Arm Pain After a Stiff Neck: When to Seek Medical Help

Neck stiffness after sleeping can lead to arm pain?

Hello, Doctor: A week ago, I woke up and noticed that I seemed to have a stiff neck.
Since I had experienced this before, I didn't think much of it and didn't take any special measures.
However, a week later, my left arm has become unusually sore, and the muscles on the left side of my neck are also painful.
If I raise my left arm, it doesn't hurt, but when I lower it, the soreness returns.
I later realized that if I put pressure on the left side of my back near the shoulder blade (scapula) while lying on my back or sitting against a backrest, my left arm becomes extremely painful.
Currently, I have been using heat therapy and applying Salonpas, but the effect is limited.
Doctor, what is my condition? Is it necessary to seek medical attention? Which specialty should I consult? If I don't need to see a doctor, will continuing heat therapy help? Thank you!

Mr. Su, 40~49 year old female. Ask Date: 2015/07/09

Dr. Chen Wayda reply Rehabilitation

It seems to be tendinitis, and it is necessary to seek medical attention.
Simply applying heat may not be sufficient.

Reply Date: 2015/07/09

More Info

Based on your description, it seems that you are experiencing significant discomfort in your left arm and neck, which has persisted for a week after waking up with what you believe to be a stiff neck. This condition, often referred to as "wry neck" or "torticollis," can lead to muscle tension and pain that radiates to the shoulder and arm, particularly if there is nerve involvement or muscle strain.

The symptoms you describe, such as the soreness in your left arm and neck, particularly when you lift your arm or apply pressure to certain areas, suggest that there may be underlying issues such as muscle strain, nerve compression, or even a cervical spine problem. The fact that the pain intensifies with certain positions (like lying on your back or leaning against something) indicates that your posture or the position of your neck may be exacerbating the issue.

Given that you have already tried heat therapy and topical analgesics like Salonpas with limited relief, it may be time to consider further evaluation. Here are some points to consider regarding your situation:
1. Muscle Strain vs. Nerve Compression: Muscle strains can cause localized pain and discomfort, often improving with rest and gentle stretching. However, if the pain is accompanied by numbness, tingling, or weakness in the arm, this could indicate nerve compression, possibly from a herniated disc or cervical spondylosis.

2. When to Seek Medical Help: If your symptoms do not improve with conservative measures (like heat therapy, rest, and over-the-counter pain relief), or if you experience worsening symptoms such as severe pain, numbness, or weakness, it is advisable to seek medical attention. You should consider visiting a healthcare provider who specializes in musculoskeletal issues, such as an orthopedic doctor or a neurologist.

3. Potential Imaging: If you do seek medical help, your doctor may recommend imaging studies, such as an X-ray or MRI, to assess the cervical spine and rule out any structural issues that could be contributing to your symptoms.

4. Physical Therapy: If your condition is determined to be related to muscle strain or postural issues, physical therapy may be beneficial. A physical therapist can provide exercises to strengthen the neck and shoulder muscles, improve flexibility, and teach you proper posture to prevent future occurrences.

5. Self-Care Measures: In the meantime, continue with gentle heat applications and consider incorporating gentle neck stretches. Avoid positions that exacerbate your pain, and try to maintain good posture throughout the day.

In summary, while it may be tempting to wait it out, if your symptoms persist or worsen, it is important to seek medical evaluation to rule out any serious underlying conditions. Early intervention can often lead to better outcomes and prevent chronic pain issues.

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