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Back pain with tiredness - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Back Pain
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1769 Questions
Doctor :   Hi
Doctor :  
How can i help you?
User :   Hello, i have pain on the right side of my neck, im constantly tired, this has been going on for 3- 4 days now
Doctor :  
May i know your age and gender?
User :   Male 31
Doctor :  
May i know your occupation?
User :   UK Dialler manager (Telephone Systems)
Doctor :  
Ok.
Doctor :  
Does the pain worsened with the movement of the neck?
User :   No not really
Doctor :  
Does it involve the upper limbs too?
Doctor :  
Do you have any weakness?
User :   No just my neck
Doctor :  
Ok.
Doctor :   The cause for you pain may be cervical spondylosis.
Doctor :  
You may need a physical examination and an X ray to confirm this.
Doctor :  
Have you followed?
Doctor :  
I shall suggest you the following measures too.
User :   Yes, not sure if it is assosiated but i have had route canel on one of my teeth, (on the same side asmy neck pain) now my top teeth on the same side hurt to touch
Doctor :  
Ok.
Doctor :   When have you undergone this procedure?
User :   1 month ago but went back to the dentist last week when i had pain, he looked but couldnt find anything but prescribed me some pills, let me find out the name
Doctor :  
A tooth pain sometimes lead to spasm of the muscles of the jaws and neck leading to the pain.
User :   Metronidazole
Doctor :  
But if there is no tooth pathology then the cause may be spinal problem.
User :   Why the constant tiredness?
Doctor :  
Hence i would suggest you to get the X ray and consult an orthopedician.
Doctor :   Do you have fever?
User :   Im not sure,
Doctor :   You need few more evaluation and blood test to know the reason for this.
User :   My doctor said it could be a viral infection but it dosent explain the neck pain
Doctor :   Viral infection can cause body pains.
Doctor :   That can also lead to tiredness.
Doctor :   I would suggest you to take proper rest,
Doctor :  
Pain killers as prescribed by your doctor
Doctor :  
And if the pain is nor relived in a day or two then go ahead with the orthopaedic evaluation.
Doctor :   This would the best way of handling the problem.
User :   Do you think the teeth are assositated with the neck pain?
Doctor :   No
Doctor :  
1 month period is too long period for a dentist to miss a tooth problem'
Doctor :   The viral infection might cause the pains too.
Doctor :   have you followed?
User :   sinus infection? maybe? My dentist dosent know why im getting this pain in the teeth and said it could be the sinuses, but i dont have any discharge headaches or blocked nose
User :   ive followed
Doctor :   Yes.
Doctor :  
It is not a sinus problem
Doctor :  
It either could be a viral infection
Doctor :  
or a local spine problem as i had mentioned earlier.
Doctor :  
Since there is symptoms of viral infection
Doctor :  
treatment has to first for the infection
Doctor :  
follow the medications given
Doctor :  
2. Proper rest
Doctor :  
3.
Doctor :  
Adequate hydration
Doctor :  
4. Proper nutrition.
Doctor :  
5. If the neck pain persist for more than a week then you can get an evaluation by the orthopedician.
Doctor :  
Have you followed?
User :   So the neck pain i am getting is nothing serious to worry about, but need to get it looked into as i do get lower back pains as well
Doctor :  
Presently concentrate on the viral infection
Doctor :   You need assessment if the pain is persists
Doctor :   Since an orthopedician can miss all the signs of spine problem if any when there is a source of infection
Doctor :  
Have you followed?
User :   yes
Doctor :  
Do you have any other query?
User :   Just so you know the pain in the neck is up the front from the gland going up behind the ear, i thought i would just let you know where the pain is just in case it changes anything
Doctor :  
No
Doctor :  
I think it is the viral fever
Doctor :  
causing the pains.
Doctor :  
and the spinal problem has to be evaluated if the back pain persists.
Doctor :  
Do you have any other query?
User :   Can i ask you, sometimes my right leg up the top on the thigh sometimes goes hot and numb when im sitting down, can this be assositated with the back stuff you have talked about?
Doctor :  
Yes.
Doctor :  
It could be associated with the spinal problem.
Doctor :  
can however be confirmed or ruled out only after an examination.

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