Neck Injury: When to Seek Neurology Consultation for Persistent Symptoms

Q: Neck Injury: When to Seek Neurology Consultation for Persistent Symptoms

Hello： If symptoms do not improve, it is recommended to see a rehabilitation specialist or a neurologist.

Neck injury

Hello, doctor.
I sustained an injury in mid-August while undergoing chiropractic treatment (someone was pulling my legs while another person was pulling my neck).
Initially, after the injury, I visited an orthopedic specialist and had X-rays taken, which showed that my neck appeared overly straight (the bones seemed undamaged).
My initial symptoms included severe dizziness, difficulty focusing on nearby objects, eye pain when moving my eyes, a sensation of things appearing blurry, swelling in the jaw muscles, and muscle strain in my neck.
I would feel weak after standing for 10 to 20 minutes, and I experienced some ear pain.

I have seen an orthopedic specialist for three months, but I have not recovered; my eyes still feel uncomfortable (I believe it's due to tight neck muscles).
My neck has improved compared to the initial injury, but I still frequently experience weakness and soreness, and occasionally my hands feel numb.
Recently, for two to three days, I had noticeable numbness on the entire right side of my hand and face, which gradually subsided after taking pain and anti-inflammatory medication.

Should I see a neurologist for further evaluation? Thank you, doctor.

Xiao An, 20~29 year old female. Ask Date: 2006/11/15

Dr. Ye Boshou reply Neurology

Hello: If symptoms do not improve, it is recommended to see a rehabilitation specialist or a neurologist.

Reply Date: 2006/11/15

More Info

Based on your description, it seems that you are experiencing a range of persistent symptoms following a neck injury that occurred in August. These symptoms include dizziness, eye pain, difficulty focusing, muscle swelling in the jaw area, neck pain, and occasional numbness in your arms and face. Given the complexity of your symptoms and the duration of your discomfort, it is advisable to seek a consultation with a neurologist.

When to Seek Neurology Consultation
1. Persistent Symptoms: If symptoms such as dizziness, visual disturbances, or numbness persist for more than a few weeks, it is crucial to consult a neurologist. Neurologists specialize in disorders of the nervous system, which includes the brain, spinal cord, and peripheral nerves. They can provide a more comprehensive evaluation of your symptoms.

2. Neurological Symptoms: The numbness in your arms and face, especially if it occurs suddenly or is accompanied by weakness, could indicate nerve involvement. Neurological assessments can help determine if there is any nerve compression or damage that requires further investigation.

3. Impact on Daily Life: If your symptoms are affecting your ability to perform daily activities, work, or social interactions, it is essential to seek further evaluation. Neurologists can offer diagnostic tests such as MRI or nerve conduction studies to assess the extent of any nerve damage or other neurological issues.

4. Lack of Improvement: Since you have been under orthopedic care for three months without significant improvement, it may be time to explore other avenues. Neurologists can provide insights into whether your symptoms are related to the neck injury or if there are other underlying neurological conditions.

Additional Considerations
- Muscle Tightness and Pain: The tightness in your neck muscles could be contributing to your symptoms. Muscle tension can lead to referred pain and discomfort in the head and face. Physical therapy may be beneficial in addressing muscle tightness and improving your range of motion.

- Dizziness and Visual Disturbances: Dizziness can be multifactorial, especially after a neck injury. It could be related to cervical spine issues, vestibular dysfunction, or even anxiety. A neurologist can help differentiate the causes and recommend appropriate treatment.

- Nerve Compression: The symptoms of numbness and tingling in your arms and face could suggest nerve compression, possibly from cervical spine issues. A neurologist can perform tests to evaluate nerve function and determine if further imaging is necessary.

- Follow-Up Care: If you do see a neurologist, be prepared to discuss your symptoms in detail, including when they started, their frequency, and any factors that seem to exacerbate or relieve them. This information will help the neurologist make an accurate diagnosis.

Conclusion
In summary, given the complexity and persistence of your symptoms, it is advisable to seek a consultation with a neurologist. They can provide a thorough evaluation and determine if further diagnostic testing is necessary. Early intervention can be crucial in managing symptoms and improving your quality of life. Additionally, consider discussing your symptoms with your primary care physician, who can help facilitate a referral to a neurologist if needed.

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