Numbness in the head after cervical traction?
The headache was diagnosed by traditional Chinese medicine as cervicogenic headache caused by poor posture (pain in the right occipital region and stiffness in the shoulders and neck).
Three days ago, during the third cervical traction treatment, there was pain in the right occipital area and some discomfort.
After the treatment, the originally painful area has turned into a numb sensation, with the right occipital region starting to feel numb, extending to the neck and temples, creating a tingling and swollen feeling, even a cool sensation...
but there is no pain when turning the head (especially to the left), although the numb areas feel interconnected.
This sensation is more pronounced when lying down.
I would like to inquire if this could be due to a cervical spine injury? I am concerned whether this could indicate carotid artery dissection, thrombosis, or a more serious issue...
If the numbness in the head and neck does not improve after a few days, what examinations should be done at the hospital? Thank you.
Y, 20~29 year old female. Ask Date: 2024/06/04
Dr. Wang Zhaomin reply Rehabilitation
In the early stages of treatment, patients may find it uncomfortable to undergo cervical traction.
Depending on the situation, it may be advisable to pause or reduce the weight.
Currently, there should not be any serious issues such as carotid artery dissection or embolism.
If discomfort persists, it is important to promptly communicate this to the therapist and physician.
Further management should be based on the physician's evaluation during the consultation.
Reply Date: 2024/06/04
More Info
Neck traction is a therapeutic technique often used to relieve pain and discomfort associated with cervical spine issues, including herniated discs, muscle tension, and nerve compression. However, it can sometimes lead to unexpected symptoms, such as numbness or pain in the head and neck area. Your description of experiencing numbness and a tingling sensation in the right occipital region, along with discomfort during neck movements, raises several important considerations.
Firstly, the symptoms you are experiencing could be attributed to several factors related to your neck condition and the traction therapy itself. When neck traction is applied, it can create a stretching effect on the cervical spine, which may relieve pressure on compressed nerves. However, if the traction is too aggressive or not properly administered, it can lead to increased irritation of the nerves or muscles, resulting in sensations of numbness or tingling. This is particularly relevant if you already have a pre-existing condition, such as cervical disc herniation or muscle tension, which can be exacerbated by traction.
The numbness and tingling you describe, particularly if it radiates from the neck to the occipital region and temples, may indicate that the traction has affected the cervical nerves. The cervical spine houses several important nerves that can become irritated or compressed due to various factors, including poor posture, muscle tension, or injury. If these nerves are affected, it can lead to symptoms such as numbness, tingling, or even pain in the areas they innervate.
Your concern about serious conditions such as carotid artery dissection or thrombosis is understandable, especially given the nature of your symptoms. While these conditions are relatively rare, they can present with similar symptoms, including neck pain, headache, and neurological deficits. Carotid artery dissection can lead to stroke-like symptoms, and it is crucial to rule out such serious conditions if your symptoms persist or worsen.
If your symptoms of numbness and tingling do not improve within a few days, or if they worsen, it is advisable to seek medical attention promptly. A healthcare professional may recommend imaging studies, such as an MRI or CT scan, to evaluate the cervical spine and assess for any structural abnormalities, nerve compression, or vascular issues. Additionally, a thorough neurological examination can help determine the underlying cause of your symptoms.
In the meantime, consider the following recommendations to help manage your symptoms:
1. Rest and Avoid Strain: Give your neck a break from any activities that may exacerbate your symptoms, including prolonged computer use or heavy lifting.
2. Heat Therapy: Applying heat to the neck can help relax tense muscles and improve blood flow, potentially alleviating some discomfort.
3. Gentle Stretching: Once the acute symptoms have subsided, gentle neck stretches may help improve flexibility and reduce tension. However, avoid any movements that provoke pain or discomfort.
4. Posture Correction: Focus on maintaining good posture, especially when sitting or using electronic devices. Ergonomic adjustments can help reduce strain on the neck.
5. Consult a Specialist: If symptoms persist, consider consulting a physical therapist or a specialist in musculoskeletal disorders for tailored treatment options.
In summary, while neck traction can be beneficial for certain conditions, it can also lead to complications if not performed correctly or if underlying issues are present. Monitoring your symptoms closely and seeking medical advice if they do not improve is essential for ensuring your health and well-being.
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