Neck Injuries: Symptoms, Treatment, and When to Seek Help - Orthopedics

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Neck injury


Hello Dr.
Lee, I previously visited you for a neck injury around August 25.
I sustained a neck strain due to external force.
During my visit, you took some X-rays and diagnosed it as a muscle strain.
After taking the medication, I felt better, and after finishing the 7-day course, the pain was mostly gone.
However, on the 10th, I spent nearly 7-8 hours on the computer, and that day my neck felt tight.
Now, if I stand for a long time (about 2 hours), I easily get fatigued, my concentration has decreased, and my neck feels tight when I turn it, with some sounds (which I don't think are from the bones).
Since school has started, I am studying away from home, so I sought treatment in Hsinchu.
I took anti-inflammatory medication and muscle relaxants for two days, and it seems to have improved a bit, but I still feel very sore.
I also feel some numbness in my hands.
I'm not sure if this indicates a serious condition.
Is there a possibility of brain injury? Could there be ligament or cervical spine degeneration? Is there muscle fibrosis? Could the nerves be affected? If I return for treatment, what further examinations would be conducted? Thank you.

Hong, 20~29 year old female. Ask Date: 2006/09/19

Dr. Li Wenlin reply Orthopedics


Hello Hong: Based on your description, it is clear that your condition is primarily due to prolonged poor posture (7-8 hours of computer use).
Remember to perform some stretching exercises every half hour to an hour, such as stretching your arms and shoulders or taking a short break to stand up.
This will help prevent muscle fatigue or inflammation.
Moreover, at your young age, there is no need to worry about brain issues, cervical degeneration, or nerve damage.
However, if you do not improve your posture, you may face ongoing problems in your fifties or sixties.
If conservative treatment does not alleviate your symptoms, physical therapy can be considered.
If physical therapy is still ineffective, further examinations such as electromyography or MRI may be necessary.
Wishing you a speedy recovery.
Li Wenlin, 2006/9/19

Reply Date: 2006/09/19

More Info


Neck injuries can be quite complex, and understanding the symptoms, treatment options, and when to seek further medical help is crucial for recovery. Based on your description, it seems you have experienced a muscle strain in your neck, which is common after an injury or prolonged periods of poor posture, such as sitting at a computer for extended hours.


Symptoms of Neck Injuries
Common symptoms associated with neck injuries include:
1. Pain and Discomfort: This can range from mild discomfort to severe pain, often exacerbated by certain movements or positions.

2. Stiffness: A feeling of tightness in the neck muscles, making it difficult to turn the head or look up and down.

3. Numbness or Tingling: This can occur if the nerves in the neck are affected, leading to sensations in the arms or hands.

4. Headaches: Tension headaches can arise from neck strain due to muscle tension.

5. Fatigue: Difficulty concentrating or feeling mentally fatigued can be a result of pain and discomfort.


Treatment Options
1. Rest and Activity Modification: It’s essential to allow your neck to heal. Avoid activities that exacerbate the pain, such as prolonged computer use without breaks.

2. Medications: Over-the-counter pain relievers (like ibuprofen or acetaminophen) can help manage pain and inflammation. Muscle relaxants may also be prescribed for more severe muscle spasms.

3. Physical Therapy: Engaging in physical therapy can help strengthen neck muscles, improve flexibility, and teach you proper posture and ergonomics.

4. Heat and Ice Therapy: Applying ice can reduce inflammation, while heat can help relax tense muscles.

5. Ergonomic Adjustments: If you spend long hours at a computer, ensure that your workstation is ergonomically set up to minimize strain on your neck.


When to Seek Help
You should consider seeking further medical evaluation if:
- Symptoms Persist: If pain or discomfort continues despite treatment or worsens over time.

- Neurological Symptoms: If you experience numbness, tingling, or weakness in your arms or hands, this could indicate nerve involvement.

- Severe Pain: If the pain becomes unbearable or is accompanied by other symptoms like fever, severe headache, or changes in vision.

- Difficulty Moving: If you find it increasingly difficult to move your neck or if you experience a significant decrease in range of motion.


Diagnostic Tests
If you return for further evaluation, your doctor may recommend:
- X-rays: To check for any fractures or alignment issues in the cervical spine.

- MRI or CT Scan: These imaging tests can provide a detailed view of soft tissues, including muscles, ligaments, and nerves, helping to identify any significant injuries or degenerative changes.

- Electromyography (EMG): This test can assess the electrical activity of muscles and help determine if there is nerve damage.


Conclusion
Neck injuries can take time to heal, and while muscle strains often improve with conservative treatment, it’s essential to monitor your symptoms closely. If you experience any new or worsening symptoms, don’t hesitate to seek medical advice. Remember that maintaining good posture, taking regular breaks during prolonged activities, and engaging in strengthening exercises can significantly aid in recovery and prevent future injuries. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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