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Suggest Treatment After An Unfortunate Move Has Triggered Pressure Pain Radiating To The Ear, Fullness In The Throat And Pain Upon Swallowing Towards The Right Side

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Posted on Fri, 19 Jan 2024
Question: Hi, 3 weeks ago I did an unfortunate move with my neck - from left to right, after which I immediately felt pain swallowing and a sense of dislocation on my right side. Additionally, I felt like some foreign object is stuck. It has been over 4 weeks, and it has not gone away. The pain and all the above/below is located on my right side. Something behind the thyroid cartillage, stretching up beneath the hyoid bone towards the bottom of the oral cavity is hurting badly, especially when I swallow. I get the feeling something is dislocated. Can this be?

Also, the side where the pain/discomfort is located feels numb, i.e. I dont feel swallowing (except pain) on that side. Additionally, I have developed a clicking when I swallow. It feels the thyroid cartillage is rubbing against the hyoid bone (or possibly the spine) when I do.

What could this be and will it heal off over time?

List of further symptoms at the affected side (right side):

• Trigger seems to be the hyoid bone, a displacement / dislocation or something is pinched
• Pressure pain, fullness in the throat
• Radiates on the ear (tingling in the ear)
• Feeling that something is trapped behind the larynx
• Feeling that the pharyngeal muscles are tense
• Click while swallowing
• Don't feel swallowing
• Hyoid bone seems clicking when touched
• Pain on swallowing right side
• Pain around the larynx


Best regards,
XXXX
doctor
Answered by Dr. Priyanka Aggarwal (5 hours later)
Brief Answer:
Pain larynx

Detailed Answer:

Hi,

Welcome and thanks for putting up the query
All the symptoms mentioned by you are suggestive of aryetenoid subluxation or a cricoaryetenoid injury.
Please tell me do you have any change in voice too?
Avoid touching and pressing over the neck as this may aggravate the symptoms.
You should get an endoscopic examination of the larynx done by an Ent specialist.
This will help to reach a confirmatory diagnosis and treatment will depend on the reports.
Any further questions are always welcome.
Take care
Thanks and regards
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Priyanka Aggarwal (1 hour later)
Hello,

Many thanks for this response. This is very helpful in my further process.

I do not realize large changes in voice at the moment, but I remember in the beginning (1-2 weeks ago), I had trouble keeping my voice, and additionally it was not as "deep" as I usually had. It seems to have returned to normal, however.

Also, I believe to have more "cough out", i.e. saliva that gets coughed out when I inhale deeply.

Is this further evidence for your above thesis? What is the recovery process or steps that would need to be undertaken in such a case?

Many thanks for your helpful insights,
XXXX
doctor
Answered by Dr. Priyanka Aggarwal (10 hours later)
Brief Answer:
Pain larynx

Detailed Answer:
Hi
Thanks for the information.
of the voice has turned to normal, that indicates the laryngeal edema due to injury have subsided. Avoid any further trauma.
The associated laryngopharyngeal reflux can cause symptoms of something sticky in the mouth.
You should take an antacid like pantoprazole once daily for a week.
Avoid any spicy food and aerated drinks.
Avoid any smoking or tobacco use.
Drink plenty of water.
Avoid a sedentary lifestyle.
All the medicines I have prescribed will be available only on prescription.
I will still insist you to get an endoscopic examination of the larynx done.
Wishing you a speedy recovery.
Thanks and regards

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Priyanka Aggarwal (3 hours later)
Dear Dr. Aggarwal,

many thanks for your insights - I will stick to your recommendations and get a examination done.

I am still a little worried though about the persistent clicking - it feels like my thyroid cartillage is rubbing against the hyoid. Can this be expected to heal too? Is this a muscular tension phenomenon? I am asking because it feels like something is permanently dislocated. What is the recovery/solution process for this topic and is it related to the problems we discussed above?

Best,
XXXX
doctor
Answered by Dr. Priyanka Aggarwal (22 hours later)
Brief Answer:
Pain larynx

Detailed Answer:
Hi
If there is any dislocation and it is symptomatic, it might need to be operated.
Any management will depend on the reports and examination.
Medicines can help to relieve inflammation or edema but any structural change can be dealt only by intervention.
Thyroid cartilage and hyoid bone are linked by a membrane and trauma can injure than leading to rubbing like symptoms.
Please follow up with the reports so that I can suggest you better and advice you accordingly.
Take care
Thanks and regards
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Priyanka Aggarwal

ENT Specialist

Practicing since :2008

Answered : 1389 Questions

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Suggest Treatment After An Unfortunate Move Has Triggered Pressure Pain Radiating To The Ear, Fullness In The Throat And Pain Upon Swallowing Towards The Right Side

Brief Answer: Pain larynx Detailed Answer: Hi, Welcome and thanks for putting up the query All the symptoms mentioned by you are suggestive of aryetenoid subluxation or a cricoaryetenoid injury. Please tell me do you have any change in voice too? Avoid touching and pressing over the neck as this may aggravate the symptoms. You should get an endoscopic examination of the larynx done by an Ent specialist. This will help to reach a confirmatory diagnosis and treatment will depend on the reports. Any further questions are always welcome. Take care Thanks and regards