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Good Morning Doc, Hope All Is Well By You. I

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Posted on Sun, 7 Feb 2021
Question: Good morning Doc, Hope all is well by you. I woke up at 4am with I would say right shoulder pain and triggered when I move neck to the right as it hurts more , I feel my pain. I sleep with the fan on as I am used to the sound ( it's cold here ) I don't if this is relevant. Probably just sleeping in the wrong position? I don't know just guessing. Any opinion here doc? Thanks regards Aryeh
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Follow up: Dr. Klarida Papaqako (0 minute later)
Good morning Doc, Hope all is well by you. I woke up at 4am with I would say right shoulder pain and triggered when I move neck to the right as it hurts more , I feel my pain. I sleep with the fan on as I am used to the sound ( it's cold here ) I don't if this is relevant. Probably just sleeping in the wrong position? I don't know just guessing. Any opinion here doc? Thanks regards Aryeh
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Torticollis

Detailed Answer:
Hello, Thank you for using "Ask a doctor" service.

It happens very often that in the circumstances that you describe many people get a torticollis (the side muscle of the neck is frozen/inflamed. Certainly the position has caused it, in combination with the cold wind of the fan.

I recommend:
- Take Ibuprofen 400mg every 6 hours for 2-3 days.
- Have a shower with the position of the water stream in the neck side that is painful.
- Apply local analgesic cream 3-4 times per day and massage gently.

In 2-3 days it should go away.

Hope this is helpful. Let me know if I can assist you further.

Kind regards, Dr. Klarida Papaqako, General and Family physician.
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Klarida Papaqako (0 minute later)
Brief Answer:
Torticollis

Detailed Answer:
Hello, Thank you for using "Ask a doctor" service.

It happens very often that in the circumstances that you describe many people get a torticollis (the side muscle of the neck is frozen/inflamed. Certainly the position has caused it, in combination with the cold wind of the fan.

I recommend:
- Take Ibuprofen 400mg every 6 hours for 2-3 days.
- Have a shower with the position of the water stream in the neck side that is painful.
- Apply local analgesic cream 3-4 times per day and massage gently.

In 2-3 days it should go away.

Hope this is helpful. Let me know if I can assist you further.

Kind regards, Dr. Klarida Papaqako, General and Family physician.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Klarida Papaqako (1 hour later)
Hey Doc thanks for the answer. I couldn't go back to sleep. The pain is triggered much more when I move my neck to the right. Pain like this is impossible to bear. Couldn't go back to sleep on either side. Left or right. Is that normal? I took two Paracetamol but that didn't help:(. Thanks for advice. Anything else?
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Follow up: Dr. Klarida Papaqako (0 minute later)
Hey Doc thanks for the answer. I couldn't go back to sleep. The pain is triggered much more when I move my neck to the right. Pain like this is impossible to bear. Couldn't go back to sleep on either side. Left or right. Is that normal? I took two Paracetamol but that didn't help:(. Thanks for advice. Anything else?
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Have a shower

Detailed Answer:
Hello,

Yes I know, it can be a very strong pain.

But what I said above- have a shower to release the muscle.
Also paracetamol does not help much. Take also one Ibuprofen because you need to decrease the inflammation. You can take one now still even if you have just taken paracetamol.

Let me know if you have other questions or concerns.

Kind regards,
Dr.Papaqako
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Klarida Papaqako (0 minute later)
Brief Answer:
Have a shower

Detailed Answer:
Hello,

Yes I know, it can be a very strong pain.

But what I said above- have a shower to release the muscle.
Also paracetamol does not help much. Take also one Ibuprofen because you need to decrease the inflammation. You can take one now still even if you have just taken paracetamol.

Let me know if you have other questions or concerns.

Kind regards,
Dr.Papaqako
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Klarida Papaqako (1 hour later)
Hi Doc Thanks again. I took two Paracetamol at 4am which it's almost 5 hours ago. Can I take two Advil now or one? Yes it's veryyyy painful. Thanks again:)
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Follow up: Dr. Klarida Papaqako (0 minute later)
Hi Doc Thanks again. I took two Paracetamol at 4am which it's almost 5 hours ago. Can I take two Advil now or one? Yes it's veryyyy painful. Thanks again:)
doctor
Answered by Dr. Klarida Papaqako (5 hours later)
Brief Answer:
Yes, you can take Advil (ibuprofen) despite of paracetamol.

