[44F] Experiencing neck pain and stiffness with associated eye pain

Patient Description

A 44-year-old female presents with a few weeks' history of dull pain on the left side of the neck, extending to the shoulder, rated as 6 out of 10 in severity. The neck pain is accompanied by stiffness and a dull pain behind the left eye. There is no noted aggravation of pain with specific movements or positions, and it does not vary in intensity at different times of the day. The patient does not report any recent injuries, sudden severe headaches, fever, changes in vision, difficulty walking, or numbness or weakness in the arms. The patient's medical history includes acid reflux diagnosed a couple of years ago and scoliosis identified in childhood. Currently, the patient is taking vitamin D supplements and reports no known drug allergies. No other medications or health issues were reported.

Show More

Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • 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). This condition can cause neck pain and stiffness, and in some cases, pain can radiate to the shoulder or cause headaches.

    • Treatment typically involves physical therapy, pain relievers, and sometimes surgery.
  • Tension Headache: This is the most common type of headache, and it can cause a dull, aching sensation all over your head. It also can cause pain in the back of your head or neck. Tension headaches are often caused by stress or bad posture.

    • Treatment typically involves pain relievers, stress management, and sometimes physical therapy.
  • Migraine: This is a type of headache characterized by recurrent headaches that are moderate to severe. Typically, the headaches affect one half of the head, are pulsating in nature, and last from a few hours to 3 days. Associated symptoms may include nausea, vomiting, and sensitivity to light, sound, or smell. The pain may be aggravated by physical activity.

    • Treatment typically involves pain relievers and preventive medications.
  • Scoliosis: You mentioned you were diagnosed with scoliosis as a child. While scoliosis itself is a curvature of the spine, it can sometimes cause pain if the curvature is severe. It can also cause the body to lean to one side.

    • Treatment typically involves physical therapy, braces, and sometimes surgery.

What you can do

  1. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol, others), ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve) might help.
  2. Rest: Try to rest and avoid activities that make your pain worse.
  3. Heat or cold: Apply heat or cold to the painful area. Use ice for the first 48 to 72 hours, then use heat after that.
  4. Physical therapy: A physical therapist can teach you exercises to help stretch and strengthen the muscles in your neck and shoulders.
  5. Massage: Massaging the tender area might help.

What you should look out for

You should seek immediate medical attention if you:

  • Have severe neck pain following an injury, such as a car accident, diving accident or fall
  • Have a fever, headache, nausea or vomiting, a stiff neck or a rash along with your neck pain (could indicate a more serious illness)
  • Have symptoms that persist beyond a week
  • Have severe neck pain without apparent cause
  • Have numbness, tingling or weakness in your arms or hands

Please remember that while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.

Show More

1
 Hugs
0
 Comments

Save

11 mo ago

Top picked over-the-counter products for Tingling or Cold Sensations at the Back of Your Head

People Also Ask


What are the common causes of neck pain that radiates to the shoulder?

Common causes of neck pain that radiates to the shoulder include cervical spondylosis, muscle strain, herniated discs, and sometimes tension headaches. It's important to consult a healthcare provider for an accurate diagnosis.


How can tension headaches be distinguished from migraines?

Tension headaches typically cause a dull, aching sensation all over the head and are often associated with stress or poor posture. Migraines, on the other hand, are usually more severe, affect one side of the head, and may be accompanied by nausea, vomiting, and sensitivity to light or sound.


What are the treatment options for cervical spondylosis?

Treatment options for cervical spondylosis include physical therapy, pain relievers, and in some cases, surgery. Lifestyle modifications such as regular exercise and maintaining good posture can also help manage symptoms.


Can scoliosis cause neck and shoulder pain in adults?

Yes, scoliosis can cause neck and shoulder pain in adults, especially if the curvature of the spine is significant. This can lead to muscle strain and imbalance, contributing to discomfort in these areas.


Preview

Post

No comments yet

Be the first one to comment

Share your feedback