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What Causes A Pulling Sensation In The Neck?

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Posted on Wed, 18 Jan 2017
Question: Hello doc,

I am 34yrs woman.. Almost for d past 2 weeks , I have a nerve pull in my neck and it's on my right side.. If I TILT my head I could feel d pull and pain. Been to orthopaedic and doc said it's onto muscle and given medicine mayoril sub lingual tablets for a week.

After taking medicine, no improvement and now I feel pressure in my left wrist and nerve pull from neck to head on to my right side.

In between doc taken test for D3 and B12.. Both r low d3 7 and b12 less than 200..Doc gave medicine for both... Yet to start on those medications... Now I could feel d nerve pull to head is very strong.. Dunno what to do.. Pls help to go in d right direction

Thank you
doctor
Answered by Dr. Dholariya Sagar Jayantilal (7 hours later)
Brief Answer:
May be due to muscle spasm, Vitamin D deficiency alongside Nerve compression

Detailed Answer:
Hello dear XXXX,
Welcome to HCM and thanks for the query
I can understand your concern and thanks for the query

Your symptoms could be due to muscle spasm, Vitamin D deficiency, alongside Nerve compression (which you've rightly mentioned)

I would suggest to go for X-ray of the cervical spine (AP LATERAL), MRI if needed to rule out nerve compression.

Meanwhile consider following advises:

Start the supplemental medicines without any further delay for the low Vitamin D & B12 as you must've been advised already.

Tablet Ibuprofen 400 mg three times daily for next 2-3 days after food
Tablet Ranitidine 150mg twice daily before meal
Application of Diclofenac (Volini) gel twice daily
Warm pad application
Neck exercise according to physiotherapist will helpful
Wear Soft cervical collar specially
Do not keep your neck in same position for long time

Exposure to sunlight for 2 hour / week with open hand , forearm and face, feet between 10 am to 12 noon

This is my personal opinion based on the information available
Hope I have answered your question

If you have further query then I'll be happy to help you
Best regards
Dr. Sagar


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dholariya Sagar Jayantilal (29 hours later)
Thanks for the reply doc. I have enclosed a X-ray with this. Pls go through it and suggest me what kind of treatment needs to b done.
doctor
Answered by Dr. Dholariya Sagar Jayantilal (5 hours later)
Brief Answer:
No significant finding in X-ray

Detailed Answer:
Hello dear
Welcome back and thanks for follow up
I understand your concern

I have undergone through your X-Ray.
X-Ray looks normal and no significant finding.
Your pain could be due to cervical muscle spasm

You can take following prescribed medicines for next 7-10 days:
Tablet Etoricoxib 60 MG + Thiocolchicoside 8 MG, two times a day after meal
Tablet Pregabalin 75 mg once a day at the bed time
Tablet Ranitidine 150 mg twice daily before meal
Start the supplemental medicines for the low Vitamin D & B12 as you must've been advised already

Application of Diclofenac (Volini) gel twice daily
Warm pad application
Wear Soft cervical collar specially
Neck exercise according to physiotherapist will helpful

This is my personal opinion based on the information available
Hope I have answered your question

If you have further query then I'll be happy to help you
Best regards
Dr. Sagar
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dholariya Sagar Jayantilal (2 days later)
Thank you doc.. I have severe ear pain during night in d right tragus and ear lobe and it's radiating towards jaw,.

Initially it was on and off for d past 3days..yesterday night on severe pain through out. I was taking ocid 20mg before food... It started from then on I stopped that.. But then also pain continues.. Pls help me
doctor
Answered by Dr. Dholariya Sagar Jayantilal (2 hours later)
Brief Answer:
May be due to temporo-mandibular joint dysfunction or Parotitis

Detailed Answer:
Hello dear
Welcome back and thanks for follow up
I understand your concern

Ocid 20 does not cause pain in ear and jaw.
Your symptoms could be due to temporo-mandibular joint dysfunction or Parotitis
Pain of temporo-mandibular joint dysfunction may be refereed to the neck.

I would suggest to consult the ENT specialist and undergo detailed examination, blood tests like EXR, CRP and MRI scan if needed.

Following prescribed treatment will help you:
You must take analgesic and anti inflammatory drugs along with muscle relaxant ( Tablet Etoricoxib 60 MG + Thiocolchicoside 8 MG, two times a day after meal).
Tablet Ranitidine 150 mg twice daily before meal
Application of diclofenac gel
Take soft diet
Gentle massage of muscle over jaw joint progressive toward neck
Warm pad application

This is my personal opinion based on the information available
Hope I have answered your question

If you have further query then I'll be happy to help you
Best regards
Dr. Sagar

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Dholariya Sagar Jayantilal

General & Family Physician

Practicing since :2009

Answered : 5898 Questions

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What Causes A Pulling Sensation In The Neck?

Brief Answer: May be due to muscle spasm, Vitamin D deficiency alongside Nerve compression Detailed Answer: Hello dear XXXX, Welcome to HCM and thanks for the query I can understand your concern and thanks for the query Your symptoms could be due to muscle spasm, Vitamin D deficiency, alongside Nerve compression (which you've rightly mentioned) I would suggest to go for X-ray of the cervical spine (AP LATERAL), MRI if needed to rule out nerve compression. Meanwhile consider following advises: Start the supplemental medicines without any further delay for the low Vitamin D & B12 as you must've been advised already. Tablet Ibuprofen 400 mg three times daily for next 2-3 days after food Tablet Ranitidine 150mg twice daily before meal Application of Diclofenac (Volini) gel twice daily Warm pad application Neck exercise according to physiotherapist will helpful Wear Soft cervical collar specially Do not keep your neck in same position for long time Exposure to sunlight for 2 hour / week with open hand , forearm and face, feet between 10 am to 12 noon This is my personal opinion based on the information available Hope I have answered your question If you have further query then I'll be happy to help you Best regards Dr. Sagar