[42F] Experiencing chronic neck pain with associated shoulder pain

Patient Description

A 42-year-old female reports a chronic dull ache in the neck, persisting for 9 years with a severity of 7 out of 10. The pain is located on the left side of the neck, approximately 5-6 inches below the ear, and at times it affects both sides of the neck, radiating down to the shoulders. The patient also experiences stiffness and limited range of motion in the neck. There are no reports of numbness or tingling in the arms or hands, and no mention of headaches or visual disturbances.

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Arora's Assessment

What might be happening

Based on the information you've provided, the following conditions might be causing your symptoms:

  • Chronic Tension: This is a common cause of long-term neck pain. It can be due to poor posture, stress, or carrying heavy items.

    • Treatment typically involves physical therapy, exercises to strengthen the neck muscles, and pain management strategies such as over-the-counter pain relievers.
  • Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. As the disks dehydrate and shrink, signs of osteoarthritis develop, including bony projections along the edges of bones (bone spurs).

    • Treatment typically involves physical therapy, medication to control pain and muscle relaxants.
  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It can cause pain in the neck and shoulders.

    • Treatment typically involves a combination of medications, exercise, stress management techniques, and healthy lifestyle habits.

What you can do

  1. Over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others), may help.
  2. Regular exercise can help keep your body in good condition and alleviate some of the discomfort.
  3. Heat or cold. Applying heat or cold to the affected area can help. You can use a heating pad or take a warm shower. Alternatively, a cold pack can also relieve pain.
  4. Practice good posture. Make sure your computer monitor is at eye level, sit up straight, and avoid tilting and twisting your head down or to the side while you're on the computer or doing other tasks.
  5. Try not to grit your teeth. This can lead to tension in your neck and shoulders.
  6. Get regular sleep. Make sure you're getting enough sleep and that your pillow supports your neck.

What you should look out for

If your neck pain is severe, lasts for more than a week, and is accompanied by other symptoms, such as a headache, numbness, weakness, or tingling in your arms or hands, you should seek medical attention immediately. These could be signs of a more serious condition, such as a herniated disk or a stroke.

Please remember, while I strive to provide accurate information, I am an AI and not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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10 mo ago

People Also Ask


What are common causes of chronic neck pain?

Common causes of chronic neck pain include tension from poor posture, stress, carrying heavy items, cervical spondylosis (age-related wear and tear of spinal disks), and fibromyalgia, which is characterized by widespread musculoskeletal pain.


How can poor posture contribute to neck pain?

Poor posture can lead to chronic neck pain by causing muscle strain and tension. This often occurs when the head is held in a forward position for extended periods, such as when looking at a computer screen or phone, leading to increased stress on the neck muscles.


What are the symptoms of cervical spondylosis?

Symptoms of cervical spondylosis include neck pain and stiffness, headaches, and sometimes pain that radiates to the shoulders or arms. In severe cases, it can cause numbness, tingling, or weakness in the arms or hands due to nerve compression.


How is fibromyalgia related to neck and shoulder pain?

Fibromyalgia is a condition that causes widespread musculoskeletal pain, including in the neck and shoulders. It is often accompanied by fatigue, sleep disturbances, and mood issues. The exact cause is unknown, but it is believed to involve a combination of genetic, environmental, and psychological factors.


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