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Treated for neck sprain. Started sneezing. Prescribed flexura d for viral myalgia. Safe remedy?

Nov 2013
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Practicing since : 1994
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Last Wednesday morning, my wife (XXXXXXX Age-28) woke up saying she has some sprain in the neck. By night it was bit worse, I gave her a muscle relaxant (Nise-MR), however by thursday morning it was worse.

Took her to our family physician, who gave her an inj of Tramazac-1ml and prescribed Prazole-40Mg and Zerodol-MR for 5 days. There were some improvement, however a sneeze on sunday morning made things worse. On visiting doctor he gave an inj of Tramazac-2ml and prescribed A to Z vitamin Tablet, with Thermagel to apply and informed that if things didnt improve by 24hours, we should consult a neurologist for nerve compression.

Visited a neurologist, who confirmed that it was viral myalgia and prescribed Flexura D for 5 days, D-360 with milk (1per week for 8 weeks) and CCM Tablet for a month.

Pain is concentrated in the neck region and radiates to shoulders but the pain does not radiate to her hands or to her lower back. There is some slight pain in the mid back. She is unable to move her neck sidewards. Able to move her hands freely.

Doc has advised her that it would be there for atleast 2 weeks and would subside later on. Bit skeptical about the symptoms and worried about the pain through which she is going through.

Appreciate your feedback and expertise on the issue.

Posted Wed, 20 Feb 2013 in Brain and Spine
Answered by Dr. Sudhir Kumar 20 hours later

Thank you for posting your query.

I can understand the discomfort your wife is facing on account of her pain.

The most likely cause for her symptoms is a nerve compression at the cervical (neck) region.

This often occurs due to bulging of disc (slipped disc) in the neck region.

The diagnosis can be confirmed by an MRI of the cervical spine.

Treatment would consist of neuropathic pain medications such as pregabalin or gabapentin. In addition, physiotherapy methods would also be useful.

There is no need to worry at present, as it responds well to treatment.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by
Follow-up: Treated for neck sprain. Started sneezing. Prescribed flexura d for viral myalgia. Safe remedy? 17 hours later

Thanks for taking time to reply. You were absolutely right, wednesday night she went through lot of pain, and a MRI scan on thursday confirmed that it was a disc prolapse btn C5-C6

Doctor has prescribed, decdek 4mg, flexura D and Pre-gabalin 75mg. He advised to take the tablets till the pain subsides and continue with Pre-Gablin for a week. Also, has suggested to wear a semi-soft collar with 10 days of rest.

Hope it comes down as expected. Just wanted to know if a bad posture of sleep could cause a disc prolapse.

Answered by Dr. Sudhir Kumar 1 hour later

Thank you for getting back with more details.

She is on correct treatment, please continue them.

Bad sitting or sleeping posture can contribute to slipped disc. Please discuss this with the physiotherapist.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by
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