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- Thu Mar 02, 2006 2:09 pm
I am a 31/f and I have been having severe neck pain and shoulder pain. I went to the doc on Tuesday and told him of the pain which I thought was caused from all of the extra computer work I have been doing and not using good posture. He took 5 xrays and said the disk space looked good. Gave me a muscle relaxer and a narcotic and said if not better in 5 days to come back in. Also, I had told him I was having constant dull pain in my left arm (which had been previously operated on). I do not seem to feel better and actually notice my left side of my neck to be very sore with the left ear having pain from time to time. My left arm pain is still there and is starting to feel tingly. I am also now paranoid that my arm may be swelling some and can't tell if my left side of neck is swollen in comparison to the right or not. Can you feel cancer? What could this be?
| Dr. Safaa Mahmoud
- Fri Jul 14, 2006 8:06 pm
In most of the cases with neck, shoulder and back pain, strain of the back muscles and ligaments, is the primary cause.
This usually results from wrong , sustained positions or following a sudden improper movement.
Muscle spasm alone can cause severe pain which can be of an unidentified cause.
In these cases, self care and avoiding the precipitating cause will lead to a gradual but clear improvement in the pain. Home treatment includes the use of analgesics, hot therapy and physiotherapy.
Rest for maximum two days is also beneficial.
If these measures fail to relief the pain or to improve symptoms in 48 hours, or if the pain is associated with numbness , weakness, the pain is more likely to be due to other causes, like:
Herniated disk, in which the intervertebral disc press on his nerves,
Spondylosis which is similar to arthritis but affects the spine etc
You mentioned that the X- ray imagine showed no changes. MRI is of choice in the diagnosis of these cases.
These are conditions that need specific therapy.
My advice is to follow up your doctor and to consult your him for further investigations like MRI.