Post-Car Accident Symptoms: Neck Pain and Neurology Concerns - Neurology

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Post-accident sequelae?


Dear Doctor, I was in a car accident abroad, and a few days later, I noticed pain near my neck, close to my jaw.
I would like to schedule an appointment to return to Taiwan for an examination.
Is it correct to see a neurologist for this issue? Additionally, what could be the possible causes of the pain I am experiencing? Thank you for your guidance, Dennis Dai.

Dennis Dai, 30~39 year old female. Ask Date: 2008/07/15

Dr. Ye Boshou reply Neurology


Hello: If there are sensory disturbances in the upper limbs or back, and there is only localized pain, it is often caused by a sprain or tendon strain.
A neurological examination would be normal.

Reply Date: 2008/07/15

More Info


Dear Dennis,
Thank you for reaching out with your concerns regarding the neck pain you are experiencing after your recent car accident. It’s understandable to feel anxious about any new symptoms following such an event, and I’m here to provide some guidance.

Based on your description of pain near the jaw and neck area that developed a few days after the accident, it is indeed prudent to seek medical attention. While you are considering visiting a neurologist, it may also be beneficial to consult with an orthopedic specialist or a physical medicine and rehabilitation (PM&R) physician, commonly known as a physiatrist. These specialists can evaluate musculoskeletal injuries, which are often the cause of neck pain following trauma.

The pain you are experiencing could stem from several potential causes:
1. Whiplash Injury: This is one of the most common injuries resulting from car accidents. Whiplash occurs when the head is suddenly jerked forward and then backward, straining the neck muscles and ligaments. Symptoms can include neck pain, stiffness, headaches, and sometimes radiating pain into the arms.

2. Muscle Strain: The impact of the accident may have caused strain to the muscles in your neck. This can lead to localized pain and discomfort, especially when moving your head.

3. Cervical Disc Injury: The cervical spine consists of discs that can herniate or bulge due to trauma. This can lead to nerve compression, resulting in pain that may radiate into the shoulders or arms, as well as numbness or tingling.

4. Joint Dysfunction: The facet joints in the cervical spine can become irritated or inflamed after an accident, leading to pain and restricted movement.

5. Nerve Compression: If there is any swelling or injury to the structures around the cervical spine, it could lead to nerve compression, which may cause pain, tingling, or weakness in the arms.

Given the variety of potential causes, a thorough examination is essential. Your doctor may perform a physical examination and may recommend imaging studies, such as X-rays or an MRI, to assess the condition of your cervical spine and surrounding structures.

In the meantime, here are some self-care strategies you can consider to help manage your symptoms:
- Rest: Allow your neck some time to heal by avoiding activities that exacerbate the pain.

- Ice and Heat Therapy: Applying ice packs for the first 48 hours can help reduce swelling, followed by heat therapy to relax tight muscles.

- Over-the-Counter Pain Relief: Non-steroidal anti-inflammatory drugs (NSAIDs) like ibuprofen can help alleviate pain and reduce inflammation, but be sure to follow the recommended dosage and consult with a healthcare provider if you have any underlying health conditions.

- Gentle Stretching: Once the acute pain subsides, gentle neck stretches can help improve flexibility and reduce stiffness.

It’s important to monitor your symptoms closely. If you experience any worsening of pain, numbness, weakness, or any new symptoms such as headaches or dizziness, seek medical attention promptly.

In summary, while a neurologist can certainly evaluate your symptoms, considering an orthopedic or PM&R specialist may also be beneficial. They can provide a comprehensive assessment and develop a tailored treatment plan to address your neck pain effectively. I wish you a smooth recovery and hope you find relief from your symptoms soon.

Best regards,
Doctor Q&A Teams

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