question-icon

What Causes Neck Pain While On Ibuprofen?

default
Posted on Wed, 25 Oct 2017
Question: My neck started hurting during sleep the night before last. There was no apparent precipitating event. It was somewhat better during the day yesterday but got a lot worse overnight again last night. My range of motion (especially left and right) is extremely limited. I took ibuprophen this AM and that may have helped a little bit< but it still hurts a whole lot.
xxxxxxx XXXXXXX
Follow up information:

> The pain is on the right side of my neck in the back up near my skull.
> When I said I had a limited range of motion, I meant my head has a limited range of motion.
> There is no "shooting" type pain down my arms or anything.
doctor
Answered by Dr. Ishu Bishnoi (55 minutes later)
Brief Answer:
Muscular spasm and management

Detailed Answer:
Hi XXXXXXX XXXXXXX thanks for asking from HealthcareMagic.


I can understand your concern. After going through your history, I am suspecting it to be a case of "neck paraspinal muscle spasm or sprain".

It is, so, because--

- The pain is localized on one side of the neck. Usually, spine pain or spondylosis pain occurs in middle.

- The pain is causing restriction of movement. It happens in spasm as muscle is inflamed and swollen. Movement leads to stretching of it and pain.

- There is no shooting pain in arms or anything

- The pain is more during the night. It occurs because of inactivity and cold environment.

To further confirm, check focal tenderness on the right side. If it is present, it is almost certain then.

To manage the pain, you should--

- Avoid lying on the lateral side for few days. Try to sleep in the supine position and use a soft pillow or no pillow at all.

- Apply Diclofenac gel at pain site with gentle massage.

- Please also consult a physiotherapist for stretching exercise and massage.

- Hot fomentation will help you more.

- If still no relief, you can take tablet Diclofenac with muscle relaxant tolperisone after prescription. It will give you more relief than Ibuprofen.

- If still no relief, consult a doctor. You might need some investigation like an X-ray of the neck.

Hope it will help you. If you have doubt, please do let me know.
Thanks. Take care.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
Dr.
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 901 Questions

premium_optimized

The User accepted the expert's answer

Share on
What Causes Neck Pain While On Ibuprofen?

Brief Answer: Muscular spasm and management Detailed Answer: Hi XXXXXXX XXXXXXX thanks for asking from HealthcareMagic. I can understand your concern. After going through your history, I am suspecting it to be a case of "neck paraspinal muscle spasm or sprain". It is, so, because-- - The pain is localized on one side of the neck. Usually, spine pain or spondylosis pain occurs in middle. - The pain is causing restriction of movement. It happens in spasm as muscle is inflamed and swollen. Movement leads to stretching of it and pain. - There is no shooting pain in arms or anything - The pain is more during the night. It occurs because of inactivity and cold environment. To further confirm, check focal tenderness on the right side. If it is present, it is almost certain then. To manage the pain, you should-- - Avoid lying on the lateral side for few days. Try to sleep in the supine position and use a soft pillow or no pillow at all. - Apply Diclofenac gel at pain site with gentle massage. - Please also consult a physiotherapist for stretching exercise and massage. - Hot fomentation will help you more. - If still no relief, you can take tablet Diclofenac with muscle relaxant tolperisone after prescription. It will give you more relief than Ibuprofen. - If still no relief, consult a doctor. You might need some investigation like an X-ray of the neck. Hope it will help you. If you have doubt, please do let me know. Thanks. Take care.