Neck Pain: When to Seek Medical Help for Rehabilitation - Rehabilitation

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Neck issues?


Hello, I experience a pulling pain on the right side of my neck when I turn my head to the right, especially when I deliberately perform a double chin movement while turning my head to the right.
If I try to bring my head towards my left shoulder, I can feel pain on the right side of my neck.
There is no headache or any other issues; it just hurts when I turn to the right or when I turn my head while sleeping.
This problem started one day after I woke up and has persisted for over three months without improvement.
I have tried some rehabilitation exercises I found online, but they haven't helped.
Should I see a doctor? What could be the issue?

Alex, 40~49 year old female. Ask Date: 2024/02/26

Dr. Su Hongci reply Rehabilitation


Hello: It is advisable for you to visit a medical facility for consultation.
Wishing you good health!

Reply Date: 2024/02/26

More Info


Neck pain, particularly when it is localized and persistent, can be a significant concern, especially when it affects your daily activities and quality of life. Based on your description of the pain on the right side of your neck, particularly when turning your head to the right or performing specific movements like tucking your chin, it is advisable to seek medical help for a thorough evaluation and rehabilitation.


When to Seek Medical Help
1. Duration of Symptoms: You mentioned that the pain has persisted for over three months. Chronic pain lasting this long warrants a medical evaluation. Acute neck pain can often resolve on its own, but when it becomes chronic, it may indicate an underlying issue that requires professional assessment.

2. Impact on Daily Life: If the pain is affecting your ability to perform daily activities, such as sleeping comfortably or engaging in work or recreational activities, it is essential to consult a healthcare provider. Persistent pain can lead to compensatory movements that may cause further injury or discomfort.

3. Self-Management Ineffectiveness: You have already attempted some rehabilitation exercises found online without improvement. This lack of progress suggests that a more tailored approach, possibly involving a physical therapist or a physician, may be necessary.


Possible Causes of Your Neck Pain
1. Muscle Strain: The most common cause of neck pain is muscle strain, which can occur from poor posture, sleeping in an awkward position, or sudden movements. This could explain the localized pain when turning your head.

2. Cervical Disc Issues: Conditions such as herniated discs or degenerative disc disease can lead to neck pain and may also affect nerve function, although you have not reported any neurological symptoms like numbness or tingling.

3. Cervical Spondylosis: Age-related wear and tear on the cervical spine can lead to stiffness and pain. This condition is common and can be exacerbated by poor posture or lack of movement.

4. Facet Joint Dysfunction: The joints in the back of the cervical spine can become irritated or inflamed, leading to pain during movement.

5. Referred Pain: Sometimes, pain in the neck can be referred from other areas, such as the shoulders or upper back.


Recommended Steps
1. Consult a Healthcare Provider: It is crucial to see a physician, preferably one specializing in musculoskeletal disorders or a physical therapist. They can conduct a physical examination, assess your range of motion, and possibly recommend imaging studies like X-rays or MRI if necessary.

2. Physical Therapy: A physical therapist can provide a tailored rehabilitation program that includes exercises to strengthen the neck muscles, improve flexibility, and address any postural issues. They can also teach you proper ergonomics for daily activities.

3. Pain Management: Depending on the severity of your pain, your doctor may recommend over-the-counter pain relievers or prescribe medications to help manage your symptoms.

4. Lifestyle Modifications: Incorporating regular stretching and strengthening exercises into your routine, maintaining good posture, and ensuring your sleeping environment is supportive can help alleviate symptoms.

5. Follow-Up: If symptoms persist despite initial treatment, further evaluation may be necessary to rule out more serious conditions.

In summary, given the duration and impact of your neck pain, it is advisable to seek medical help. A healthcare professional can provide a comprehensive evaluation and develop a rehabilitation plan tailored to your needs, helping you regain function and reduce pain. Remember, early intervention can often lead to better outcomes, so don’t hesitate to reach out for help.

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