Neck Pain: Causes, Symptoms, and Treatment Options - Rehabilitation

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Neck issues, shoulder and neck pain, neck stiffness, and a sensation of discomfort in the lower left side of the neck?


Hello, Doctor.
I apologize for bothering you with some questions.
Regarding my neck stiffness and related issues, I understand that it is due to improper use of electronic devices, leading to excessive strain on my neck.
Since I frequently use public transportation, I have reduced, or even stopped using my mobile device while commuting.
However, I would like to ask you about something.
Previously, when I was using my phone improperly, I would hold it with my left hand and look at it at an angle towards the lower left.
As a result, I now feel that my neck is tilted towards that angle.
After looking up some cervical spine alignment images online, I feel that my cervical spine may be slightly tilted to the left, but I am unsure if it is genuinely misaligned or if it is just a muscular sensation.
Currently, I am consistently applying heat to my neck and shoulders every day, and I have a stable exercise routine each week.
I have taken pictures of my back, but unfortunately, I cannot upload attachments to share them with you.
At the moment, I feel tightness in my neck and shoulders, and whenever I look up, there is a sensation of tightness in my neck, as if something is resisting my upward gaze.
However, I do not experience discomfort or any numbness in my arms.
Doctor, do you think that continuing with heat therapy and incorporating appropriate neck and shoulder exercises will help improve my condition? How can I check if my cervical spine is misaligned? When using the computer, such as watching YouTube, the video screen is generally on the left side unless I force my eyes to look to the left.
Given my current situation, should I seek further treatment? If so, should I also ask a rehabilitation specialist to examine my spine and pelvis? I recall seeing a doctor mention that many parts of the body are interconnected.
How should I communicate this to the rehabilitation doctor? Thank you very much for taking the time to read my questions.
I appreciate it.

Er Ma, 20~29 year old female. Ask Date: 2022/04/21

Dr. Huang Weiqing reply Rehabilitation


Hello, based on the symptoms you described, it is likely that you are experiencing cervical spondylosis due to prolonged poor posture.
Most cases can be improved through postural adjustments, exercise therapy, and rehabilitation treatment.
You should consult a rehabilitation physician at a hospital for diagnosis and treatment.
Cervical spine X-rays can help determine if there are any cervical spine issues.
If rehabilitation and exercise do not yield satisfactory results, injection therapy may also be considered to improve the condition.
However, a thorough examination by a physician is necessary to confirm this diagnosis.
Thank you.

Reply Date: 2022/04/21

More Info


Understanding neck pain and its associated symptoms is crucial for effective management and treatment. Neck pain can arise from various causes, including poor posture, muscle strain, and underlying medical conditions. Given your situation, where you have been using your smartphone improperly and have experienced neck stiffness, it is essential to address both the symptoms and the underlying causes.


Causes of Neck Pain
1. Muscle Strain: Prolonged use of electronic devices often leads to muscle strain, particularly in the neck and shoulder areas. Holding your phone at an awkward angle can cause the muscles to work harder than usual, leading to tightness and discomfort.

2. Poor Posture: Maintaining a forward head posture while looking at your phone or computer can lead to misalignment of the cervical spine. This misalignment can cause muscle imbalances and strain, contributing to pain and stiffness.

3. Cervical Spine Issues: Conditions such as cervical spondylosis (age-related wear and tear of the spinal discs) or herniated discs can also lead to neck pain. These conditions may cause nerve compression, resulting in pain that can radiate to the shoulders or arms.


Symptoms
Common symptoms associated with neck pain include:
- Stiffness and tightness in the neck and shoulder muscles.

- Pain that may radiate to the arms or upper back.

- Difficulty in moving the neck, especially when looking up or turning.

- Headaches that may originate from the neck region.

- Tingling or numbness in the arms, which may indicate nerve involvement.


Treatment Options
1. Heat Therapy: Continuing with heat therapy is beneficial. Applying heat can help relax tight muscles and improve blood circulation, which aids in healing.

2. Exercise and Stretching: Incorporating gentle neck stretches and strengthening exercises can help improve flexibility and strength in the neck muscles. Focus on exercises that promote good posture and strengthen the upper back and shoulder muscles.

3. Posture Correction: Being mindful of your posture while using electronic devices is crucial. Ensure that your screen is at eye level to avoid tilting your head forward or to the side.

4. Physical Therapy: Consulting a physical therapist can provide you with a tailored exercise program and manual therapy techniques to alleviate pain and improve function. They can also assess your posture and spinal alignment.

5. Ergonomic Adjustments: If you spend a lot of time on the computer, consider making ergonomic adjustments to your workspace. Use a chair that supports your lower back, and position your monitor at eye level.


When to Seek Further Evaluation
If your symptoms persist despite home treatment, or if you experience additional symptoms such as severe pain, numbness, or weakness in the arms, it is advisable to seek further evaluation from a healthcare professional. A physical examination and imaging studies, such as X-rays or MRI, may be necessary to assess for any structural issues in the cervical spine.


Communicating with Your Healthcare Provider
When discussing your symptoms with a healthcare provider, be clear about your history of neck pain, any activities that exacerbate your symptoms, and the specific areas of discomfort. Mention your concerns about potential spinal misalignment and how your posture may be contributing to your pain. This information will help your provider tailor a treatment plan that addresses both your symptoms and any underlying issues.

In conclusion, with proper care, attention to posture, and appropriate exercises, many individuals can find relief from neck pain and prevent future occurrences. If your symptoms do not improve, consider consulting with a physical therapist or a specialist in musculoskeletal disorders for a comprehensive evaluation and treatment plan.

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