[52M] Experiencing head and neck pain with numbness in the upper arm

Patient Description

A 52-year-old male has been experiencing a dull, achy pain at the base of the skull extending to the neck and top of the shoulders, worsening with head rotation to the left and bending the head back, for approximately 3 months. The pain is rated as a 6 out of 10 in severity and is relieved temporarily by over-the-counter medications and heat/cold wraps. Additionally, the patient reports pins and needles-like numbness in the upper arm and shoulder when sitting for extended periods, which started about a week ago. The patient's medical history includes an ACL replacement in the left knee, appendix and gallbladder removal, rotator cuff repair in the left shoulder, high cholesterol since 2007, and GERD since 2013. Current medications include Crestor, Protonix, Zonisamide, and Imdur. The patient has had adverse reactions to Celebrex and Pravastatin.

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Arora's Assessment

What might be happening

Based on the information you've provided, you may be experiencing:

  • 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). Cervical spondylosis is very common and worsens with age. More than 85 percent of people older than age 60 are affected by cervical spondylosis. Most people experience no symptoms from these problems. When symptoms do occur, nonsurgical treatments often are effective.

    • Treatment typically involves physical therapy, pain medication, and possibly surgical intervention if symptoms are severe or worsening.
  • Cervical Radiculopathy: This is characterized by damage to the nerve function that results if one of the nerve roots near the cervical vertebrae is compressed. Damage to nerve roots in the cervical area can cause pain and the loss of sensation along the nerve's pathway into the arm and hand, depending on where the damaged roots are located.

    • Treatment typically involves physical therapy, pain medication, and possibly surgical intervention if symptoms are severe or worsening.
  • Tension Headaches: These are the most common type of headache, and they can present as a dull, aching sensation all over your head. It isn’t throbbing. Tenderness or sensitivity around your neck, forehead, scalp, or shoulder muscles might occur. Anyone can get a tension headache, and they’re often triggered by stress.

    • Over-the-counter treatments such as aspirin, ibuprofen, or acetaminophen (Tylenol) often help. But be careful. Taking too many of these pills can cause hard-to-treat rebound headaches. If you need to take these drugs often, see your doctor. Do not give aspirin to anyone under age 19 -- it raises their risk for a serious condition called Reye's syndrome.

What you can do

  • Try to maintain good posture. If you work at a computer, make sure your monitor is at eye level and your knees and hips are at 90-degree angles.
  • Take regular breaks to stretch your neck and back.
  • Stay hydrated and maintain a healthy diet.
  • Try over-the-counter pain relievers, such as ibuprofen (Advil, Motrin IB, others) or acetaminophen (Tylenol, others).
  • Use a heating pad or an ice pack on your neck to provide pain relief for sore muscles.
  • Exercise regularly. Regular exercise helps to reduce pain and promote a healthy mental state.
  • Try to reduce stress. Stress can exacerbate pain and other symptoms.

What you should look out for

  • If your symptoms worsen or do not improve with conservative treatment
  • If you develop new symptoms such as weakness in your arms or legs, loss of bladder or bowel control, or severe pain that does not improve with medication
  • If you have difficulty walking or maintaining balance

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment. This advice is intended to support, not replace, the relationship that exists between you and your healthcare provider.

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11 mo ago

People Also Ask


What are the common symptoms of cervical spondylosis?

Common symptoms of cervical spondylosis include neck pain and stiffness, headaches, pain in the shoulders or arms, and sometimes numbness or weakness in the arms or legs. These symptoms can vary in intensity and may worsen with certain movements.


How can cervical radiculopathy affect daily activities?

Cervical radiculopathy can cause pain, numbness, or weakness in the arms and hands, which may affect your ability to perform tasks that require fine motor skills, such as typing or writing. It can also make lifting objects or maintaining certain postures uncomfortable.


What are some effective home remedies for tension headaches?

Effective home remedies for tension headaches include using over-the-counter pain relievers like ibuprofen or acetaminophen, applying heat or cold packs to the neck and shoulders, practicing relaxation techniques such as deep breathing or meditation, and ensuring proper hydration and posture.


When should I seek medical attention for neck pain?

You should seek medical attention for neck pain if it persists despite home treatment, if you experience new symptoms like weakness in your arms or legs, loss of bladder or bowel control, or if the pain is severe and does not improve with medication. Additionally, if you have difficulty walking or maintaining balance, it's important to consult a healthcare provider.


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