Neck Pain, Dizziness, and Nausea After Stretching

Shoulder and neck pain accompanied by dizziness and nausea?

Hello doctor, two days ago in the evening, I did some stretching exercises at home.
A few hours later, I started to feel pain in a straight line from the back of my neck to the area just below my shoulder blades.
Turning my neck side to side or up and down causes pain.
I thought resting and sleeping would help, but the next day it still hurt.
The following morning, when I woke up and tried to get out of bed, I experienced severe dizziness and had to take five to ten minutes to slowly get up.
Sudden movements like turning my head or looking down also cause dizziness, and sometimes I even feel like vomiting.
I'm currently resting at home.
Could you please advise what might be causing these symptoms? Which specialty should I consult or what kind of examinations should I arrange? Thank you.

Xingqi san, 30~39 year old female. Ask Date: 2022/12/01

Dr. Wang Zhaomin reply Rehabilitation

Dizziness and vomiting symptoms may be related to the balance functions of the inner ear or cerebellum.
In some cases, cervical spine issues may also be involved.
It is advisable to consult an otolaryngologist or a neurologist for evaluation to determine the underlying cause.

Reply Date: 2022/12/01

More Info

Based on your description, it seems that you are experiencing a combination of neck pain, dizziness, and nausea following a stretching exercise. These symptoms can be quite distressing and may indicate a few potential underlying issues.

Firstly, the neck pain you are experiencing could be due to muscle strain or sprain resulting from the stretching exercise. When we engage in physical activities, especially those that involve stretching or sudden movements, it is possible to overstretch or strain the muscles and ligaments in the neck and upper back. This can lead to localized pain and discomfort, particularly when moving the neck in different directions.
The dizziness you are experiencing, especially upon waking or with sudden movements, could be related to a few different factors. One possibility is that the neck pain is causing tension in the muscles around the cervical spine, which can affect blood flow and lead to sensations of dizziness. Additionally, if there was any sudden movement during your stretching that may have affected the cervical vertebrae or the surrounding structures, it could potentially irritate the vestibular system, which is responsible for balance and spatial orientation.

Nausea can sometimes accompany dizziness, particularly if the dizziness is severe or if it is related to vestibular issues. It is also worth considering that if you are experiencing significant pain and discomfort, this can lead to stress and anxiety, which can further exacerbate feelings of nausea.

Given these symptoms, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in musculoskeletal issues, such as an orthopedic doctor or a neurologist. They can perform a thorough examination and may recommend imaging studies, such as an MRI or CT scan, to rule out any serious underlying conditions, such as a herniated disc or cervical spine injury.

In the meantime, here are some general recommendations that may help alleviate your symptoms:
1. Rest and Ice: Resting the affected area and applying ice can help reduce inflammation and pain. Avoid any activities that exacerbate your symptoms.

2. Gentle Stretching: Once the acute pain subsides, gentle neck stretches may help improve flexibility and reduce tension. However, avoid any movements that cause pain.

3. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, may help manage your pain. However, consult with your healthcare provider before taking any medication.

4. Hydration: Ensure you are well-hydrated, as dehydration can contribute to dizziness.

5. Gradual Movements: When getting out of bed or changing positions, do so slowly to minimize dizziness.

6. Physical Therapy: If your symptoms persist, a physical therapist can provide tailored exercises and treatments to help strengthen the neck muscles and improve your range of motion.

In conclusion, while your symptoms may be related to muscle strain or tension, it is essential to consult with a healthcare professional to obtain an accurate diagnosis and appropriate treatment. Early intervention can help prevent further complications and promote a quicker recovery.

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