Neck Pain: When to See an ENT Specialist - Otolaryngology

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Based on the symptoms you've described, it sounds like you're experiencing a complex interplay of issues that may involve multiple systems in your body. The pain you're feeling near your collarbone when swallowing, along with intermittent neck pain, shoulder discomfort, and episodes of dizziness, can be indicative of several underlying conditions.
First, let's break down your symptoms. The pain near your collarbone, especially when swallowing, could suggest issues related to the cervical spine, such as nerve compression or irritation. The cervical spine houses nerves that innervate the shoulders, arms, and even parts of the chest. If there is any inflammation or structural issue in the cervical region, it could lead to referred pain in these areas.
The intermittent neck pain and the sensations of pain radiating to your shoulders and arms could also be linked to cervical radiculopathy, which occurs when a nerve in the neck is compressed or irritated. This condition can lead to pain, numbness, or weakness in the arms and shoulders, and it often presents with a variety of symptoms that can be confusing.

Additionally, the dizziness you're experiencing could be related to cervical spine issues, particularly if there is any involvement of the vertebral arteries that supply blood to the brain. Cervical vertigo can occur when there is a disturbance in the cervical spine that affects balance and spatial orientation.

Given that you've already consulted with internal medicine and ENT specialists, and have undergone imaging studies like chest X-rays and neck ultrasounds that returned normal results, it may be beneficial to consider seeing a neurologist or a pain management specialist. A neurologist can evaluate for any neurological conditions that might be causing your symptoms, including potential issues with nerve conduction or central nervous system involvement.

Furthermore, if your symptoms are significantly affecting your quality of life, a consultation with a physical therapist specializing in cervical spine issues could be beneficial. They can provide targeted exercises to strengthen the neck and shoulder muscles, improve posture, and potentially alleviate some of the discomfort you're experiencing.

In summary, while your symptoms are complex and may require a multidisciplinary approach, starting with a neurologist or a pain management specialist would be a prudent next step. They can help determine if there are any underlying neurological issues contributing to your symptoms and guide you toward appropriate treatment options. Additionally, consider discussing your symptoms with a physical therapist who can help address any musculoskeletal components that may be contributing to your discomfort.
Remember, it's essential to keep an open line of communication with your healthcare providers and to advocate for yourself if you feel your concerns are not being fully addressed. Your health and well-being are paramount, and finding the right specialist can make a significant difference in your recovery journey.