[24F] With right-sided neck, shoulder, and rib pain

Patient Description

A 24-year-old female reports experiencing sharp neck pain primarily on the right side, rated 7/10 in severity, which occurs with movement, particularly when tilting to the left or down. The pain has been present for a few weeks and started suddenly. Additionally, there is pain below the ribcage and in the upper back, also on the right side, rated 8/10, occurring with specific movements. The patient experiences tightness around the right shoulder blade but denies any numbness, tingling, swelling, or bruising. There is no history of recent injuries, changes in workout routine, or exposure to new environments. The patient has a history of asthma since childhood and takes daily vitamins B12, iron, and fish oil. No other medications or known allergies are reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are some possible explanations:

  • Muscle Strain or Sprain: This is common and can occur from overuse or minor injuries, even if you don't recall a specific incident. It can cause sharp pain when moving and tightness around the shoulder blade.

    • Treatment typically involves rest, ice, compression, and elevation (RICE), along with over-the-counter pain relief.
  • Poor Posture or Ergonomics: Spending long periods in certain positions, like sitting at a desk, can lead to muscle tension and pain in the neck and upper back.

    • Treatment includes improving posture, ergonomic adjustments, and exercises to strengthen the back and neck muscles.
  • Costochondritis: Inflammation of the cartilage connecting the ribs to the breastbone, which can cause pain when moving.

    • Treatment involves anti-inflammatory medications and rest.

What you can do

  1. Rest and Modify Activities: Avoid movements that trigger pain and give your body time to heal.
  2. Apply Ice or Heat: Ice can reduce inflammation, while heat can relax tight muscles.
  3. Over-the-Counter Pain Relief: Consider using ibuprofen or acetaminophen to manage pain.
  4. Gentle Stretching and Strengthening Exercises: Focus on exercises that improve posture and relieve tension.
  5. Use MDandMe: Journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience:

  • Severe or worsening pain
  • Numbness or tingling in your arms or hands
  • Difficulty breathing or chest pain
  • Fever or unexplained weight loss

Remember, it's important to consult a healthcare professional for a formal diagnosis and treatment plan.

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2 mo ago


People Also Ask


What are common causes of sharp neck pain on one side?

Common causes of sharp neck pain on one side include muscle strain or sprain, poor posture, or sleeping in an awkward position. It can also be due to stress or tension in the muscles.


How can poor posture lead to neck and upper back pain?

Poor posture, such as slouching or sitting for long periods without proper support, can lead to muscle tension and strain in the neck and upper back. This can cause pain and discomfort, which may be alleviated by improving posture and ergonomics.


What is costochondritis and how is it treated?

Costochondritis is the inflammation of the cartilage that connects the ribs to the breastbone. It can cause sharp pain in the chest and is often treated with rest, anti-inflammatory medications, and avoiding activities that worsen the pain.


When should I seek medical attention for neck and back pain?

You should seek medical attention for neck and back pain if you experience severe or worsening pain, numbness or tingling in your arms or hands, difficulty breathing, chest pain, fever, or unexplained weight loss.


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