[45F] With sharp neck pain and numbness in pinky fingers

Patient Description

A 45-year-old female presents with sharp neck pain on the left side, which started suddenly 3 days ago. The pain intensifies when tilting the neck to the right and is accompanied by some pain when swallowing. The patient also reports numbness in the pinky fingers but denies any weakness in the arms, pain radiating to the shoulders or arms, headaches, dizziness, or balance issues. There is no history of neck or spine problems, recent injuries, or unusual physical activities. The patient follows a mostly vegetarian diet and is currently taking Qulipta as prescribed. No other medications or pre-existing conditions were reported.

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Arora's Assessment

What might be happening

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

  • Muscle Strain or Sprain: This is a common cause of neck pain, especially if it started suddenly. It can occur from sleeping in an awkward position, poor posture, or even stress. The sharp pain and difficulty moving your neck are typical symptoms.

    • Treatment: Rest, applying ice or heat, and over-the-counter pain relievers like ibuprofen or acetaminophen can help. Gentle stretching exercises may also be beneficial.
  • Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated, often due to a herniated disc or bone spur. The numbness in your pinky fingers could be a sign of this.

    • Treatment: Physical therapy, medications to reduce inflammation, and sometimes corticosteroid injections. In severe cases, surgery might be considered.
  • Throat Infection: Although less likely, pain when swallowing could indicate an infection in the throat or nearby lymph nodes.

    • Treatment: If an infection is suspected, a doctor may prescribe antibiotics or other medications.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

  1. Rest and Avoid Strain: Try to rest your neck and avoid activities that may worsen the pain.
  2. Apply Ice or Heat: Use an ice pack for the first 48 hours to reduce inflammation, then switch to a heating pad to relax the muscles.
  3. Over-the-Counter Pain Relief: Medications like ibuprofen or acetaminophen can help manage the pain.
  4. Gentle Stretching: Once the acute pain subsides, gentle neck stretches can help improve mobility.
  5. Stay Hydrated and Maintain a Balanced Diet: Ensure you are getting enough vitamins and minerals, especially calcium and vitamin D, which are important for muscle and bone health.
  6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Severe or Worsening Pain: If the pain becomes unbearable or continues to worsen.
  • Neurological Symptoms: If you notice increased numbness, tingling, or weakness in your arms or hands.
  • Fever or Signs of Infection: If you develop a fever or other signs of infection, such as swollen lymph nodes or difficulty swallowing.
  • Difficulty Breathing or Swallowing: If you have trouble breathing or swallowing, seek immediate medical attention.

Remember, while these tips can help manage your symptoms, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.

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6 mo ago

People Also Ask


What could cause sudden sharp neck pain on one side?

Sudden sharp neck pain on one side can be caused by muscle strain or sprain, often due to poor posture, awkward sleeping positions, or stress. It can also be a sign of cervical radiculopathy, where a nerve in the neck is compressed.


Why might someone experience numbness in their pinky fingers?

Numbness in the pinky fingers can be a symptom of cervical radiculopathy, which occurs when a nerve in the neck is compressed or irritated. This can happen due to a herniated disc or bone spur.


What are some home remedies for neck pain relief?

Home remedies for neck pain relief include resting the neck, applying ice or heat, taking over-the-counter pain relievers like ibuprofen or acetaminophen, and performing gentle stretching exercises once the acute pain subsides.


When should I seek medical attention for neck pain?

You should seek medical attention for neck pain if the pain becomes severe or worsens, if you experience increased numbness, tingling, or weakness in your arms or hands, if you develop a fever or signs of infection, or if you have difficulty breathing or swallowing.


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