Neck Pain After Cold Weather: When to Seek Rehab Treatment? - Rehabilitation

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It seems like I have strained my neck?


Hello, doctor.
About two months ago, due to the cold weather, my body felt tense and I was curled up in bed.
Later, when I turned my head to look at something, I suddenly felt a sharp pain, as if I had twisted my neck.
However, it got better after a while, and I could still move my neck normally.
But I later noticed that when I turned my neck, it felt strange; tilting my head towards the right shoulder was fine, but tilting it towards the left shoulder felt like it was getting stuck and was harder to push down.
Additionally, when I tilted my head back, I experienced pain and felt that my head was very heavy and my neck was very tight.
Should I seek treatment at a hospital for this condition? Should I go directly to a rehabilitation specialist, or would heat therapy and massage be sufficient? Thank you!

tina, 20~29 year old female. Ask Date: 2005/03/28

Dr. Guan Zaoxiang reply Rehabilitation


Hello: Based on your description, it seems like a neck muscle strain, likely involving a strain of the left sternocleidomastoid muscle and possibly some nearby neck muscle groups.
Generally, if the condition is not severe, self-administered heat therapy may suffice.
However, since you mentioned that it has been two months without improvement or if it has worsened, it indicates that your injury may not be minor.
Therefore, I recommend that you take some time to visit a nearby rehabilitation clinic for treatment, as this may facilitate a quicker recovery.

Reply Date: 2005/03/28

More Info


Neck pain following exposure to cold weather can be quite common, especially if you've experienced muscle tightness or strain. The symptoms you're describing—difficulty turning your neck, a sensation of tightness, and pain when tilting your head back—suggest that you may be dealing with a form of muscle strain or tension, possibly exacerbated by the cold weather.

When you experience neck pain after a sudden movement or after being in a cold environment, it can often be attributed to muscle stiffness or spasms. The muscles in your neck may have tightened up due to the cold, leading to discomfort when you attempt to move your head in certain directions. This is sometimes referred to as "cervical strain" or "cervical muscle tension."
In terms of treatment, there are several approaches you can consider:
1. Self-Care Measures: Initially, you might find relief through self-care methods. Applying heat to the affected area can help relax tight muscles and improve blood circulation. You can use a warm compress or a heating pad for about 15-20 minutes at a time. Gentle stretching exercises can also be beneficial, as they help maintain mobility and reduce stiffness.

2. Over-the-Counter Pain Relief: Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen can help reduce pain and inflammation. However, it's important to follow the recommended dosage and consult with a healthcare provider if you have any underlying health conditions or are taking other medications.

3. Physical Therapy: If your symptoms persist or worsen, it may be beneficial to seek professional help. A physical therapist can assess your condition and develop a tailored rehabilitation program that includes exercises to strengthen the neck muscles, improve flexibility, and alleviate pain. They may also employ modalities such as ultrasound or electrical stimulation to aid in your recovery.

4. When to Seek Medical Attention: If you experience severe pain, numbness, tingling in your arms or hands, or if the pain does not improve with self-care measures after a few days, it’s advisable to consult a healthcare professional. Additionally, if you have a history of neck injuries or if the pain is accompanied by other concerning symptoms (such as headaches, fever, or significant weakness), you should seek medical evaluation promptly.

5. Directing Your Care: You can start by visiting your primary care physician, who can evaluate your symptoms and determine if you need to see a specialist, such as a neurologist or an orthopedic doctor. If your doctor believes that physical therapy is appropriate, they can refer you to a rehabilitation specialist.

In summary, while mild neck pain after cold exposure can often be managed with self-care, it’s important to monitor your symptoms. If they persist or worsen, seeking professional evaluation and treatment is the best course of action. Remember to listen to your body, and don’t hesitate to reach out for help if you feel that your condition is not improving.

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