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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Difficulty In Moving Neck Post Operation For Fitting Pacemaker. What Can Be Done?

Hello. My 83 year old Dad had a pacemaker fitted on Tuesday following an episode of his heart stopping. since coming out of hospital on wednesday he has been hardly able to move his neck due to severe pain. He is wondering if this is related to the operation. His GP says it is a spasm but he is unable to get any relief and the pain is getting him down. Thank you Avril
Fri, 24 Aug 2012
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Internal Medicine Specialist,  's  Response
Hi,
Thanks for posting your query.
From which site Pacemaker probe was introduced? Whether femoral or jugular/ radial.
If jugular route was used then there may be chances of neck involvement and in such cases, patient may have obstructed vein, severe headache with swelling at face.
If neck conditions are normal, then there may be high chances of muscle stiffness as already explained by your treating physician.
You should again consult with physician and go for color Doppler study of neck to see patency of neck veins.
Your father should also take muscle relaxants if all prescribed investigations are normal.
Get well soon.
Dr. Mayank Bhargava
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Difficulty In Moving Neck Post Operation For Fitting Pacemaker. What Can Be Done?

Hi, Thanks for posting your query. From which site Pacemaker probe was introduced? Whether femoral or jugular/ radial. If jugular route was used then there may be chances of neck involvement and in such cases, patient may have obstructed vein, severe headache with swelling at face. If neck conditions are normal, then there may be high chances of muscle stiffness as already explained by your treating physician. You should again consult with physician and go for color Doppler study of neck to see patency of neck veins. Your father should also take muscle relaxants if all prescribed investigations are normal. Get well soon. Dr. Mayank Bhargava