Should I Seek Further Medical Attention for Neck Pain and Dizziness?

Please consult about neck pain and seeking medical attention?

Hello, I would like to ask whether I should continue seeking medical attention regarding my situation.
Two weeks ago, I experienced dizziness in the evening, and when I got home from work, my steps felt slightly unsteady.
A day or two later, I had intermittent neck pain, specifically in a V-shape on the front of my neck, which I found out online is related to the sternocleidomastoid muscle on the right side.
The pain is located in the middle of my neck and feels like the internal tissues are cramping, without any tenderness upon palpation.
Concerned, I visited a nearby small hospital's neurology department the next day (the neck pain was only mildly present).
The doctor assessed that there were no corresponding symptoms (such as vision loss or altered consciousness) to indicate a risk of cerebrovascular issues, suggesting it might be due to weather or other factors, and prescribed medication.
During this period, the symptoms changed to occasional superficial stabbing pains in my head, and the neck pain persisted intermittently.
When I returned for a follow-up before the long holiday, the doctor recommended that I go to a larger hospital to check for other conditions related to the tonsils or thyroid.
After the holiday, the symptoms occurred only a few times a day and were not severe, but the fact that the symptoms have persisted for two weeks without a definitive diagnosis makes me hesitant about whether I should go to a larger hospital immediately.

Additionally, I feel that larger hospitals can be more complicated to navigate, and with the recent rise in COVID-19 cases, I am concerned.
I was also advised to see a "Metabolism Department," but the appointment is not available for almost two weeks.
I would like to know if I should wait to see the Metabolism Department or if I should seek an earlier appointment with an ENT specialist or a family medicine doctor, or if you have any other recommendations?

Mason, 30~39 year old female. Ask Date: 2022/04/06

Dr. Jiang Junyi reply Neurology

Dear Mr.
Mason,
You mentioned that "the physician suggested going to a large hospital to check for other diseases related to the tonsils and thyroid." These examinations can be arranged by relevant physicians at regional hospitals, and you do not necessarily have to wait for an appointment with the endocrinology department.
As you mentioned, "visiting another ENT specialist with a similar scope of practice" is advisable, and you may consider seeing an internal medicine physician or an ENT specialist first.
Internal medicine specialists are trained in the fundamental diseases related to endocrinology during their training.
Thank you for your inquiry, and feel free to discuss any related questions further!
Wishing you good health and peace,
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2022/04/06

More Info

Based on your description, it seems that you are experiencing a combination of neck pain and dizziness, which has persisted for two weeks. You have already consulted a neurologist who ruled out serious conditions like cerebrovascular issues, but your symptoms have not completely resolved, leading to your uncertainty about whether to seek further medical attention.

First and foremost, it is important to understand that persistent symptoms like yours warrant further investigation, especially since they have not improved significantly over the past two weeks. While the neurologist's assessment was reassuring, the fact that you are still experiencing discomfort and dizziness suggests that there may be an underlying issue that has yet to be identified.

The symptoms you describe, particularly the localized pain in the sternocleidomastoid muscle (the muscle you mentioned in the V-shape of your neck), could be related to muscle strain, tension, or even postural issues. Dizziness can sometimes be associated with neck pain due to the cervical spine's proximity to the vestibular system, which is responsible for balance. Additionally, if there is any inflammation or irritation of the nerves in the neck, this could also contribute to your symptoms.

Given that your symptoms have persisted and you are experiencing intermittent pain and dizziness, it would be prudent to seek further medical attention sooner rather than later. While you mentioned the potential wait time for an appointment with a metabolic specialist, you might consider visiting an ear, nose, and throat (ENT) specialist or a family medicine physician in the interim. These specialists can evaluate your symptoms from different perspectives and may be able to provide you with additional insights or treatments.

Moreover, if you experience any new symptoms such as severe headaches, visual disturbances, or changes in consciousness, you should seek immediate medical attention, as these could indicate a more serious condition.

In summary, while it is understandable to feel hesitant about visiting a larger hospital due to the complexities and potential exposure to illness, your health and well-being should take precedence. Seeking a consultation with an ENT or family medicine physician could provide you with a more comprehensive evaluation of your symptoms. They may also be able to expedite any necessary imaging studies or referrals to other specialists if needed. Remember, it is always better to err on the side of caution when it comes to your health.

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