Medical Specialty >> Rheumatology

Doctors Lounge - Rheumatology Answers

Back to Rheumatology Answers List

If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge ( does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.

DISCLAIMER: The information provided on is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.

Date of last update: 8/21/2017.

Forum Name: Rheumatology Topics

Question: Sudden onset of right neck pain

 SLPate - Wed Jan 05, 2005 11:01 am

I am a 43 WF in good health. In the past 6-8 months, I've had sudden onset of intense pain starting at the base of my right jaw radiating into my neck. The pain then radiates to behind my right breast and last for approximately 25 minutes. Once the intense pain subsides, there is a dull sensation throughtout that area but it is not dibiliatating. I presented to the ER once where my EKG & cardiac enzymes were normal. The only abnormality was a D-Dimer of 1.65. CT of chest, echocardiogram and ultrasound of gallbladder were all normal. I was given a diagnosis of pleurisy and costochronditis. I've had pleurisy in the past and know that they symptoms were not the same. What could be the differential diagnosis?
 Dr. Safaa Mahmoud - Fri Aug 11, 2006 12:03 am

User avatar Hello,

I would include these two conditions (pleurisy and costochondritis) to be related to your symptoms as your doctor said, but I would add to them another two possibilities:

- Temporomandibuilar Joints dysfunction which gives symptoms like follows:
Neck, shoulder, or back pain
Ear aches
Clenching teeth
Pain behind the eyes
Parasthesia of the fingers

- Spinal problems, that result in pinched nerve like arthritis, stenosis, or disc problems.

| Check a doctor's response to similar questions

Are you a Doctor, Pharmacist, PA or a Nurse?

Join the Doctors Lounge online medical community

  • Editorial activities: Publish, peer review, edit online articles.

  • Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.

Doctors Lounge Membership Application

Tools & Services: Follow DoctorsLounge on Twitter Follow us on Twitter | RSS News | Newsletter | Contact us