[23F] With worsening neck pain

Patient Description

A 23-year-old female reports experiencing dull, throbbing pain on the left side of her neck that started yesterday and has worsened today. The pain is exacerbated by looking to the right and down. There is no history of recent injuries or accidents. The patient applied Tiger Balm, which provided minimal relief. She suspects that her sleeping position or a new pillow may have contributed to the pain. The area feels very tight, but there is no visible swelling. She denies any numbness, tingling, or headaches. The patient has no history of neck or spine problems. She uses tobacco daily and has a history of asthma diagnosed at age 12, managed with an albuterol inhaler used once daily or twice if needed. She has no known drug allergies and is not taking any other medications, supplements, or herbal remedies.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your neck pain:

  • Muscle Strain or Tension: This is a common cause of neck pain, often resulting from poor posture, sleeping in an awkward position, or sudden movements. The tightness and pain you feel when moving your neck could be due to strained muscles.

    • Treatment: Muscle strain is typically treated with rest, gentle stretching, and over-the-counter pain relievers like ibuprofen or acetaminophen. Applying heat or cold packs can also help reduce pain and inflammation.
  • Poor Sleeping Position: Using a new pillow or sleeping in an unusual position can lead to neck pain. This can cause muscle stiffness and discomfort.

    • Treatment: Ensuring you have a supportive pillow and maintaining a good sleeping posture can help alleviate this type of pain.
  • Cervical Spondylosis: This is a condition that involves wear and tear on the neck's vertebrae and discs, which can cause pain and stiffness. While it's more common in older adults, it can occur in younger people as well.

    • Treatment: Treatment may include physical therapy, medications, and lifestyle changes to manage symptoms.

What you can do

Here are some steps you can take to help alleviate your neck pain:

  1. Rest and Gentle Stretching: Avoid activities that strain your neck. Gentle stretching exercises can help relieve muscle tension. Be sure to move slowly and avoid any movements that cause pain.
  2. Apply Heat or Cold: Use a heating pad or warm towel on your neck for 15-20 minutes several times a day. Alternatively, you can use an ice pack wrapped in a cloth for 10-15 minutes to reduce inflammation.
  3. Over-the-Counter Pain Relievers: Medications like ibuprofen (Advil) or acetaminophen (Tylenol) can help reduce pain and inflammation.
  4. Improve Your Sleeping Position: Use a supportive pillow that keeps your neck in a neutral position. Avoid sleeping on your stomach, as this can strain your neck.
  5. Maintain Good Posture: Be mindful of your posture throughout the day, especially if you spend long periods sitting or using a computer. Keep your back straight and shoulders relaxed.
  6. Stay Hydrated: Drinking plenty of water can help keep your muscles hydrated and reduce stiffness.
  7. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

While most neck pain is not serious, you should seek medical attention if you experience any of the following:

  • Severe Pain: If your pain is severe and not improving with home treatment.
  • Numbness or Tingling: If you develop numbness, tingling, or weakness in your arms or hands.
  • Fever: If you develop a fever along with your neck pain.
  • Persistent Pain: If your pain persists for more than a week despite home treatment.
  • Difficulty Swallowing or Breathing: If you have trouble swallowing or breathing, seek immediate medical attention.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. If your symptoms worsen or you have any concerns, please reach out to a medical provider.

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4 mo ago

People Also Ask


What are common causes of neck pain in young adults?

Common causes of neck pain in young adults include muscle strain or tension from poor posture, awkward sleeping positions, or sudden movements. Stress and prolonged use of electronic devices can also contribute to neck pain.


How can I relieve neck pain caused by poor sleeping posture?

To relieve neck pain caused by poor sleeping posture, use a supportive pillow that keeps your neck in a neutral position. Avoid sleeping on your stomach, and try to maintain a good posture while sleeping. Gentle stretching and applying heat or cold packs can also help.


When should I see a doctor for neck pain?

You should see a doctor for neck pain if it is severe, persists for more than a week despite home treatment, or is accompanied by symptoms like numbness, tingling, weakness in the arms or hands, fever, or difficulty swallowing or breathing.


Can smoking affect neck pain or muscle tension?

Smoking can affect neck pain or muscle tension as it reduces blood flow and oxygen to the muscles, potentially leading to increased stiffness and pain. Quitting smoking can improve overall muscle health and reduce pain.


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