Neck Bone Issues: Causes of Unusual Sensations and Movements - Orthopedics

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Cervical spine issues


1.
When swallowing, there is a strange sensation in the neck, as if the cervical vertebrae are moving, but there is no pain.
This sensation disappears when the head is lifted to certain angles.
What could be the cause?
2.
During sit-ups, when reaching a certain position while rising and lowering, there is a feeling of an "object" moving in the back (uncertain if it's bone or muscle).
What could be the cause? Thank you.

Niming, 30~39 year old female. Ask Date: 2019/08/13

Dr. Wang Shouji reply Orthopedics


Hello: 1.
The sensation of something moving in the neck while swallowing is mostly related to the hyoid bone; if there is no discomfort, it is generally not a concern.
2.
If there is no pain or external injury, it is likely not related to any serious issue.
If you have any questions, please visit the outpatient clinic for a physician's examination to determine the cause.
Changhua Hospital cares about your health.
Wang Shou-ji.

Reply Date: 2019/08/13

More Info


Understanding unusual sensations and movements in the neck can be quite perplexing, especially when they occur during specific activities like swallowing or exercising. Let's break down the potential causes of the sensations you're experiencing.

1. Unusual Sensation While Swallowing: The feeling of something unusual in the neck during swallowing, especially if it feels like a bone is moving but is not painful, could be attributed to several factors. One possibility is the movement of the cervical vertebrae or the surrounding soft tissues as you swallow. The act of swallowing involves the contraction of various muscles in the neck and throat, which can sometimes create a sensation of movement or pressure. Additionally, if there is any tightness or tension in the neck muscles, it could amplify these sensations.
Another consideration is the presence of cervical spine issues, such as mild degenerative changes or muscle tightness, which can lead to unusual sensations during specific movements. If you have a history of neck strain or poor posture, these factors could contribute to the sensations you're experiencing. It's also worth noting that anxiety or stress can heighten bodily awareness, making you more sensitive to normal bodily functions.

2. Feeling of Movement During Sit-Ups: The sensation of an "object" moving in your back while performing sit-ups could be related to several anatomical structures. When you engage in sit-ups, the muscles in your abdomen and back are contracting and relaxing, which can sometimes lead to a feeling of movement in the spine or the surrounding musculature. This could be due to the movement of the vertebrae, the intervertebral discs, or even the muscles and ligaments that support the spine.

If you feel this sensation at specific angles, it might indicate that certain positions are putting stress on particular structures in your back. For instance, if you have tight muscles or a history of back issues, certain movements may cause a shift or a slight misalignment that you can feel. Additionally, if there are any underlying conditions such as a herniated disc or muscle strain, these could also contribute to the sensations you're experiencing.


Recommendations
- Consult a Specialist: Given the nature of your symptoms, it would be prudent to consult with a healthcare professional, such as a neurologist or an orthopedic specialist. They can perform a thorough examination and may recommend imaging studies, such as an MRI or X-rays, to assess the condition of your cervical spine and surrounding structures.

- Physical Therapy: Engaging in physical therapy can be beneficial. A physical therapist can help you strengthen the muscles around your neck and back, improve your posture, and teach you exercises that may alleviate the unusual sensations.

- Mindfulness and Stress Management: Since anxiety can exacerbate bodily sensations, incorporating stress management techniques such as mindfulness, yoga, or meditation may help reduce your overall tension and improve your awareness of bodily sensations.

- Posture Correction: Pay attention to your posture during daily activities, especially when sitting for long periods or exercising. Maintaining a neutral spine position can help reduce strain on your neck and back.

In conclusion, while unusual sensations in the neck and back can be concerning, they are often related to muscle tension, posture, or minor structural issues. However, it is essential to seek professional advice to rule out any serious underlying conditions and to receive appropriate treatment tailored to your specific needs.

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