Neck Pain: When to Seek Help for Possible Tumors

Neck problems

Hello, doctor.
I have been experiencing tightness and sharp pain in the left side of my neck and occipital area for about 4-5 months.
Recently, I also started feeling a bit of numbness and a cool sensation in my left hand, but it’s not severe—just a feeling like it’s been pressed for a long time.
My strength is still normal, and I don’t feel weak.
Additionally, I have a slight aching and numb sensation in my left buttock, as well as in my left knee and occasionally in my calf.
I would like to know which specialist I should see, as I have consulted many doctors already.
I have only had X-rays done, and physical therapy has not improved my condition.
Occasionally, I also experience sharp pain in my left jaw.
Please help me; this is really troubling and painful for me.
😭 Could this be a lymphatic tumor or something else? I’m not sure which specialist to consult.

AJ, 20~29 year old female. Ask Date: 2020/03/18

Dr. Chen Sirong reply Oncology

AJ / 25 years old / Female
1.
Please help me, I'm really troubled and in pain.
😭
A: Although you are distressed, the examinations did not reveal any significant issues.
Since rehabilitation hasn't helped, it's difficult to determine if it's related to prolonged use of your phone or computer.
However, I suggest practicing Qigong, doing some yoga, or visiting a chiropractor for treatment.
I know a practitioner, Mr.
Chen (0937969450).
2.
Could this be a lymphatic tumor or something similar?
A: There was no tumor detected upon examination, so it is likely not.
3.
I'm not sure which specialist to see.

A: I believe you have seen the appropriate specialists.
Wishing you a speedy recovery.
Taoyuan Hospital, Dr.
Chen Sih-Rong.

Reply Date: 2020/03/18

More Info

When it comes to neck pain, especially when accompanied by symptoms such as numbness, tingling, or pain radiating to other areas, it is crucial to seek medical attention. Your symptoms, which include tightness and pain in the left posterior neck and occipital region, as well as numbness and a sensation of pressure in your left arm, could be indicative of several underlying conditions, including potential tumors or other serious issues.

Given your history of persistent neck pain for several months, along with the recent onset of neurological symptoms (numbness and tingling), it is essential to approach this situation with caution. While it is possible that these symptoms are related to musculoskeletal issues, such as cervical spondylosis or a herniated disc, they could also suggest more serious conditions, including lymphadenopathy or tumors.

When to Seek Help
1. Persistent Symptoms: If your symptoms have lasted for more than a few weeks without improvement, it is advisable to consult a healthcare professional. Chronic pain, especially when it radiates or is associated with neurological symptoms, warrants further investigation.

2. Neurological Symptoms: The presence of numbness, tingling, or weakness in the limbs can indicate nerve involvement, which may be due to compression from a herniated disc, bone spurs, or even a tumor. These symptoms should not be ignored.

3. Changes in Symptoms: If you notice any changes in the size of a lump, new lumps appearing, or if your pain intensifies, these are red flags that require immediate medical evaluation.

Recommended Specialists
Given your symptoms, you should consider seeing the following specialists:
- Neurologist: A neurologist can evaluate your neurological symptoms and perform necessary tests, such as MRI or CT scans, to assess for any nerve compression or other neurological issues.

- Otolaryngologist (ENT): If there is a concern about lymph nodes or tumors in the neck area, an ENT specialist can perform a thorough examination and may recommend imaging studies or biopsies if necessary.

- Orthopedic Surgeon or Neurosurgeon: If your symptoms are related to structural issues in the cervical spine, these specialists can provide insights into potential surgical interventions if conservative treatments fail.

Diagnostic Approach
1. Imaging Studies: An MRI of the cervical spine is often the best initial imaging study to evaluate for disc herniation, spinal stenosis, or tumors. X-rays may not provide sufficient detail for soft tissue evaluation.

2. Physical Examination: A thorough neurological examination is crucial to assess reflexes, muscle strength, and sensory function.

3. Biopsy: If a suspicious mass is found, a biopsy may be necessary to determine the nature of the tumor (benign vs. malignant).

Conclusion
Your symptoms are concerning and warrant a comprehensive evaluation. While it is understandable to feel anxious about the possibility of a tumor, many conditions can cause similar symptoms. Early diagnosis and intervention are key to managing your symptoms effectively. Please ensure you follow up with a healthcare provider who can guide you through the necessary diagnostic steps and treatment options. Remember, your health and well-being are paramount, and seeking help is the first step towards relief.

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