Neck and Shoulder Pain: Symptoms and Solutions - Neurology

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I don't know what illness I have?


Hello Doctor, I often use electronic devices and tend to look down and slouch, which has led to stiffness in my neck and shoulders.
I sometimes feel a bit dizzy while sitting, and I experience tightness and pain around my shoulder blades.
Occasionally, I feel unsteady while walking, and my forearms feel somewhat swollen and stiff.
I'm not sure what condition I might have, and I would like to know how to treat and improve it.
Thank you, Doctor!

yzh, 20~29 year old female. Ask Date: 2022/06/03

Dr. Jiang Junyi reply Neurology


Hello,
You mentioned experiencing tightness and pain in the area around your shoulder blades, occasional instability while walking, and a feeling of swelling and stiffness in your forearms.
Your symptoms may be indicative of myofascial pain syndrome caused by cervical spine issues.
Prolonged periods of looking down can lead to overuse of the trapezius muscles in the back of the neck, resulting in neck and shoulder discomfort.
Initially, resting may alleviate the pain, but it can progressively worsen and interfere with daily activities.
Some patients report waking up in the morning with severe neck pain, stiffness, tightness, and intolerable levels of pain.

I recommend consulting with a neurologist or a rehabilitation specialist to discuss evaluation and treatment options.
Thank you for your inquiry, and feel free to reach out with any further questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Hospital

Reply Date: 2022/06/03

More Info


Neck and shoulder pain is a common issue, especially in our modern society where prolonged use of computers and mobile devices has become the norm. Your symptoms, including neck stiffness, shoulder tightness, dizziness while sitting, and a feeling of heaviness or stiffness in your forearms, suggest a combination of musculoskeletal strain and possibly nerve involvement.

Understanding Your Symptoms
1. Posture-Related Issues: The way we use technology often leads to poor posture, such as slouching or leaning forward. This can strain the muscles and ligaments in the neck and shoulders, leading to discomfort and pain. The muscles in the upper back and neck may become overworked and tight, resulting in tension headaches and dizziness.

2. Cervical Spine Problems: The cervical spine (the neck region) supports the head and allows for its movement. Poor posture can lead to cervical spine issues, such as cervical spondylosis or herniated discs, which can cause pain and may also affect nerve function, leading to sensations of numbness or tingling in the arms.

3. Muscle Tension and Fatigue: Continuous muscle tension from poor posture can lead to muscle fatigue and pain. This is often exacerbated by stress and anxiety, which can cause further tightening of the muscles.

4. Nerve Compression: If the cervical spine is compromised, it can lead to nerve compression, which may explain the sensations of heaviness or stiffness in your forearms. This can also contribute to feelings of dizziness, especially if the nerves that control balance are affected.


Recommendations for Relief
1. Posture Correction: Start by being mindful of your posture. Ensure that your workstation is ergonomically set up. Your computer screen should be at eye level, and your chair should support your lower back. When using mobile devices, try to hold them at eye level rather than looking down.

2. Regular Breaks: Take frequent breaks from your screen. Every 30 minutes, stand up, stretch, and move around. This helps to relieve muscle tension and improve circulation.

3. Stretching and Strengthening Exercises: Incorporate neck and shoulder stretches into your daily routine. Simple exercises like neck tilts, shoulder rolls, and upper back stretches can help alleviate tightness. Strengthening exercises for the upper back and shoulders can also improve posture and reduce strain.

4. Physical Therapy: If your symptoms persist, consider consulting a physical therapist. They can provide personalized exercises and treatments to address your specific issues.

5. Stress Management: Techniques such as deep breathing, yoga, or meditation can help reduce overall muscle tension and improve your mental well-being.

6. Heat and Cold Therapy: Applying heat to the neck and shoulders can help relax tight muscles, while cold packs can reduce inflammation if there’s any swelling.

7. Consult a Healthcare Professional: If your symptoms do not improve with self-care measures, or if you experience severe pain, numbness, or weakness, it’s important to consult a healthcare professional. They may recommend imaging studies, such as X-rays or MRIs, to assess for any underlying conditions.


Conclusion
In summary, your symptoms are likely related to poor posture and muscle tension due to prolonged use of 3C products. By making ergonomic adjustments, taking regular breaks, and incorporating stretching and strengthening exercises, you can significantly improve your condition. If symptoms persist, seeking professional help is crucial for a proper diagnosis and treatment plan. Remember, taking proactive steps now can prevent more serious issues in the future.

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