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Neurology  (Expert Forum)
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Re: neck and shoulder pain
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Re: neck and shoulder pain

by CCF Neurolgy MD - AY, Jan 01, 1995 12:00AM
Posted By CCF Neurology MD - AY on October 27, 1998 at 07:36:40:

In Reply to: neck and shoulder pain posted by dave on October 26, 1998 at 17:17:26:






I am a 30 year old male. I started having neck pain in June of this year. After x-rays and lab work my physician diagnosed my problem as stress. I have had no major pain only discomforts and vision problems. My first diagnose was a strain, my question is, Would it be possible for a neck strain to continue for months? I did visit a chiripractor who told me that I was having spasms. Unfortunately when he adjusted my neck, it only seem to complicate the problems.  Thanks for you time.




Thanks for your question.  The common cause of neck discomfort is caused
by inadequate posture (either standing, seating, or sleeping), which is turn
results in muscle contractions/"spasms".  This type of symptoms can usually
be significantly aleviated by mild analgesics, or muscle relaxants.  However,
one should always keep in mind more serious causes of neck discomfort, such
as spine problems, if the symptoms worsen with time (in intensity, in extent
of area affected), if symptoms include alteration of sensation (numbness,
tingling) or weakness in arms or hands, or if there is severe pain triggered
by neck movements.  If your conditions have any of the above worrisome signs,
you should definitely be evaluated by a physician, preferably a neurologist
specialized in peripheral nervous system.  The plain X-ray can detect only
overly abnormal alterations in the bony structures in your neck, a more
thorough imaging test, such as MRI of spine, is necessary to detect lesions
in all the surround soft tissue.
I hope this information is helpful.  Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.

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