Left-sided cervical pain?
Yesterday morning, I stretched and heard a "pop" near my neck.
Since then, turning my head backward or moving it up and down has caused significant soreness and limited mobility.
I can feel a muscle on the left side of my neck, extending from the base of my skull to the back of my shoulder, which is tender to the touch but painful when I turn my head.
Initially, I thought it was a minor injury that would resolve on its own, but the issue has persisted for a day and into the next morning.
I would like to know what might be causing this and how I can rehabilitate or treat it.
Xuan Mo, 10~19 year old female. Ask Date: 2021/07/25
Dr. Lai Zhaokang reply Neurosurgery
Hello: It is suspected that there is a strain in the cervical facet joints, along with inflammation of the surrounding muscles and ligaments.
It is recommended to wear a cervical collar to allow the cervical spine to rest.
For the first three days, apply ice if there is severe pain.
After that, switch to warm compresses.
Gently apply anti-inflammatory and analgesic ointment.
If there is no improvement or if the condition worsens after a week, seek medical attention.
You may consult a neurosurgeon, orthopedic surgeon, or rehabilitation specialist.
Best wishes.
// Dr.
Lai Chao-Kang, Chief of Spine Surgery, Changhua Hospital
Reply Date: 2021/07/25
More Info
Left neck pain can arise from various causes, and understanding these can help in determining the appropriate rehabilitation strategies. Based on your description, it seems that the pain began after a sudden movement (stretching) that may have caused strain or injury to the muscles or ligaments in your neck. The "crack" sound you heard could indicate a change in the position of the cervical vertebrae or the release of gas bubbles in the joint, which is often harmless but can be associated with discomfort.
Possible Causes of Left Neck Pain
1. Muscle Strain: This is one of the most common causes of neck pain. It can occur due to sudden movements, poor posture, or overuse of neck muscles. In your case, the stretching motion may have strained the muscles on the left side of your neck.
2. Cervical Disc Issues: The cervical spine consists of discs that can herniate or degenerate, leading to pain that may radiate to the shoulders or arms. This is less likely if the pain is localized and does not radiate.
3. Cervical Spondylosis: Age-related wear and tear can lead to stiffness and pain in the neck. This condition is common in older adults but can also affect younger individuals, especially those with poor posture or repetitive neck movements.
4. Nerve Compression: If a nerve in the neck is compressed due to herniated discs or bone spurs, it can cause pain, tingling, or weakness in the arms.
5. Facet Joint Dysfunction: The joints in the back of the cervical spine can become inflamed or irritated, leading to localized pain that may worsen with movement.
Rehabilitation Strategies
1. Rest and Ice: Initially, it is essential to rest the neck and apply ice to reduce inflammation. Ice packs can be applied for 15-20 minutes several times a day.
2. Gentle Stretching and Range of Motion Exercises: Once the acute pain subsides, gentle stretching exercises can help restore flexibility. Neck tilts, rotations, and shoulder shrugs can be beneficial. However, avoid any movements that exacerbate the pain.
3. Physical Therapy: A physical therapist can design a personalized rehabilitation program that may include manual therapy, strengthening exercises, and modalities like ultrasound or electrical stimulation to alleviate pain and improve function.
4. Posture Correction: Evaluate your posture, especially if you spend long hours at a desk. Ensure your workstation is ergonomically set up, with the computer screen at eye level and your chair providing adequate support.
5. Heat Therapy: After the initial inflammation has decreased, applying heat can help relax tight muscles and improve blood flow to the area.
6. Medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help manage pain and inflammation. If the pain persists, consult a healthcare provider for further evaluation and potential prescription medications.
7. Avoiding Aggravating Activities: Be mindful of activities that may strain your neck, such as heavy lifting or awkward positions during sleep. Consider using a supportive pillow that keeps your neck aligned with your spine.
8. Gradual Return to Activities: As your symptoms improve, gradually return to normal activities. Avoid sudden movements and heavy lifting until you feel confident in your neck's stability.
When to Seek Medical Attention
If your symptoms do not improve with conservative measures, or if you experience severe pain, numbness, weakness in your arms, or any other concerning symptoms, it is crucial to seek medical attention. A healthcare provider may recommend imaging studies, such as X-rays or MRI, to assess the underlying cause of your neck pain.
In summary, left neck pain can result from various factors, including muscle strain, nerve compression, or joint dysfunction. Implementing a combination of rest, gentle exercises, posture correction, and possibly physical therapy can aid in recovery. Always listen to your body and consult a healthcare professional if symptoms persist or worsen.
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