hello Doctor, I have been experiencing a condition over the past few years where I occasionally feel soreness in the back of my neck. When I press on it, there is also a sensation of pain. This discomfort gradually spreads to the back of my head, where the soreness and sharp pain...
Dr. Wang Shouji reply Orthopedics
Ms. Tsai: Your symptoms are mostly not related to the vertebrae. They are likely caused by poor posture, muscle fatigue, and other factors. If you wish to go to the hospital for an examination, you can see either a neurologist, an orthopedic specialist, or a rehabilitation specia...[Read More] Understanding Neck Pain: When to See a Neurologist or Orthopedist
Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months. My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't straighten my back. I work in computer design, so I have shoulder...
Dr. Lan Shengxing reply Neurology
Dear Dolq, this symptom is something that most programmers experience to some extent. It is advisable to first consult with a rehabilitation specialist. If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.[Read More] Understanding Neck and Shoulder Stiffness: When to Seek Medical Help
Which Specialist Should You See for Neck Pain and Stiffness?
Hello, Doctor. I have been studying for a long time and sitting for extended periods. Over the past six months, I often feel a tightness in my cervical spine, and my neck feels somewhat stiff. Even during regular activities, I sometimes notice something unusual in my neck, and it...
Dr. Jiang Junyi reply Neurology
Hello: Based on your description, it may be necessary to consider cervical spine disorders. External factors such as traffic accidents, falls, head impacts against hard objects, or excessive force during cervical rotation can lead to cervical instability, dislocation, and cervica...[Read More] Which Specialist Should You See for Neck Pain and Stiffness?
Understanding Neck Stiffness: When to See a Neurologist or ENT
Recently, I have been experiencing stiffness in my cervical spine, making it difficult to turn my head. It feels tight and rigid, and I sometimes feel dizzy, but the dizziness passes quickly. I'm not sure what the issue could be. Should I see a neurologist or an ear, nose, a...
Dr. Jiang Junyi reply Neurology
Hello Ms. Chen, You mentioned experiencing "stiffness in the cervical spine, difficulty turning your head, tightness, and dizziness that comes and goes." I would like to know if your dizziness is accompanied by any other neurological symptoms, such as hearing abnormali...[Read More] Understanding Neck Stiffness: When to See a Neurologist or ENT
Related FAQ
(Orthopedics)
Neck Strain(Orthopedics)
Head(Orthopedics)
Neck Pain(Neurology)
Back Pain(Orthopedics)
Spinal Fracture(Orthopedics)
Neck Stiffness(Rehabilitation)
Spine(Neurosurgery)
Post-Spinal Surgery(Orthopedics)
Vertebral Arch(Orthopedics)