Neck Pain: Causes, Symptoms, and Relief Strategies - Neurology

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Neck pain


Hello Doctor, for the past month, I have been experiencing soreness when tilting my neck backward and downward to the left.
When I touch the painful area, it is located on the left side of my neck, and while I can't pinpoint a specific spot on the back, there is a noticeable stiffness.
Occasionally, my left shoulder feels achy, and I experience discomfort in my left arm at certain angles.
Sometimes I feel much better upon waking up, but the discomfort returns once I start working.
My job requires me to sit in front of a computer.
Could this be due to poor posture? Is it possible that raising my hands too high or having a chair that is too low could be contributing factors? Or could it be related to using my phone? I usually sleep on my side; which sleeping position would be better for my current condition?

Sheng, 20~29 year old female. Ask Date: 2022/11/24

Dr. Cai Zongzhang reply Neurology


Hello: The symptoms mentioned are related to prolonged poor posture of the neck and upper arms during work.
It is recommended to visit a neurology clinic for examination and further treatment recommendations.

Reply Date: 2022/11/24

More Info


Neck pain is a common issue that can arise from various factors, including poor posture, muscle strain, and underlying medical conditions. Based on your description, it seems that your neck pain may be related to your work environment and daily habits, particularly your posture while sitting at a computer and using your phone.


Causes of Neck Pain
1. Poor Posture: Sitting for extended periods, especially in front of a computer, can lead to poor posture. If your workstation is not ergonomically designed, it can cause strain on your neck and shoulders. For instance, if your monitor is too low or too high, or if your chair does not provide adequate support, you may find yourself leaning forward or tilting your head, which can lead to muscle fatigue and pain.

2. Muscle Strain: Repetitive movements, such as looking down at your phone or holding your head in an awkward position while working, can strain the muscles in your neck. This strain can result in discomfort and stiffness, particularly if you are not taking regular breaks to stretch and change positions.

3. Sleeping Position: Your sleeping position can also contribute to neck pain. Side sleeping can be comfortable, but if your pillow is too high or too firm, it can misalign your neck and spine, leading to discomfort. It’s essential to use a pillow that supports the natural curve of your neck.

4. Cervical Spine Issues: Conditions such as cervical spondylosis or herniated discs can also cause neck pain. These conditions may require medical evaluation and treatment.


Symptoms
The symptoms you describe—pain when tilting your head back or to the left, stiffness, and occasional discomfort in your shoulder and arm—are common signs of muscle strain or tension in the neck. The fact that you feel better after sleeping but experience discomfort again when working suggests that your work environment may be a significant factor.


Relief Strategies
1. Ergonomic Adjustments: Ensure that your workstation is ergonomically friendly. Your computer screen should be at eye level, and your chair should support your lower back. Your feet should rest flat on the floor, and your arms should be at a comfortable angle when typing.

2. Regular Breaks: Take regular breaks to stand, stretch, and move around. This can help alleviate muscle tension and improve circulation. Aim to take a break every 30 minutes to an hour.

3. Neck Exercises: Gentle neck stretches can help relieve tension. Try tilting your head to one side and holding for a few seconds, then switch sides. You can also gently rotate your neck in a circular motion to loosen tight muscles.

4. Heat Therapy: Applying heat to your neck can help relax tight muscles. A warm compress or heating pad can be beneficial, especially after a long day of work.

5. Sleeping Position: If you are a side sleeper, consider using a pillow that maintains the natural alignment of your neck. A medium-loft pillow that supports your head without raising it too high is ideal. You might also try sleeping on your back with a supportive pillow under your neck.

6. Consult a Professional: If your symptoms persist or worsen, consider consulting a healthcare professional, such as a physical therapist or a chiropractor. They can provide personalized exercises and treatments to address your specific issues.


Conclusion
In summary, your neck pain is likely influenced by your posture while working and your sleeping habits. By making ergonomic adjustments, taking regular breaks, and practicing gentle stretches, you can alleviate discomfort and improve your overall neck health. If the pain continues, seeking professional advice is crucial to rule out any underlying conditions and to receive tailored treatment. Remember, maintaining good posture and being mindful of your body mechanics can significantly impact your neck health in the long run.

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