Should You See a Doctor for Persistent Neck and Shoulder Pain?

Neck and shoulder pain

Hello, actually my problem is quite common.
I have pain from my neck to my shoulders.
Generally speaking, the solutions for these issues are widely available online.
However, the internet usually suggests exercises, proper sitting posture, and similar methods to alleviate shoulder discomfort.
I would like to ask if, to a certain extent, neck and shoulder problems should prompt a visit to a doctor? I've been experiencing my neck and shoulder issues for about a year now, at least...
it always makes me feel very fatigued.
When I feel tired, I go to sleep, but upon waking, I feel pain all over my body (not sure if it's due to my sleeping position), especially on the right side of my neck, which is more painful when pressed than other areas.
Currently, I am using a topical analgesic, but it doesn't help much.
I occasionally massage it with my hands, but there hasn't been much improvement.
Sometimes I use a massage device instead of my hands.
I also try to avoid carrying heavy objects, but it seems the situation hasn't improved.
Recently, while walking, I sometimes feel a sharp pain in my shoulder.
I wonder if the methods I've been using require a long time to be effective? If so, how long might it take to improve? Given my situation, do I need to see a doctor? I'm quite worried that seeking treatment for what seems like a "minor issue" might be inappropriate, especially since doctors are very busy.
However, I really hope to recover quickly, as it affects my daily life to some extent.
Additionally, I would like to add that could the shoulder pain be affecting my hand/wrist? I used to have no problem lifting heavy objects, but now even lifting something slightly heavy causes pain in my wrist.
Also, today my right hand feels like the nerves inside are twitching.
I'm not sure if I've experienced this before.
I apologize for not being very detailed, as I haven't observed myself closely for the past few days.
Thank you :)

Xiao Ka, 20~29 year old female. Ask Date: 2003/12/27

Dr. Lai Lunxiang reply Neurology

Based on my personal experience, your issue is not difficult to manage.
It involves local injection of saline solution along the acupuncture points following the meridian pathway.
However, this is related to your individual constitution, and one treatment may provide relief for about six months.
Give it a try!

Reply Date: 2003/12/27

More Info

When dealing with persistent neck and shoulder pain, especially when it has lasted for a year, it is crucial to consider seeking medical attention. While many people often turn to online resources for advice on exercises and posture adjustments, these self-management strategies may not be sufficient for everyone, particularly if the pain is affecting your daily life and overall well-being.

Your description of the pain being localized to the right side of your neck, along with the sensation of fatigue and discomfort that worsens after sleep, suggests that there may be underlying issues that require professional evaluation. The fact that you experience a sharp sensation in your shoulder while walking, and that your wrist pain has developed after lifting even light objects, indicates that the problem may not be limited to muscle strain or poor posture. It could involve nerve compression or other musculoskeletal issues.

In general, if you have tried conservative measures such as self-massage, topical analgesics, and avoiding heavy lifting without significant improvement, it is advisable to consult a healthcare professional. A physician can perform a thorough examination, which may include physical assessments and possibly imaging studies like X-rays or MRI scans, to determine the root cause of your symptoms. This is particularly important if you are experiencing neurological symptoms, such as the feeling of your hand or wrist being affected, or if you notice any unusual sensations like twitching.

Moreover, persistent pain that does not respond to home treatments can be indicative of conditions such as cervical radiculopathy, herniated discs, or other spinal issues that may require more specialized interventions. A healthcare provider can also help rule out serious conditions that could be contributing to your symptoms, such as nerve impingement or other structural problems in the cervical spine.

In terms of the timeline for recovery, it varies significantly depending on the underlying cause of your pain. Some conditions may improve with physical therapy and lifestyle modifications, while others may require more intensive treatment. A healthcare professional can provide a tailored treatment plan and set realistic expectations for recovery.

Lastly, regarding your concern about being a burden to healthcare providers, it is essential to remember that your health is a priority. Medical professionals are trained to address a wide range of issues, and seeking help for persistent pain is a responsible decision. Ignoring symptoms can lead to worsening conditions and potentially more complex treatments down the line.

In conclusion, given the duration and impact of your symptoms, it is advisable to see a doctor. They can provide a comprehensive evaluation and guide you toward appropriate treatment options, ensuring that you can return to your normal activities without pain. Don't hesitate to seek help; your health and quality of life are worth it.

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