Neck Strain from Sit-Ups: Persistent Swallowing Discomfort and Nerve Issues

After experiencing a neck muscle strain from doing sit-ups, there is a sensation of a foreign body when swallowing saliva?

Hello, doctor.
Eight months ago, I severely strained my neck due to doing sit-ups too quickly and forcefully.
Since then, I have experienced a significant foreign body sensation and tightness when swallowing saliva.
However, four months ago, MRI, X-rays, and swallowing studies all showed normal results.
Recently, in the past month, I have developed slight tingling in the fingertips and a burning sensation in my hands and feet, along with a feeling of weakness that is more pronounced than usual.
A doctor at National Taiwan University suggested that it might be related to peripheral blood circulation issues, which has me quite worried since these symptoms appeared after the tests.
Could there be a problem with my nerves or cervical spine? Do I need to undergo further examinations?
Secondly, the muscle group involved in swallowing has consistently had issues.
While the larger muscle groups have mostly improved, I still feel a blockage sensation when swallowing saliva.
ENT examinations have all come back normal, and it’s not a painful sensation from within, but rather a feeling of being pulled from the outside.
Additionally, the muscles behind my ears slightly twitch when I swallow.
Doctor, what kind of rehabilitation should I pursue to recover quickly from these symptoms?

Yu, 20~29 year old female. Ask Date: 2012/05/25

Dr. Chen Wayda reply Rehabilitation

Please conduct another examination and have the physician perform a clinical assessment, as it is not possible to provide recommendations based solely on these descriptions.

Reply Date: 2012/05/25

More Info

Neck strain resulting from improper exercise techniques, such as performing sit-ups too quickly and forcefully, can lead to a variety of complications, including persistent swallowing discomfort and nerve-related symptoms. Your experience of a foreign body sensation while swallowing, along with the recent onset of tingling and burning sensations in your extremities, raises valid concerns about potential underlying issues.

Firstly, it is important to understand that the neck is a complex structure that houses not only muscles but also nerves and blood vessels. A strain can lead to muscle tightness and spasms, which can affect nearby structures, including those involved in swallowing. The sensation of tightness or discomfort when swallowing could be attributed to muscle tension in the neck or throat area, which may not have been fully resolved despite normal imaging results.

The symptoms you describe—tingling in the fingers and toes, along with a burning sensation in the palms and soles—could indicate nerve involvement. This might be due to nerve compression or irritation, possibly stemming from the original neck injury. While your MRI and X-ray results were normal, it is essential to consider that some nerve issues may not be visible on these imaging studies. If the symptoms have worsened or changed since your last evaluation, it would be prudent to consult with a healthcare provider again. They may recommend further diagnostic tests, such as nerve conduction studies or electromyography (EMG), to assess nerve function and identify any potential issues.

Regarding the swallowing difficulties, it is crucial to address the muscle tension that may be contributing to your symptoms. Rehabilitation for neck strain often includes physical therapy focused on strengthening and stretching the neck muscles, improving posture, and enhancing overall neck stability. A physical therapist can design a personalized rehabilitation program that may include:
1. Stretching Exercises: Gentle stretches for the neck and throat muscles can help alleviate tightness. These should be performed carefully to avoid exacerbating your symptoms.

2. Strengthening Exercises: Strengthening the muscles around the neck can provide better support and reduce strain. This may include isometric exercises where you push against resistance without moving your neck.

3. Posture Training: Improving your posture, especially during activities like sitting or using electronic devices, can reduce strain on your neck and throat.

4. Swallowing Therapy: If the swallowing discomfort persists, a speech-language pathologist can work with you on swallowing techniques and exercises to strengthen the muscles involved in swallowing.

5. Heat and Cold Therapy: Applying heat or cold packs to the neck can help reduce muscle tension and pain.

6. Relaxation Techniques: Stress management strategies, such as deep breathing exercises or mindfulness, can help reduce overall muscle tension.

It is also important to maintain good hydration and nutrition, as these factors can influence muscle function and recovery. If you experience any worsening of symptoms or new symptoms arise, do not hesitate to seek immediate medical attention.

In summary, while your previous imaging studies were normal, the persistence of your symptoms warrants further evaluation. Engaging in a structured rehabilitation program with a focus on physical therapy can significantly aid in your recovery. Always consult with your healthcare provider before starting any new treatment or exercise regimen to ensure it is appropriate for your specific condition.

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