After a fall, there is often a cracking sound in the cervical spine?
Hello Doctor: A few days ago, I fell while rock climbing, landing on my buttocks (the fall was about 2-3 meters high, and there was a thick soft mat below).
My neck absorbed a significant amount of the impact, and I heard two cracking sounds in my cervical spine during the fall.
Aside from that, I have no visible injuries, but the next day I felt soreness on the left side of my neck (though the soreness has decreased by the third day).
Additionally, I often hear cracking sounds when turning my head (which I did not experience before).
Should I go to the hospital for an examination, or is it unnecessary? Thank you!
vv, 20~29 year old female. Ask Date: 2020/04/27
Dr. Wang Shouji reply Orthopedics
Hello, cervical strain often results in stiffness and pain in the neck, and there may occasionally be unusual sounds.
However, if the sounds occur without accompanying pain, they are usually not a concern.
If there is abnormal pain in the neck or numbness and tingling in the hands, it is necessary to visit a hospital for examination.
Changhua Hospital cares about your health.
Wang Shou-ji.
Reply Date: 2020/04/27
More Info
After experiencing a fall, especially one that involves a significant impact to the neck, it is essential to be vigilant about any potential injuries, even if you feel fine initially. In your case, you mentioned that you fell while rock climbing, landing on a soft mat, which likely helped to cushion the impact. However, the fact that you heard cracking sounds in your neck and are experiencing soreness warrants further attention.
Neck cracking or popping sounds, medically referred to as crepitus, can occur for various reasons. These sounds can be benign, often resulting from the movement of tendons or ligaments over bones, or from gas bubbles in the joint fluid. However, in the context of a recent fall, it is crucial to consider the possibility of underlying injuries, such as sprains, strains, or even more severe conditions like fractures or disc injuries.
The soreness you are experiencing on the left side of your neck could indicate a muscle strain or a ligament injury. The fact that the pain has decreased over the next couple of days is a positive sign, but it does not completely rule out the possibility of a more serious injury. Symptoms such as persistent pain, swelling, or any neurological symptoms (like numbness, tingling, or weakness in the arms or legs) should be taken seriously.
Given your situation, here are some recommendations:
1. Monitor Symptoms: Keep an eye on your symptoms. If the pain worsens, or if you develop new symptoms such as headaches, dizziness, or neurological issues, seek medical attention promptly.
2. Rest and Ice: Allow your neck to rest and apply ice to reduce any swelling. Avoid any activities that may exacerbate the pain.
3. Consult a Healthcare Professional: Even if your symptoms seem mild, it is advisable to consult a healthcare professional, particularly if the cracking sounds persist or if you continue to experience discomfort. A thorough examination, possibly including imaging studies like X-rays or an MRI, may be necessary to rule out any serious injuries.
4. Physical Therapy: If your doctor recommends it, physical therapy can be beneficial in strengthening the neck muscles and improving flexibility, which may help alleviate pain and prevent future injuries.
5. Avoid High-Risk Activities: Until you have a clear understanding of your condition, it may be wise to avoid activities that put additional strain on your neck, such as rock climbing or other high-impact sports.
In summary, while not every neck crack or soreness after a fall indicates a serious injury, your recent fall and the accompanying symptoms suggest that a medical evaluation is prudent. Taking proactive steps to address your concerns can help ensure that any potential injuries are properly managed, allowing you to return to your activities safely. Always prioritize your health and well-being, and do not hesitate to seek medical advice when in doubt.
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