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What is the reason for constant neck pain?

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Internal Medicine Specialist
Practicing since : 1998
Answered : 1579 Questions
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I am 38 year old male suffering from consistant neck pain from last two years . Initially diagnosed with miltary neck and latter with low vitamin D ( 4 instead of 40) . Took medicines for Vitamin D and other deficiencies , but of no use , please guide
Posted Fri, 4 May 2012 in Bones, Muscles and Joints
 
 
Answered by Dr. Jasvinder Singh 19 minutes later
Hello XXXXXXX

Thanks for posting your query.

Your chronic neck pain seems to be due to military neck or cervical kyphosis and the vitamin D deficiency is aggravating the condition. Sometimes it can be due to cervical spondolysis also which can aggravate the symptoms further. So get this possibility also ruled out.

A normal neck x-ray from the side (lateral) should a “C” Curve in it. When you have a loss of this curve, it is known as a military neck. Most cases responds to anti-inflammatory drugs and cervical collars.

It is important to correct any posture imbalances that you may have, whether in a sitting posture or in a standing posture. It is also very important to make sure that the pillow you use under your head is the correct size and thickness for your body.

Avoid stretching of shoulders, lifting any heavy weights and add diets XXXXXXX in calcium, vitamins especially steroid injections or surgical involvement especially when it is associated with degenerative disc disease. But this should be kept as last resort.

Physiotherapy and exercises also help to increase mobility in your cervical spine. This involves doing flexion, extension, lateral flexion and rotation exercises and should be done under a physiotherapist’s guidance.

Also get your vitamin D levels estimated and if they are less, then you may need vitamin D supplement sachets.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you a good health.
Above answer was peer-reviewed by
 
Follow-up: What is the reason for constant neck pain? 18 hours later
Dear Doctor
Since I am suffering from last two years , some times it raises many doubt . Do you reccommend further investigation to be very sure that it is Cervical Spondlysis .
Please guide
 
 
Answered by Dr. Jasvinder Singh 10 hours later
Hello,

Thanks for writing back.

It is true that your pain can be due to military neck but cervical spondolysis may be adding on the symptoms and causing further exacerbation of pain as well. In such a case, cervical spondolysis should be investigated.

A physical examination along with CT or MRI neck are helpful to rule out cervical spondylosis. Please discuss these investigations and this possibility with your doctor.

Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries.

Wishing you a good health.

Regards
Above answer was peer-reviewed by
 
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