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Dr. Andrew Rynne

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Pain In Neck, Muscle Strain, Diarheo, Nauseated. Food Poisoning?

I have had a pain in the back of the neck, just above the shoulder blade. It's been going on for two weeks. It almost feels like a muscle strain and if I sit a certain way or move my head a certain way the pain subsides. I woke up last night with bad diahrea, nauseated and very shakey. I was wonder if it might be some type of meningitis, or have a case of food poisining on top of the neck pain.
Wed, 24 Jul 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi, thanks for writing to HCM.

As your pain in the neck is occuring only during specific movements, definetely it should be of muscular origin.

These are not the signs & symptoms of meningitis.So don't panic.

Muscle strains & spasms will generally resolve spontaneously over a period of time.

Please follow the below mentioned general guidelines -

Rest: A collar will prevent unguarded movement; A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage.

Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms which generally follows acute pain.

Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful

Hope this information is helpful. Good day
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Orthopaedic Surgeon, Joint Replacement Dr. Saurabh Gupta's  Response
Hi,
Thanks for posting your query.
From description it seems to be muscle strain. Features you described not seems to be due to meningitis or food poisioning.
Give rest to the neck and do not involve in activities which puts additional strain on the injured tissues. Applying muscle relaxant gel and taking antiinflammatory drug will be helpful.
Hope this will helps you. Feel free to ask me if you have any further queries.
Wish you good health. Take care.
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
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Pain In Neck, Muscle Strain, Diarheo, Nauseated. Food Poisoning?

Hi, thanks for writing to HCM. As your pain in the neck is occuring only during specific movements, definetely it should be of muscular origin. These are not the signs & symptoms of meningitis.So don t panic. Muscle strains & spasms will generally resolve spontaneously over a period of time. Please follow the below mentioned general guidelines - Rest: A collar will prevent unguarded movement; A soft cervical collar is advisable. It should not be used for more than a week or two as it may worsen the condition with prolonged usage. Medicines: Analgesic are needed in the acute phase. Muscle relaxants are essential for relieving muscle spasms which generally follows acute pain. Physiotherapy: Once the acute phase of pain has subsided, Isometric strengthening exercises of the paravertebral muscles are started. Moist heat can be useful Hope this information is helpful. Good day