[50F] With neck pain and shoulder swelling

Patient Description

A 50-year-old female has been experiencing significant neck pain at the base of her neck for approximately two weeks, with a severity rating of 8 out of 10. The pain is associated with swelling and tenderness in the right shoulder, and it is exacerbated by neck movements in any direction. The symptoms began suddenly. The patient reports weakness in her hands, but no numbness or tingling in the arms or hands. She also experiences headaches, which are not aggravated by neck movement. There is a history of arthritis in the hip, but no known neck-related conditions such as cervical spondylosis. The patient has a long history of smoking, consuming about a pack a day for 35 years. She is not currently taking any medications and has no known allergies.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are some possible explanations:

  • Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This can cause neck pain, shoulder swelling, and weakness in the hands. It often results from wear and tear changes in the spine, such as arthritis, which you mentioned having in your hip.

    • Typical treatments include physical therapy, pain management with medications, and sometimes corticosteroid injections. In severe cases, surgery might be considered.
  • Cervical Spondylosis: This is a common, age-related condition that affects the joints and discs in your neck. It can lead to neck pain, stiffness, and sometimes headaches and balance issues.

    • Treatment often involves physical therapy, medications to relieve pain and inflammation, and lifestyle modifications. In some cases, surgery may be necessary.
  • Muscle Strain or Sprain: Sudden neck pain and shoulder swelling could also be due to a muscle strain or ligament sprain, possibly from an awkward movement or posture.

    • Rest, ice, and over-the-counter pain relievers are typical treatments. Gentle stretching and strengthening exercises can also help.

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 manage your symptoms:

  1. Rest and Ice: Rest your neck and shoulder, and apply ice packs to reduce swelling and pain.
  2. Gentle Stretching: Perform gentle neck and shoulder stretches to maintain flexibility and reduce stiffness.
  3. Pain Relief: Consider over-the-counter pain relievers like ibuprofen or acetaminophen to help manage pain and inflammation.
  4. Posture: Pay attention to your posture, especially when sitting or using electronic devices, to avoid further strain on your neck.
  5. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

  • Increasing pain or swelling that doesn't improve with home care
  • Numbness, tingling, or severe weakness in your arms or hands
  • Difficulty with coordination or balance that worsens
  • New or worsening headaches

Remember, while these suggestions can help manage your symptoms, it's crucial to consult a healthcare professional for a comprehensive evaluation and appropriate treatment.

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2 mo ago

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People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy occurs when a nerve in the neck is compressed or irritated, leading to symptoms like neck pain, shoulder swelling, and hand weakness. Treatment typically includes physical therapy, pain management with medications, and sometimes corticosteroid injections. In severe cases, surgery might be considered.


How does cervical spondylosis differ from other neck conditions?

Cervical spondylosis is an age-related condition affecting the joints and discs in the neck, leading to pain, stiffness, and sometimes headaches. It differs from other neck conditions by being primarily due to wear and tear. Treatment often involves physical therapy, pain relief medications, and lifestyle changes, with surgery as a last resort.


What are common causes of muscle strain or sprain in the neck?

Common causes of muscle strain or sprain in the neck include awkward movements, poor posture, or sudden physical activity. These can lead to sudden neck pain and shoulder swelling. Treatment usually involves rest, ice, over-the-counter pain relievers, and gentle stretching exercises.


How can smoking affect neck pain and related conditions?

Smoking can affect neck pain and related conditions by reducing blood flow and oxygen to the tissues, which can slow healing and exacerbate inflammation. It may also contribute to the degeneration of spinal discs, increasing the risk of conditions like cervical spondylosis.


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