Neck Issues: Symptoms and Relief for Cervical Disc Problems - Neurosurgery

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Neck issues


Hello Doctor, I have a slight protrusion of the cervical intervertebral discs at C3-C4-C5-C6 (as seen on MRI), so I underwent cervical traction (vertical).
Initially, I had no pain in my shoulders or neck.
However, during the first traction session (50 kg), after pulling 5 kg, I noticed an itching sensation at a specific point on the right side of my neck near the base of the skull.
Subsequently, I experienced a feeling of fullness and itchiness in the right area below the back of my skull, as well as itchiness in the upper inner part of my throat.
There is also a slight tightness behind my ear.
What could be the reason for this? It has been two months; is this normal? Can it resolve on its own, and how can I alleviate it? I tend to be easily tense and anxious; could this be a contributing factor?

Niming, 20~29 year old female. Ask Date: 2024/04/02

Dr. Lai Zhaokang reply Neurosurgery


Hello: 1.
It is speculated that after cervical traction, the junction between the occiput, anterior mandible, and cervical spine has been stretched.
2.
If this movement causes discomfort, you can discuss with your rehabilitation physician whether to postpone it.
Applying heat to the affected area should help improve the condition.
3.
If you are prone to anxiety, it can indeed amplify symptoms.
Wishing you a speedy recovery.
By Dr.
Lai Chao-Kang, Department of Neurosurgery, Changhua Hospital.

Reply Date: 2024/04/02

More Info


Cervical disc problems, particularly those involving herniation or protrusion, can lead to a variety of symptoms, including pain, numbness, tingling, and weakness in the arms and hands. The symptoms you are experiencing, such as itching, a feeling of pressure or swelling at the base of your skull, and tightness in the throat area, can be related to the cervical spine issues you have described.
When you underwent cervical traction, the application of force to the neck can sometimes exacerbate existing symptoms or create new sensations. This is particularly true if there is any irritation of the nerve roots or surrounding structures. The sensation of itching or a feeling of pressure in the back of the head and neck could be due to nerve irritation or inflammation caused by the disc protrusion. The cervical spine houses not only the spinal cord but also the nerve roots that exit the spinal canal and innervate various parts of the upper body. If these nerve roots are compressed or irritated, it can lead to abnormal sensations, including itching or a feeling of swelling.

It's also important to consider the role of anxiety and stress in your symptoms. Anxiety can manifest physically in various ways, including muscle tension, which can exacerbate neck pain and discomfort. If you are prone to anxiety, it may contribute to the tightness you feel in your throat and neck area. Stress can lead to muscle tension, which can further irritate the cervical spine and surrounding structures, potentially worsening your symptoms.

In terms of relief and management, there are several strategies you can consider:
1. Physical Therapy: Engaging in a structured physical therapy program can help strengthen the muscles around your neck and improve flexibility. A physical therapist can also provide you with specific exercises to alleviate pressure on the cervical spine.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help manage pain and inflammation. If your symptoms are more severe, your doctor may prescribe stronger medications.

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

4. Mindfulness and Relaxation Techniques: Since you mentioned being prone to anxiety, incorporating mindfulness practices, such as meditation or deep breathing exercises, can help manage stress and reduce muscle tension.

5. Ergonomic Adjustments: Evaluate your workspace and daily activities to ensure that your posture is optimal. Poor ergonomics can contribute to neck strain and exacerbate symptoms.

6. Follow-Up with Your Healthcare Provider: If your symptoms persist or worsen, it is essential to follow up with your healthcare provider. They may recommend further imaging studies or interventions, such as corticosteroid injections, to reduce inflammation and pain.

In conclusion, while some symptoms may resolve on their own, it is crucial to monitor your condition closely. If you experience any new or worsening symptoms, such as significant weakness, loss of coordination, or changes in bowel or bladder function, seek immediate medical attention. Your healthcare provider can help determine the best course of action based on your specific situation and symptoms.

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