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Severe pain at back below the neck on the right side - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2009
Answered : 588 Questions
Doctor :   hi
User :   hi dr! i have got severe pain at my back below the neck on the right side.
Doctor :   ok
User :   usually if i bend my neck and do the work the pain starts.
Doctor :   What is your age, occupation
User :   I am 27 and working in an insurance co.
Doctor :   ok
Doctor :   may i know if you lifted any heavy weights recently ?
User :   no i have this problem from around more than 10-12yrs. is it something called as cervical pain?
Doctor :   yes
Doctor :   may i know your gender?
User :   female
Doctor :   ok
Doctor :   may i know if you have pain in any other joints
User :   no
Doctor :   have you seen a doctor for this so far?
User :   not consulted any dr for this yet. some people advised not to use pillow. so i stopped using pillow and pain is somewhat controlled from that time. its been more than 2yrs i m sleeping without pillows.
Doctor :   ok
Doctor :   may i know if you have numbness in arm , neck anytime?
User :   yes
Doctor :   ok
Doctor :   do you have stiffness at neck when you wake up morning?
User :   yes but this i think happens because i sleep without pillow
Doctor :   ok
User :   i also suffer pain in the middle of the back bone as well
Doctor :   may i know if you taken any pain killers so far
User :   no i have never taken any pain killers but sometimes apply moov or spray if its paining too much
Doctor :   do you feel numbness in your fingers?
Doctor :   ok thanks for answering my questions
Doctor :   from the history you are giving me .the symptoms go in favor of cervical spondylosis
Doctor :   this is associated with neck and back pain
Doctor :   it is due to degeneration of the vertebra supporting the neck region and the back through the spine
Doctor :   treatment for this is to first see an orthopedician
Doctor :   you need an examination and a test called as MRI
Doctor :   this will show if there is any changes happened so far
Doctor :   since you have it from many years
Doctor :   you must get this test done
Doctor :   secondly it will need pain killers
Doctor :   the doctor will suggest you NSAID group of pain killers
Doctor :   you can contiue moov and other massage
Doctor :   but make sure it is only soft gentle massages
Doctor :   you can apply hot fomentation over the area
Doctor :   avoid lifting heavy weights
User :   ok thanks dr! but ultimately solution to this will be regular exercise i think.
Doctor :   you can also wear a cervical collar when at home
Doctor :   yes i am coming to it
Doctor :   neck collars are helpful
Doctor :   now a days you get cervical pillows
Doctor :   you can buy it and use them when you sleep
Doctor :   they will stabilise the neck at sleep
Doctor :   then is physiotherapy
Doctor :   traction is very helpful
Doctor :   exercises for neck and back must be followed regularly
Doctor :   avoid forward bending of the neck and hyper extensions
Doctor :   any form of stress will increase your neck pain
Doctor :   also make sure you reduce stress
Doctor :   infra red therapy and heat therapy are other options in physiotherapy
User :   the pain extends to the right arm also sometimes
Doctor :   yes , i feel this is cervical spondylosis
Doctor :   in this condition pain can extend to arm , back , fingers , neck
Doctor :   avoid exposure to cold climate
Doctor :   if these methods fail , depending on the MRI REPORT doctor will consider surgery only if needed
User :   thanks a lot dr for your suggestions.
Doctor :   pleasure here
Doctor :   are there any more questions for me
User :   no
Doctor :   ok
Doctor :   thanks for consulting me
Doctor :   wish you good health
Doctor :   take care
User :   thank you!
Doctor :   welcome
Doctor :   bye for now
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