Muscle Pain and Numbness in the Upper Back and Neck

Pain in the Huatuo area, with shoulder and neck stiffness accompanied by numbness?

Hello Doctor,
1.
Due to my work, I need to use the computer for long hours.
For a while, I experienced numbness in the area around my left and right back, specifically at the "yao" region.
After undergoing electrical therapy, traction, and massage at the rehabilitation department, my condition improved! However, I have recently noticed that when I hold a child (under two years old), I feel muscle soreness and tightness in the left side of my back.
I need to use a medicated patch or apply heat to relieve the discomfort.
2.
There is a specific point near my left shoulder close to my neck that experiences numbness due to certain positions of my head or left arm.
I went to the hospital for an X-ray, and the bones showed no issues.
I took muscle relaxants, but there was no improvement.
These symptoms have persisted for almost two years.
The only time I feel comfortable is when I lie down in bed to sleep.
Generally, during my daily activities, the left side of my back feels tighter.
I have not yet undergone an MRI to investigate the cause of my symptoms.
I hope you can assist me.
Thank you!

A-Hui, 30~39 year old female. Ask Date: 2021/01/03

Dr. Wang Zhaomin reply Rehabilitation

There are numerous causes of shoulder, neck, and back pain symptoms, including poor posture, muscle strains, external injuries, cervical degeneration, and herniated discs, all of which can lead to discomfort.
A proper assessment can only be made through an in-person examination; online consultations cannot replace an actual visit.
Please consult a neurosurgeon, orthopedic specialist, or rehabilitation physician for an accurate diagnosis and appropriate medication or rehabilitation treatment.

Reply Date: 2021/01/03

More Info

Understanding muscle pain and numbness in the upper back and neck can be quite complex, especially when symptoms persist over an extended period, as in your case. Based on your description, it seems that you have been experiencing discomfort and numbness in your upper back and neck, particularly on the left side, which has been exacerbated by activities such as lifting a child.

Possible Causes of Your Symptoms
1. Muscle Strain and Overuse: Given your work involves prolonged computer use, it's likely that you may be experiencing muscle strain due to poor posture or repetitive movements. This can lead to muscle fatigue and tightness, particularly in the upper back and neck regions. When you lift a child, the additional strain on your muscles can exacerbate existing tightness, leading to pain and discomfort.

2. Nerve Compression: The numbness you experience, especially when certain positions are held, could indicate nerve compression. This might be due to cervical spine issues, such as herniated discs or degenerative changes, which can lead to radiculopathy (nerve root irritation). The fact that you feel relief when lying down suggests that certain positions may alleviate pressure on the nerves.

3. Myofascial Pain Syndrome: This condition is characterized by the presence of trigger points in muscles that can refer pain to other areas. The tightness and discomfort you feel in your left shoulder and upper back could be related to myofascial pain, which can be aggravated by physical activities and stress.

4. Cervical Spondylosis: Age-related wear and tear on the cervical spine can lead to spondylosis, which may cause pain, stiffness, and numbness. This condition is common in individuals who spend long hours in front of a computer.

Recommended Diagnostic Steps
1. MRI Scan: Since you mentioned that you have not yet undergone an MRI, it would be prudent to discuss this with your physician. An MRI can provide detailed images of the cervical spine and help identify any disc herniation, spinal stenosis, or other structural issues that may be contributing to your symptoms.

2. Physical Examination: A thorough physical examination by a healthcare professional, including neurological assessments, can help determine if there are any specific areas of nerve involvement or muscle weakness.

3. Postural Assessment: Evaluating your workstation ergonomics and posture can also be beneficial. Adjustments to your chair, desk height, and computer screen position can help reduce strain on your neck and back.

Treatment Options
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles of your back and neck, improve flexibility, and correct any postural issues. Techniques such as stretching, strengthening exercises, and manual therapy can be effective.

2. Pain Management: Over-the-counter anti-inflammatory medications may help alleviate pain and reduce inflammation. Additionally, heat therapy, as you mentioned, can provide temporary relief.

3. Ergonomic Adjustments: Implementing ergonomic changes in your workspace can significantly reduce strain. Consider using an ergonomic chair, adjusting your monitor to eye level, and taking regular breaks to stretch.

4. Lifestyle Modifications: Incorporating regular exercise, such as yoga or swimming, can improve overall muscle tone and flexibility, which may help prevent future episodes of pain.

5. Alternative Therapies: Techniques such as acupuncture, chiropractic care, or massage therapy may provide additional relief for muscle tension and pain.

Conclusion
In summary, your symptoms of muscle pain and numbness in the upper back and neck are likely multifactorial, involving muscle strain, potential nerve compression, and possibly myofascial pain. It is essential to pursue further diagnostic imaging, such as an MRI, to rule out any serious underlying conditions. Meanwhile, physical therapy, ergonomic adjustments, and lifestyle changes can be beneficial in managing your symptoms. Always consult with a healthcare professional before starting any new treatment or therapy to ensure it is appropriate for your specific situation.

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