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Dr. Andrew Rynne

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What causes pain in neck and shoulder area?

I am a 26 year old male and I have been getting pain in my neck and shoulder area from my skull to my shoulder blade and all around the top of my shoulder on my right side for about 2 and a half years now. Some days the pain is really bad and I can hardly move my head without severe pain, other days the pain is mild and it is uncomfortable to move my head. I have some kind of pain everyday from mild to severe and it hurts more when I move my head, for example, it hurts more when I move my right ear towards my right shoulder or if I turn my head to look in a certain direction. I can t see any pattern as to when the pain is more severe, it isn t worse after a particular activity or time of day. For example, yesterday the pain was mild and uncomfortable, today it was mild in the morning and has become moderate thoughout the day, these 2 days are my days off and I have not done anything strenuous. Sometimes if I massage my neck and shoulder area I can feel something move and make a dull clonking noise, this helps dull the pain slightly for a short period of time before going back to how it was before. I have had an X-Ray and an MRI scan. The doctor claimed that they could only see general wear and tear with very minor disk protrusion. My first physiotherapist gave my some neck stretches to do and I have been doing them for about 1 year or more. The second more recent physiotherapist has told me there is nothing wrong with me and that the pain is something my brain had made up. Although they also said that my trapeze muscle is tight and harder on my right side. They have given me some stretches to do and have told me to stop imagining that I am in pain and to think positively . There are only two things that i remember happening to my head and neck area in the past. I once slipped a disk in my neck, but this was about 12 years ago, the second is about 2 and a half to 3 years ago a well build man fell onto my head and shoulder area from a height and jolted my shoulder and crushed my neck. Can someone please help me? What could it be? What should I tell my doctor? The pain is very real.
Tue, 23 Apr 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

As you had an MRI which suggest of protrusion of the disc, I will advise to use cervical soft collar, do hot water fermentation, gentle kneading massage, myofascial release, static neck, shoulder stabilization exercises to help improve the stability of the joints and improve the muscle strength. You can take the help of a Physiotherapist if you have one close by.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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