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What causes pain in the middle of neck to shoulders?

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Posted on Fri, 1 Aug 2014
Question: Hello
I hope you.can help me
I want to find a solution for my problem
I suffer from this back pains and to br precise its always from the middle of my neck (near the spinalcord) to my shoulders and always the left side,and middle back

I keep getting it and the feeling i get is that i need to crack my neck and back

I have uploaded an image which i highlited the area

What is the cause and solution if you can guide me

Waiting to hear from you

Regards
XXXXXXX
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Repetitive stress injury RSI

Detailed Answer:
Hi XXXXXXX
Thanks for your query and a highlighted photograph.

To start with I would like to know:
* Since when are you getting this problem?
* Are you left handed?
* Any treatment taken? results?

This is a repetitive stress injury. The management of such a pains is tricky, needs multidisciplinary approach, patience and practice.

We/ you have to find the reason for getting such type of pain and spasm. The first step is to avoid or stop altogether or improvise on these activities / posture/ causative agents.

Put the left upper limb in a sling by the neck to uplift and support the the elbow part, so that the weight of the upper limb which puts the strain on this particular part is reduced to most minimum level.

Local rubrafacient liniments which cause warmth and increased blood supply and relief of pain to break the vicious cycle of > pain> spam> pain > spam. I hope you are getting my point.
Addition of the anti-inflammatory tablets which have a good pain-killer property and which suit you helps a lot and to be taken with PPI to avoid acidity related problems.

Very good sound sleep, stress-free lifestyle helps a lot.
Please remember , this type of pain takes a long time to settle and can recur the moment the instigating / trigger factors start to play.

If necessary MRI of the cervical spine and the muscles can help to rule out the disc or local problems related to the muscles and nerves.




Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. T Chandrakant (8 days later)
Hello

Thank you for the reply

The pain has started around a year ago but was not constant but its just recently that i have been getting it regularly
Life style yes mostly atreasfull my sleep is not proper as i work shifts sometimes
No medication usually hot bath and sometimes a lite massage works
If pain continued usually pain killer tablet takes it away
Not left handed
Can it be the way i sleep (on side always)
Is the way i sit stand effect

I hope i have given you answers that will help

Waiting to hear from you

Regards
doctor
Answered by Dr. T Chandrakant (1 hour later)
Brief Answer:
Please follow the advise as already detailed

Detailed Answer:
Thanks for your feedback.
Yes, it can be due to the way you sleep, sit or stand. These add on the existing problems by enhancing it.

Please follow the guidelines already given in detail as above. This will help you get a cure.


Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 14425 Questions

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What causes pain in the middle of neck to shoulders?

Brief Answer: Repetitive stress injury RSI Detailed Answer: Hi XXXXXXX Thanks for your query and a highlighted photograph. To start with I would like to know: * Since when are you getting this problem? * Are you left handed? * Any treatment taken? results? This is a repetitive stress injury. The management of such a pains is tricky, needs multidisciplinary approach, patience and practice. We/ you have to find the reason for getting such type of pain and spasm. The first step is to avoid or stop altogether or improvise on these activities / posture/ causative agents. Put the left upper limb in a sling by the neck to uplift and support the the elbow part, so that the weight of the upper limb which puts the strain on this particular part is reduced to most minimum level. Local rubrafacient liniments which cause warmth and increased blood supply and relief of pain to break the vicious cycle of > pain> spam> pain > spam. I hope you are getting my point. Addition of the anti-inflammatory tablets which have a good pain-killer property and which suit you helps a lot and to be taken with PPI to avoid acidity related problems. Very good sound sleep, stress-free lifestyle helps a lot. Please remember , this type of pain takes a long time to settle and can recur the moment the instigating / trigger factors start to play. If necessary MRI of the cervical spine and the muscles can help to rule out the disc or local problems related to the muscles and nerves.