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Suggest treatment for soft tissue swelling

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Posted on Fri, 4 Dec 2015
Question: I have arthritis in,my neck and a hard lumo or knot at,the bottom of neck where spine begins. it seems to be getting bigger and more painful. Today I am hurting really bad down my spine to the middle of my back. I also have hard lumps or knots on,both collar bones on chest. They do not move and are really really hard.
doctor
Answered by Dr. Naval Mendiratta (1 hour later)
Brief Answer:
Soft tissue swellings

Detailed Answer:
Good evening

Thank you for writing on health care magic

I have gone through your query, and these swellings does seem like arising in the soft tissue. Once they grow in size they can cause the pain you are having as it presses on the neighboring structures causing restriction of movement.

Since you say the swelling size has been increasing, it is advisable to get a FNAC done for the swelling. An ultrasound will be helpful to determine the exact nature of the swelling. But FNAC is mandatory.

If anything comes up in FNAC, we can investigate further with MRI or other investigations. If it is just a ganglion, there is no reason to worry and it can be excised with a minor surgery

Hope the information was useful

DO let me know for more queries. Would be happy to help out

Regards
Dr Naval
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Naval Mendiratta (10 hours later)
x rays
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Answered by Dr. Naval Mendiratta (16 hours later)
Brief Answer:
X Rays not visible

Detailed Answer:
Dear XXXXXXX

There are still no images uploaded. CAn you please try once more....

Regards
Dr Naval
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Naval Mendiratta (23 hours later)
here are xrays and last pic is what my neck looks like at night sometimes but not every night. And the back of my neck is getting bigger and bigger and more painful
doctor
Answered by Dr. Naval Mendiratta (15 hours later)
Brief Answer:
Pictures

Detailed Answer:
Good evening
XXXXXXX sorry to say but i have been trying to open the images since morning but to no avail. Still cant see any of them

I would suggest you attach the pictures and address it to the customer care

Never the less, it will be better to get an ultrasound done for the swelling over the neck and get an FNAC done to rule out any cancerous lesions. If it is growing, it is something we need to look into

Hope the information was useful

Do let me know for more queries

Regards
Dr Naval
Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Naval Mendiratta (11 hours later)
thank you i will email them now. I have a lot of pain right now on the back of my head
doctor
Answered by Dr. Naval Mendiratta (20 hours later)
Brief Answer:
Neck Swelling

Detailed Answer:
Good evening XXXXXXX

I have gone through your X Rays. There is a slight bit of soft tissue swelling, but nothing infiltrating the bone. X rays are not a good modality for soft tissue swelling though.

Get an Ultrasound done, to rule out if it a lymph node enlargement or a lipoma or a ganglion. It looks one of the 3 only on the X Ray. A FNAC would give us the exact diagnosis and the further management

Do let me know once you have got it done

Regards
Dr Naval
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Naval Mendiratta

Rheumatologist

Practicing since :2007

Answered : 754 Questions

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Suggest treatment for soft tissue swelling

Brief Answer: Soft tissue swellings Detailed Answer: Good evening Thank you for writing on health care magic I have gone through your query, and these swellings does seem like arising in the soft tissue. Once they grow in size they can cause the pain you are having as it presses on the neighboring structures causing restriction of movement. Since you say the swelling size has been increasing, it is advisable to get a FNAC done for the swelling. An ultrasound will be helpful to determine the exact nature of the swelling. But FNAC is mandatory. If anything comes up in FNAC, we can investigate further with MRI or other investigations. If it is just a ganglion, there is no reason to worry and it can be excised with a minor surgery Hope the information was useful DO let me know for more queries. Would be happy to help out Regards Dr Naval