[29F] Experiencing neck pain post-flu
Patient Description
A 29-year-old female reports neck pain that began four days ago, predominantly on the right side but also affecting the left. The pain is described as a tightness, more than dull but not sharp, and is rated 7 out of 10 in severity. It occurs in all positions: sitting, standing, lying down, and moving. The patient recently had the flu and experienced frequent vomiting. Treatments attempted include bio freeze, icy hot, ibuprofen, and Tylenol, with only partial relief from the oral medications. The patient sleeps on her stomach and has not changed her sleeping position, pillow, or mattress recently. There are no recent injuries, changes in posture or activities, or unusual exposures. The patient has no pre-existing conditions or allergies and is currently taking norethindrone.
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Arora's Assessment
What might be happening
Based on your symptoms, here are some possible explanations:
-
Muscle Strain or Tension: This is common and can occur from sleeping in an awkward position, especially on your stomach, which can strain neck muscles.
- Treatment typically involves rest, gentle stretching, and over-the-counter pain relief.
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Cervical Strain: This can happen after repetitive movements or holding your neck in an unusual position, like during vomiting.
- Treatment includes rest, ice or heat application, and anti-inflammatory medications.
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Tension Headache: Sometimes, neck pain can be related to tension headaches, which cause tightness in the neck and shoulders.
- Treatment involves stress management, relaxation techniques, and pain relievers.
What you can do
- Adjust Sleeping Position: Try sleeping on your back or side with a supportive pillow to reduce strain on your neck.
- Apply Heat or Ice: Use a warm compress or ice pack on your neck for 15-20 minutes several times a day.
- Gentle Stretching: Perform gentle neck stretches to relieve tension. Avoid sudden movements.
- Pain Relief: Continue using ibuprofen or Tylenol as needed, following the recommended dosage.
- Use MDandMe: Journal your symptoms and track your progress. This can help you and your healthcare provider understand your condition better.
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 moving your neck
- Fever or unexplained weight loss
Remember, it's always best to consult a healthcare professional for a formal diagnosis and treatment plan.
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2 mo ago