Persistent Neck Heat: Symptoms and Possible Causes

Q: Persistent Neck Heat: Symptoms and Possible Causes

Hello Mr. <br>Haohao： Your symptoms may suggest cervical myofascial inflammation. <br>In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature. <br>Symptoms include pain at th

Heat in the back of the neck?

Hello, doctor! I initially thought that my fever was caused by a cold, but even though the cold has resolved for 1 to 2 months, I still experience a sensation of heat in the back of my neck.
During the day, there are times when the back of my neck feels warm, even when the air conditioning is on.
When I'm not using the air conditioning, the sensation of warmth is less pronounced.
I had an X-ray done, which showed no issues with my bones.
This has been ongoing for about two months, and I have no other symptoms or cold.
Due to my job, I spend long hours on the computer.
Currently, I can only apply topical ointments to relieve the sensation of warmth or use cooling gels.
When I touch the area, it also feels warm.

Haohao, 30~39 year old female. Ask Date: 2021/07/25

Dr. Jiang Junyi reply Neurology

Hello Mr.
Haohao: Your symptoms may suggest cervical myofascial inflammation.
In the early stages of cervical muscle and fascia tightness, there may not be obvious changes in the cervical spine, but imaging can show a decrease in curvature.
Symptoms include pain at the affected site, discomfort, muscle stiffness, or neurological sensations.
Symptoms often worsen in the morning upon waking or with changes in weather, but can be alleviated with stretching activities, and they tend to recur frequently.
During acute episodes, there may be local muscle tension and spasms, leading to restricted movement.
I recommend consulting with a neurologist or a rehabilitation specialist to discuss examination and treatment options.
Please ensure self-protection and maintain cleanliness and disinfection before and after seeking medical care.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2021/07/25

More Info

Persistent neck heat can be a perplexing symptom, especially when it lingers long after other symptoms of an illness, such as a cold, have resolved. In your case, experiencing neck heat for over two months without any accompanying symptoms like fever, cough, or other systemic signs can be indicative of several underlying issues.
Firstly, it's important to consider the possibility of musculoskeletal causes. Given your occupation involves prolonged computer use, you may be experiencing muscle tension or strain in the neck and upper back. This can lead to a sensation of warmth or heat due to increased blood flow to the area as your muscles work harder to maintain posture. Poor ergonomics while working at a computer can exacerbate this issue, leading to muscle fatigue and discomfort.
Another potential cause could be related to nerve irritation or compression. Conditions such as cervical radiculopathy, where a nerve in the neck is compressed or irritated, can lead to abnormal sensations, including warmth or heat in the neck area. This is often accompanied by other symptoms such as tingling or numbness in the arms or shoulders.
Additionally, hormonal changes or imbalances can also lead to sensations of heat. For instance, thyroid disorders, particularly hyperthyroidism, can cause increased body temperature and a feeling of warmth. Although you mentioned that X-rays showed no issues with your bones, it may be worthwhile to consider blood tests to evaluate your thyroid function and other hormonal levels.

Stress and anxiety can also manifest physically, sometimes leading to sensations of heat or flushing in various parts of the body, including the neck. If you have been under significant stress, this could be a contributing factor.

In terms of management, while topical treatments like cooling ointments may provide temporary relief, it would be beneficial to address the underlying cause. Here are some recommendations:
1. Ergonomic Adjustments: Ensure your workstation is set up ergonomically. Your monitor should be at eye level, and your chair should support your lower back. Taking regular breaks to stretch and move can also help alleviate muscle tension.

2. Physical Therapy: A physical therapist can provide exercises to strengthen neck muscles and improve posture, which may help reduce the sensation of heat.

3. Stress Management: Incorporating stress-reducing techniques such as mindfulness, yoga, or meditation can help alleviate physical symptoms related to stress.

4. Medical Evaluation: If the sensation persists, consider consulting a healthcare provider for a comprehensive evaluation. This may include blood tests to check for thyroid function, vitamin deficiencies, or other metabolic conditions.

5. Hydration and Nutrition: Ensure you are well-hydrated and consuming a balanced diet. Sometimes, dehydration can lead to feelings of warmth or discomfort.

In conclusion, while persistent neck heat can be concerning, understanding the potential causes can help in addressing the issue effectively. It is crucial to monitor your symptoms and seek further medical advice if they persist or worsen. A thorough evaluation by a healthcare professional can provide clarity and guide appropriate treatment options.

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