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Suggest treatment for stinging pain near neck and stiffness

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Posted on Tue, 27 Jan 2015
Question: hi im a 26 yr old male...i started having pain while doing a trg exercise in glaciers ...initially i thought it ws due to some musle pull n cold but my situation deterioted .i was having stinging pain in nape of my neck with stifness.after MRI i ws told i m having PIVD C3/C4 with mild nerve compression at C3/C4.lordosis maintained.. nerve conduction test was normal.i had muscle wasting initially on left side of my neck which happened within 20 days..no pain was reported after 7-8 days ...no stiffness ws dere ..another doc told me tht it might be due to some infection or can be brachial plexities..now after 1 year i again stared having migranes in my head...tightness in armpit area...slight nerve pain in left shoulders n nerve twitching in right hand...i stated having slight pain in lower bck which is generally like u hav after sitting at one place for prolonged posotions..what should i do ..n whom do i consult..treatments plzz
doctor
Answered by Dr. Vaibhav Gandhi (44 minutes later)
Brief Answer:
Consult physiotherapist and neurologist for further guidance.

Detailed Answer:
Hello,

I have studied your case.
I will advise you to consult physiotherapist and neurologist for further guidance.

For these symptoms you can take analgesic and neurotropic medication like pregabalin. This can be started consulting your doctor.
Till time, avoid lifting weights, Sit with support to neck.
Physiotherapy like ultrasound and interferential therapy will give quick relief.
I will advise to check your vitamin B12 and vitamin D3 level.

After clinical examination, medications for migraine like sumatriptans can be started consulting your doctor.

Lifestyle Modifications will help to reduce headache episodes
- Proper nutrition
- Regular physical activity
- Adequate sleep
- Stress reduction strategies
• Identify and avoid triggers (e.g., tobacco smoke, strong odors, or sprays).
• Address workplace ergonomics. (Attention to workplace ergonomics and instruction in self-care of neck tension can have a dramatic effect on headache frequency.)

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 good health

Take care.


Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
doctor
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Follow up: Dr. Vaibhav Gandhi (7 hours later)
thankss for the ans doc....why hav u refered to check of vit B12 and vit D3 ....do u advise infra red radiation therapy ....is dere any need of an operation... the onset of pain n headache occurs during winters .what is an interferential therapy.can my problem be due to sum viral infection bcoz the muscle wasted was recovered with tym..
doctor
Answered by Dr. Vaibhav Gandhi (13 hours later)
Brief Answer:
No need of operation at this stage.

Detailed Answer:
Hello

I have studied your questions

Vitamin B12 has role in functioning of nerve conduction if there are low level then mild nerve compression can lead to more damage of nerve and subsequently more neck pain.
Vit D3 is important for bone maintenance; low level can cause weakness of vertebral architecture. Weak vertebral bone can lead to diffuse neck pain.

Infra red radiation is not so effective so I do not advise this for you.

No need of operation at this stage.

Pain increasing in winter suggests possibility of arthritis.

Viral infection may lead to cord edema, but there should be some blood test which may direct towards viral infection.

Interferential therapy is modality of deep muscle relaxation. You can take IFT from physiotherapist.

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 good health

Take care


Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Vaibhav Gandhi

Orthopaedic Surgeon

Practicing since :1998

Answered : 5164 Questions

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Suggest treatment for stinging pain near neck and stiffness

Brief Answer: Consult physiotherapist and neurologist for further guidance. Detailed Answer: Hello, I have studied your case. I will advise you to consult physiotherapist and neurologist for further guidance. For these symptoms you can take analgesic and neurotropic medication like pregabalin. This can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to neck. Physiotherapy like ultrasound and interferential therapy will give quick relief. I will advise to check your vitamin B12 and vitamin D3 level. After clinical examination, medications for migraine like sumatriptans can be started consulting your doctor. Lifestyle Modifications will help to reduce headache episodes - Proper nutrition - Regular physical activity - Adequate sleep - Stress reduction strategies • Identify and avoid triggers (e.g., tobacco smoke, strong odors, or sprays). • Address workplace ergonomics. (Attention to workplace ergonomics and instruction in self-care of neck tension can have a dramatic effect on headache frequency.) 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 good health Take care.