Clavicle and Neck Pain: Causes and Relief Strategies - Orthopedics

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Discomfort in the clavicle and posterior neck?


Hello, Doctor: My symptoms started three days ago when I woke up.
I experience pain in my clavicle that radiates to the back of my neck when I am in certain positions or angles.
Initially, I felt pain when raising my left arm or using it with force, but now raising my arm suddenly does not cause pain anymore.
However, I still feel discomfort at certain angles or positions.
What could this condition be? How can I alleviate it? Will it heal on its own? Thank you!

mi mi Lei, 30~39 year old female. Ask Date: 2021/07/26

Dr. Cai Shanglin reply Orthopedics


This condition is commonly known as "wry neck," and its medical term is "acute cervical fibrositis." During the acute phase, if there is inflammation and swelling in the neck, it is recommended to apply ice packs to reduce the inflammatory response.
Afterward, heat therapy can be used to relax the tense muscle tissue and promote blood circulation.
Finally, incorporating some stretching exercises can help relieve muscle tension for therapeutic effects.
Generally, wry neck improves within 2 to 3 days to a week; however, if pain persists for more than two weeks without improvement, it is advisable to seek medical attention promptly.

Reply Date: 2021/07/26

More Info


Understanding clavicle and neck pain can be quite complex, as these symptoms can arise from various underlying conditions. Based on your description, it seems that you are experiencing pain that radiates from the clavicle to the neck, which can be indicative of several issues, including muscular strain, nerve irritation, or even joint dysfunction.


Possible Causes of Clavicle and Neck Pain
1. Muscle Strain: One of the most common causes of pain in the clavicle and neck area is muscle strain. This can occur due to poor posture, sleeping in an awkward position, or overexertion during physical activities. The muscles around the neck and shoulders can become tight and inflamed, leading to discomfort.

2. Nerve Compression: Conditions such as cervical radiculopathy, where a nerve in the neck is compressed or irritated, can cause pain that radiates to the shoulder and clavicle area. This can happen due to herniated discs or degenerative changes in the cervical spine.

3. Joint Dysfunction: The acromioclavicular joint, where the clavicle meets the shoulder blade, can also be a source of pain. Injuries or arthritis in this joint can lead to pain that may be felt in the neck and shoulder.

4. Referred Pain: Sometimes, pain in the neck and clavicle can be referred from other areas, such as the thoracic spine or even the heart. It’s essential to consider other potential sources of pain, especially if the symptoms persist.


Relief Strategies
1. Rest and Ice: Initially, it’s crucial to rest the affected area and apply ice to reduce inflammation. Ice therapy can help alleviate pain and swelling, especially in the first 48 hours after the onset of symptoms.

2. Gentle Stretching and Strengthening Exercises: Once the acute pain subsides, gentle stretching and strengthening exercises can help restore mobility and strength to the affected muscles. Focus on neck and shoulder stretches, and consider consulting a physical therapist for a tailored exercise program.

3. Posture Correction: Pay attention to your posture, especially if you spend long hours sitting or working at a computer. Ergonomic adjustments to your workspace can help reduce strain on your neck and shoulders.

4. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help manage pain and inflammation. However, consult with a healthcare provider before starting any medication.

5. Heat Therapy: After the initial inflammation has decreased, applying heat can help relax tight muscles and improve blood flow to the area.

6. Physical Therapy: If symptoms persist, seeking the help of a physical therapist can be beneficial. They can provide manual therapy, modalities like ultrasound or electrical stimulation, and a structured rehabilitation program.


Will It Heal on Its Own?
In many cases, mild to moderate clavicle and neck pain can resolve on its own with appropriate self-care measures. However, if the pain persists for more than a few days, worsens, or is accompanied by other concerning symptoms (such as numbness, tingling, or weakness in the arms), it is essential to seek medical attention. A healthcare provider can perform a thorough evaluation, which may include imaging studies like X-rays or MRI, to rule out more serious conditions.


Conclusion
In summary, while your symptoms may be due to a common issue such as muscle strain or nerve irritation, it is essential to monitor your condition closely. Implementing self-care strategies can provide relief, but do not hesitate to consult a healthcare professional if your symptoms do not improve or if you have any concerns about your health. Early intervention can lead to better outcomes and prevent potential complications.

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