Neck Pain: Causes and Symptoms of Cervical Disc Issues

Neck issues

I would like to consult a doctor.
I have a mild cervical disc protrusion (as seen on MRI), and during cervical traction (with a pull of 5 kg), I experienced an itching sensation at the base of my skull near the vertebrae (I immediately stopped the traction).
After returning home, I yawned (I have tightness in my temporomandibular joint), and then I started to experience persistent pain.
It hurts the most when I sleep on it, and writing or reading also causes pain.
There is a sensation of "heat" in that specific area, but I do not have a fever.
When I am tense, the pain feels more severe.
Even after more than two weeks, I still feel a prickling, aching pain (similar to muscle tightness but twice as painful, like a wound exposed to the wind, although there is no actual wound).
When I drink warm water, I can feel warmth in my neck, and sometimes I also feel tightness around my eyes.
What could be the cause of this? Currently, I am experiencing alternating symptoms of itching, prickling pain, and a sensation of heat, and sometimes I hear a buzzing sound in my ears.

Niming, 20~29 year old female. Ask Date: 2024/03/06

Dr. Chen Bozhang reply Family Medicine

It is recommended that you return for an evaluation by a neurosurgeon or a rehabilitation specialist.
Thank you.

Reply Date: 2024/03/06

More Info

Understanding neck pain, particularly in relation to cervical disc issues, is crucial for effective management and treatment. Your symptoms suggest a complex interplay of factors that could be contributing to your discomfort. Let's break down the potential causes and symptoms associated with cervical disc issues, particularly focusing on a mild cervical disc herniation, as indicated by your MRI findings.

Causes of Neck Pain Related to Cervical Disc Issues
1. Cervical Disc Herniation: A herniated disc occurs when the soft inner gel of the disc bulges out through a tear in the tougher exterior. This can compress nearby nerves, leading to pain, tingling, or weakness in the neck, shoulders, arms, or even hands. The symptoms you described, such as the "itchy" sensation and localized pain, may be indicative of nerve irritation due to the herniation.

2. Muscle Strain: The neck is composed of numerous muscles that can become strained due to poor posture, overuse, or sudden movements. Your experience of pain during activities like writing or reading could be exacerbated by muscle tension, especially if you maintain a static posture for extended periods.

3. Cervical Spondylosis: Age-related wear and tear on the cervical spine can lead to spondylosis, which may contribute to disc degeneration and associated pain. This condition is common and can lead to stiffness and discomfort, particularly in the morning or after periods of inactivity.

4. Nerve Compression: If a herniated disc compresses a nerve root, it can lead to symptoms such as pain, tingling, or a burning sensation in the neck and radiating into the arms. The "buzzing" sensation in your ears could also be related to nerve involvement or tension in the neck muscles.

5. Temporomandibular Joint (TMJ) Dysfunction: Given your mention of tightness in the temporomandibular joint, it’s possible that TMJ issues could be contributing to your neck pain. TMJ dysfunction can lead to referred pain in the neck and shoulders, as well as headaches.

Symptoms of Cervical Disc Issues
- Localized Pain: Pain that is sharp or aching, often exacerbated by movement or certain positions.

- Radiating Pain: Pain that travels down the arms or into the shoulders, sometimes accompanied by tingling or numbness.

- Muscle Weakness: Difficulty in performing tasks that require arm strength.

- Stiffness: Reduced range of motion in the neck, making it difficult to turn the head.

- Sensory Changes: Itching or burning sensations can occur due to nerve irritation.

Management and Treatment
1. Physical Therapy: Engaging in physical therapy can help strengthen neck muscles, improve flexibility, and alleviate pain. A therapist can provide tailored exercises that focus on your specific symptoms.

2. Heat and Cold Therapy: Applying heat can help relax tense muscles, while cold therapy can reduce inflammation. Alternating between the two may provide relief.

3. Posture Correction: Being mindful of your posture, especially while sitting at a desk, can prevent further strain on your neck. Ergonomic adjustments to your workspace may also be beneficial.

4. Medication: Over-the-counter pain relievers, such as NSAIDs (e.g., ibuprofen), can help manage pain and inflammation. In some cases, your doctor may prescribe muscle relaxants.

5. Avoiding Aggravating Activities: It’s important to avoid activities that exacerbate your symptoms, such as heavy lifting or prolonged periods of looking down at screens.

6. Follow-Up Care: Given the persistence of your symptoms, it’s advisable to follow up with a healthcare provider. They may recommend further imaging studies or refer you to a specialist, such as a neurologist or orthopedic surgeon, for a more comprehensive evaluation.

In summary, your symptoms of neck pain, tingling, and discomfort following a mild cervical disc herniation can be attributed to a combination of factors, including muscle strain, nerve compression, and possibly TMJ dysfunction. A multidisciplinary approach involving physical therapy, medication, and lifestyle modifications can significantly improve your quality of life and alleviate your symptoms. Always consult with a healthcare professional for personalized advice and treatment options tailored to your specific condition.

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