Postural Neck Pain: Symptoms and Treatment Options - Rehabilitation

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Postural neck pain is a common issue, especially among individuals who spend long hours in front of a computer. Your symptoms, which began after changing your pillow, suggest that your neck and shoulder discomfort may be related to muscle strain or tension, particularly in the trapezius and surrounding muscles. The sensations of tingling or electric-like pain you describe, along with the occasional sharp, needle-like feelings, are indicative of nerve irritation or muscle tightness.


Symptoms of Postural Neck Pain
1. Muscle Tightness: The trapezius muscle, which extends from the back of your neck to your shoulders, can become tight due to poor posture or prolonged static positions. This tightness can lead to discomfort and pain, especially when moving or using the affected muscles.

2. Nerve Irritation: The tingling sensations you experience may be due to irritation of the nerves that run through the neck and shoulder area. This can occur when muscles are tight or when there is pressure on the nerves from surrounding structures.

3. Trigger Points: The fixed tender point you mentioned, located near the midpoint of the trapezius muscle, may be a trigger point. These are localized areas of muscle spasm that can refer pain to other areas, contributing to your discomfort.

4. Postural Strain: Spending long hours at a computer can exacerbate neck pain, especially if your workstation is not ergonomically set up. Poor posture can lead to muscle fatigue and strain, which can manifest as pain and discomfort.


Treatment Options
1. Physical Therapy: Engaging in physical therapy can be highly beneficial. A physical therapist can provide exercises to strengthen the neck and shoulder muscles, improve posture, and increase flexibility. They may also use techniques such as manual therapy to relieve muscle tension.

2. Ergonomic Adjustments: Evaluate your workstation setup. Ensure that your monitor is at eye level, your chair supports your lower back, and your feet are flat on the ground. Taking regular breaks to stretch and change positions can also help alleviate strain.

3. Heat and Cold Therapy: Applying heat to the affected area can help relax tight muscles, while cold therapy can reduce inflammation and numb sharp pain. Alternating between the two may provide relief.

4. Medication: The medications prescribed to you, such as Aceclofenac (Tonec) and Ascofen, are indeed classified as non-steroidal anti-inflammatory drugs (NSAIDs). These can help reduce inflammation and alleviate pain. However, since you are also taking medications for heart conditions, it is crucial to consult with your healthcare provider before continuing or adjusting your NSAID use, as they can have cardiovascular implications.

5. Stretching and Strengthening Exercises: Gentle stretching of the neck and shoulder muscles can help relieve tension. Strengthening exercises for the upper back and shoulders can improve posture and reduce the likelihood of future pain.

6. Mindfulness and Stress Management: Since stress can exacerbate muscle tension, incorporating relaxation techniques such as deep breathing, yoga, or meditation may help manage your symptoms.


Conclusion
In summary, your symptoms of postural neck pain are likely related to muscle tension and nerve irritation due to prolonged computer use and possibly poor posture. Implementing ergonomic changes, engaging in physical therapy, and using appropriate medications can significantly improve your condition. Always consult with your healthcare provider before making any changes to your medication regimen, especially considering your existing heart condition. If symptoms persist or worsen, further evaluation may be necessary to rule out any underlying conditions.