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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Neck And Shoulder Pain

My seven year old son came in from the playground with his head leaned over to his shoulder and crying in pain. He said his neck was hurting and he couldn t move it. I gave him some pain medicine and it does not seems to be helping (about an hour ago). He has a small knot under the skin where he said the pain is. The knot is about the size of a pea and is move-able. Do you think this could just be a crick in his neck or do I need to take him to the doctor?
Mon, 16 Feb 2015
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Pediatrician, Pulmonology ,  's  Response
Hi...by what you quote I feel that your kid is having Torticollis - which means exactly what you are describing. There will be a severe muscle spasm and the kid will not be able to move the head to a particular direction. This a usual occurrence during an abnormal posture while sleeping or during play activities.

for pain relief you can give him some Paracetamol or Ibuprofen. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if pain is severe.

Otherwise - If pain is excruciating then he will need some muscle relaxants and these are prescription drugs and I suggest you consult your pediatrician for them.

Regards - Dr. Sumanth
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Suggest Treatment For Neck And Shoulder Pain

Hi...by what you quote I feel that your kid is having Torticollis - which means exactly what you are describing. There will be a severe muscle spasm and the kid will not be able to move the head to a particular direction. This a usual occurrence during an abnormal posture while sleeping or during play activities. for pain relief you can give him some Paracetamol or Ibuprofen. Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if pain is severe. Otherwise - If pain is excruciating then he will need some muscle relaxants and these are prescription drugs and I suggest you consult your pediatrician for them. Regards - Dr. Sumanth