[18F] Experiencing neck pain, throat constriction, and brain tightness

Patient Description

An 18-year-old female reports sudden onset of neck and shoulder pain for the past 3 days, described as feeling like a strained neck from looking at the ceiling too long. The pain is mild and exacerbated by looking down at a laptop for work. Resting and massage provide some relief. She also experiences a sensation of throat tightening without known allergies and a non-painful, annoying headache since early August, rated as 1/10 in intensity. The headache is managed by not thinking about it, and the crown of her head hurts briefly upon waking. Additionally, she has had a tingling sensation in her hand for about a month, especially when holding something for too long, described as feeling like someone is poking it. Occasionally, she experiences blind spots when looking at things up close. There are no symptoms of dizziness, balance issues, nausea, vomiting, or sensitivity to light or sound. She does not use tobacco, alcohol, or recreational drugs and has not started any new medications recently. She has been exposed to a new air freshener but has not noticed any correlation with her symptoms. She was told she might have PCOS about three weeks ago and is currently taking Allegra, though the exact dosage is unknown. There is no family history of major illnesses.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Tension Headache: The feeling of tightness in your brain and the mild, annoying headache could be due to tension headaches. These are often caused by stress, poor posture, or muscle strain, especially from looking down at your laptop for extended periods.

    • Treatment: Over-the-counter pain relievers, stress management techniques, and improving your posture can help. Regular breaks from screen time and ergonomic adjustments to your workspace may also be beneficial.
  • Cervical Strain: The neck and shoulder pain, along with the tingling sensation in your hand, could be due to a cervical strain or muscle tension in your neck. This can happen from poor posture, especially when looking down at your laptop.

    • Treatment: Rest, gentle neck exercises, and maintaining good posture can help. Applying heat or cold packs and using over-the-counter pain relievers may also provide relief.
  • Sinus Issues: The feeling of throat tightness and the brief pain at the crown of your head upon waking could be related to sinus issues, especially since you use a neti pot. Sinus congestion or irritation can sometimes cause these symptoms.

    • Treatment: Continue using the neti pot as directed, stay hydrated, and consider using a humidifier. Over-the-counter decongestants or antihistamines like Allegra can also help.
  • Visual Strain: The blind spots when looking at things up close could be due to visual strain, especially if you spend a lot of time on screens.

    • Treatment: Take regular breaks using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for at least 20 seconds). Ensure your screen is at eye level and consider using blue light filters.

What you can do

  1. Posture and Ergonomics: Adjust your workspace to ensure your laptop is at eye level. Take regular breaks to stretch and move around.
  2. Stress Management: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage stress and reduce tension headaches.
  3. Hydration and Humidity: Stay well-hydrated and consider using a humidifier to keep your nasal passages moist.
  4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and get insights. This can help you identify patterns and share detailed information with your healthcare provider.
  5. Over-the-Counter Relief: Use over-the-counter pain relievers and antihistamines as needed, but follow the recommended dosages.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or worsening headaches
  • Persistent or severe neck pain
  • Numbness, tingling, or weakness in your arms or hands that doesn't improve
  • Vision changes that persist or worsen
  • Any new or concerning symptoms

Remember, while I can provide guidance based on your symptoms, it's important to consult a healthcare professional for a formal diagnosis and treatment plan. If you have any more questions or need further assistance, feel free to reach out.

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3 mo ago


People Also Ask


What are tension headaches and how can they be managed?

Tension headaches are often characterized by a feeling of tightness or pressure around the forehead or back of the head and neck. They can be managed with over-the-counter pain relievers, stress management techniques, and by improving posture. Taking regular breaks from screen time and making ergonomic adjustments to your workspace can also help.


What causes cervical strain and what are some effective treatments?

Cervical strain is often caused by poor posture, especially from activities like looking down at a laptop for extended periods. Effective treatments include rest, gentle neck exercises, maintaining good posture, applying heat or cold packs, and using over-the-counter pain relievers.


How can sinus issues lead to symptoms like throat tightness and headaches?

Sinus issues can cause symptoms like throat tightness and headaches due to congestion or irritation in the sinus passages. Using a neti pot, staying hydrated, and using a humidifier can help alleviate these symptoms. Over-the-counter decongestants or antihistamines may also be beneficial.


What is visual strain and how can it be alleviated?

Visual strain occurs when the eyes get tired from intense use, such as staring at computer screens for long periods. It can be alleviated by taking regular breaks using the 20-20-20 rule (every 20 minutes, look at something 20 feet away for at least 20 seconds), ensuring your screen is at eye level, and using blue light filters.


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