Detailed Answer:
Hello,

Yes,
you can take Advil 400mg-600mg every 6 hours. Which means that if advil is 200mg for one tablet, take 2-3 of them every 6 hours.

Let me know of it works.
Do also the other stuff I recommended. It is very important to combine all together.

Kind regards,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Klarida Papaqako (0 minute later)
Brief Answer:
Yes, you can take Advil (ibuprofen) despite of paracetamol.

Detailed Answer:
Hello,

Yes,
you can take Advil 400mg-600mg every 6 hours. Which means that if advil is 200mg for one tablet, take 2-3 of them every 6 hours.

Let me know of it works.
Do also the other stuff I recommended. It is very important to combine all together.

Kind regards,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Klarida Papaqako (3 minutes later)
Doc??
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Follow up: Dr. Klarida Papaqako (0 minute later)
Doc??
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Follow up: Dr. Klarida Papaqako (22 hours later)
Hey Doc So this morning was tricky and seems to feel a little better but that's tricky. Saw a chiropractor who is near me so he said it's probably a Facet but he was careful like a disk because it's hard to diagnose. Opinion here? Hope this goes away soon:( Warm regards
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Follow up: Dr. Klarida Papaqako (0 minute later)
Hey Doc So this morning was tricky and seems to feel a little better but that's tricky. Saw a chiropractor who is near me so he said it's probably a Facet but he was careful like a disk because it's hard to diagnose. Opinion here? Hope this goes away soon:( Warm regards
doctor
Answered by Dr. Klarida Papaqako (1 hour later)
Brief Answer:
Just keep using Advil 400-600mg every 6 hours.

Detailed Answer:
Hello,

Glad you feel a little bit better.

A problem with a disc usually start after lifting weights or doing a tricky movement. I understand in your case this started while you were sleeping. So I don't think it is a disk problem but more something muscular. That is why I am positive that you will be better within 3-4 days.

Just go on being XXXXXXX as much as you can, slowly and gradually, without triggering the pain.
Continue taking advil 400-600mg, every 6 hours. This will help decreasing the inflammation.
Use also a local analgesic cream 3-4 times per day.


These are my advises and I hope to hear good news from you soon.

Kind regards,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Klarida Papaqako (0 minute later)
Brief Answer:
Just keep using Advil 400-600mg every 6 hours.

Detailed Answer:
Hello,

Glad you feel a little bit better.

A problem with a disc usually start after lifting weights or doing a tricky movement. I understand in your case this started while you were sleeping. So I don't think it is a disk problem but more something muscular. That is why I am positive that you will be better within 3-4 days.

Just go on being XXXXXXX as much as you can, slowly and gradually, without triggering the pain.
Continue taking advil 400-600mg, every 6 hours. This will help decreasing the inflammation.
Use also a local analgesic cream 3-4 times per day.


These are my advises and I hope to hear good news from you soon.

Kind regards,
Dr. Papaqako
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Klarida Papaqako (47 minutes later)
Hey Doc Yes I agree regarding the disk and I when I was sleeping, I didn't do damage. If I sneeze? It kills and if I cough it hurts less by the neck area. I am doing what u say so hopefully I will get better soon.
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Follow up: Dr. Klarida Papaqako (0 minute later)
Hey Doc Yes I agree regarding the disk and I when I was sleeping, I didn't do damage. If I sneeze? It kills and if I cough it hurts less by the neck area. I am doing what u say so hopefully I will get better soon.
doctor
Answered by Dr. Klarida Papaqako (7 hours later)
Brief Answer:
I wish you get well soon.

Detailed Answer:
Hello,

So yea, if it hurts when you sneeze, it has to do with the muscles.

Wish you get well fast.

Kind regards,
Dr. Papaqako


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Klarida Papaqako (0 minute later)
Brief Answer:
I wish you get well soon.

Detailed Answer:
Hello,

So yea, if it hurts when you sneeze, it has to do with the muscles.

Wish you get well fast.

Kind regards,
Dr. Papaqako

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Klarida Papaqako

General & Family Physician

Practicing since :2010

Answered : 1804 Questions

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Good Morning Doc, Hope All Is Well By You. I

Good morning Doc, Hope all is well by you. I woke up at 4am with I would say right shoulder pain and triggered when I move neck to the right as it hurts more , I feel my pain. I sleep with the fan on as I am used to the sound ( it's cold here ) I don't if this is relevant. Probably just sleeping in the wrong position? I don't know just guessing. Any opinion here doc? Thanks regards Aryeh