Neck and Shoulder Stiffness: When to Seek Medical Help

Stiffness in the shoulders and neck, as well as in the limbs?

I am in my fifties and have been experiencing stiffness in my shoulders and neck for the past two months.
My hands and feet often have joint pain, and sometimes my lumbar spine hurts to the point where I can't straighten my back.
I work in computer design, so I have shoulder and neck stiffness, and occasionally my back cramps, but my lumbar spine does not hurt.
I'm not sure what is going on.
Which specialty should I see first, and what kind of examinations should I undergo?

Dolq, 50~59 year old female. Ask Date: 2016/01/25

Dr. Lan Shengxing reply Neurology

Dear Dolq, this symptom is something that most programmers experience to some extent.
It is advisable to first consult with a rehabilitation specialist.
If rehabilitation activities do not yield results, then consider visiting a neurologist or a neurosurgeon.

Reply Date: 2016/01/25

More Info

Neck and shoulder stiffness, especially when accompanied by joint pain and discomfort in the lower back, can be indicative of several underlying conditions. Given your age and the symptoms you've described, it is essential to approach this situation with a comprehensive understanding of potential causes and appropriate medical interventions.

Understanding Your Symptoms
1. Neck and Shoulder Stiffness: This can be attributed to muscle tension, poor posture, or repetitive strain, especially common in individuals who spend long hours at a computer. Conditions such as cervical spondylosis or herniated discs can also contribute to stiffness and pain.

2. Joint Pain: The pain in your hands and feet could suggest conditions like osteoarthritis, rheumatoid arthritis, or even fibromyalgia. These conditions can lead to joint inflammation and pain, which may be exacerbated by prolonged periods of inactivity or poor ergonomics.

3. Lower Back Pain: The occasional pain in your lumbar region could be related to muscle strain, degenerative disc disease, or other spinal issues. It’s important to note if this pain is associated with specific activities or positions.

When to Seek Medical Help
Given the persistence of your symptoms over the past two months, it is advisable to seek medical attention. Here are some guidelines on when to see a doctor:
- Persistent Symptoms: If your neck and shoulder stiffness, joint pain, or lower back pain does not improve with rest, stretching, or over-the-counter pain relief.

- Accompanying Symptoms: If you experience numbness, tingling, or weakness in your arms or legs, or if your pain worsens or spreads.

- Impact on Daily Life: If your symptoms interfere with your daily activities, work, or sleep.

Which Specialist to See
For your symptoms, starting with a primary care physician is a good option. They can perform an initial evaluation and refer you to a specialist if necessary. Depending on the findings, you may be referred to:
- Orthopedic Specialist: For musculoskeletal issues, including joint pain and stiffness.

- Rheumatologist: If there is a suspicion of inflammatory or autoimmune conditions affecting your joints.

- Neurologist: If there are neurological symptoms such as numbness or weakness.

Recommended Tests
Your doctor may recommend several tests to better understand your condition:
1. X-rays: To check for any structural issues in the cervical spine and joints.

2. MRI: This imaging can provide detailed information about soft tissues, including discs and nerves, which may be contributing to your symptoms.

3. Blood Tests: To check for markers of inflammation or autoimmune conditions, such as rheumatoid arthritis or other rheumatological disorders.

Management and Self-Care
While waiting for your appointment, consider the following self-care strategies:
- Ergonomic Adjustments: Ensure your workstation is set up to promote good posture. Use a chair that supports your back and keep your computer screen at eye level.

- Regular Breaks: Take frequent breaks to stretch and move around, which can help alleviate stiffness.

- Gentle Exercise: Engage in low-impact activities such as walking, swimming, or yoga to maintain mobility and reduce stiffness.

- Heat and Cold Therapy: Applying heat can help relax tense muscles, while cold packs can reduce inflammation.

Conclusion
In summary, your symptoms of neck and shoulder stiffness, joint pain, and lower back discomfort warrant a thorough evaluation. Starting with a primary care physician will help you navigate the appropriate referrals and tests needed to determine the underlying cause of your symptoms. Early intervention can lead to better management and improved quality of life. Remember, taking proactive steps in addressing your health concerns is crucial, and seeking medical help is a positive step towards recovery.

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