[24F] Experiencing severe neck pain and related symptoms

Patient Description

A 24-year-old female has been experiencing severe neck pain for almost a year, with a current pain level of 9 out of 10. The pain is constant, unaffected by position or activity, and is located at the soft spot at the back of the head, with some swelling. The patient also reports numbness, tingling, and weakness in the arms and hands, as well as headaches occurring 2-3 times per week, but no vomiting. A small section of the spine feels out of place, and there is a need to pop the back every 5 minutes for the past 2 years, which does not provide relief. The patient has a significant medical history of physical and mental health conditions diagnosed approximately 4 years and 20 years ago, respectively. These include drug abuse, restless leg syndrome, asthma, hypertension, depression, ADHD, bipolar disorder, seasonal allergies, anxiety, anemia, PTSD, personality disorder, and psychosis. The patient has an allergy to the penicillin family and is not currently on any medications. The patient suffered a traumatic incident involving being hit with a baseball bat.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Cervical Radiculopathy: This condition occurs when a nerve in your neck is irritated or compressed. The pain can radiate from the neck to the arms and hands, and you may also experience numbness, weakness, or tingling in these areas. This could be caused by a traumatic injury, such as being hit with a baseball bat.

    • Treatment typically involves physical therapy, pain medications, and in some cases, surgery.
  • Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. It can result in chronic, severe pain and stiffness in the neck.

    • Treatment usually involves physical therapy, medications to ease the pain and reduce inflammation, and in severe cases, surgery.
  • Tension Headaches: These are common types of headaches that can cause pain in the back of your head and neck. They're often related to stress, depression, or anxiety.

    • Treatment usually involves managing your stress levels, and over-the-counter pain relievers can also help.
  • Post-Traumatic Stress Disorder (PTSD): Given your history of a traumatic incident and the presence of several mental health conditions, it's possible that some of your physical symptoms could be related to PTSD. PTSD can cause physical pain and discomfort, as well as mental health symptoms.

    • Treatment typically involves psychotherapy, medications, or both.

Please note that these are just possibilities, and it's important to see a healthcare provider for a formal diagnosis and treatment.

What you can do

  1. Schedule an appointment with your healthcare provider as soon as possible. They can conduct a physical examination and may order imaging tests, such as an X-ray or MRI, to get a better understanding of what's causing your symptoms.

  2. In the meantime, try to rest and avoid any activities that worsen your pain. Over-the-counter pain relievers may help, but be sure to follow the instructions on the label.

  3. Consider seeking help from a mental health professional. They can provide treatment for PTSD and other mental health conditions, which may help improve your physical symptoms.

What you should look out for

Seek immediate medical attention if you experience:

  • Sudden, severe pain in your neck, arms, or back
  • Difficulty walking or balancing
  • Loss of bladder or bowel control
  • Difficulty breathing or swallowing

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What are the common causes of severe neck pain that lasts for a long time?

Severe neck pain that persists for a long time can be caused by conditions such as cervical radiculopathy, cervical spondylosis, or injuries like whiplash. It can also be related to stress or mental health conditions.


How can cervical radiculopathy affect the arms and hands?

Cervical radiculopathy occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spur. This can lead to symptoms like numbness, tingling, and weakness in the arms and hands.


What are the treatment options for tension headaches?

Treatment for tension headaches typically involves managing stress, using over-the-counter pain relievers, and practicing relaxation techniques. In some cases, physical therapy or counseling may be recommended.


How can PTSD contribute to physical symptoms like pain?

PTSD can lead to physical symptoms such as pain due to the body's stress response. It can cause muscle tension, headaches, and other discomforts. Addressing PTSD through therapy and medication can help alleviate these physical symptoms.


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