[60F] Experiencing neck pain post-pneumonia

Patient Description

A 60-year-old female presents with pain on the left side of the neck extending into the collar bone, rated from mild to severe, worsening in the evening and with certain movements or coughing. The pain, described as similar to trapped gas, started a week ago following an emergency department visit where she was diagnosed with pneumonia. She reports a severe headache from the previous week, which has resolved. The patient has a significant medical history of kidney, lung, and B cell lymphoma, all in remission, and has been managing diabetes since 2006. Current medications include Atonal, Metformin, Pravastatin, Glimepiride, Sertraline, and Nexium, with no known drug allergies.

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Arora's Assessment

What might be happening

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

  • Cervical radiculopathy: This is a condition where the nerve roots in the cervical spine (neck) become irritated or compressed, causing symptoms such as pain, numbness, or weakness that radiates from the neck into the shoulder and arm. However, you've not reported any numbness or weakness, which are common symptoms of this condition.

    • Treatment usually involves pain relief medications, physical therapy, and in some cases, surgery.
  • Tension headache: This is a common type of headache that can cause pain in the back of your head and neck. However, you've reported that your headache has resolved, so this may not be the cause of your current symptoms.

    • Treatment typically involves over-the-counter pain relievers and lifestyle changes to manage stress.
  • Musculoskeletal strain: This can occur due to poor posture, overuse, or injury, and can cause pain in the neck and shoulder area.

    • Treatment usually involves rest, pain relief medications, and physical therapy.
  • Pneumonia: You mentioned that you were recently diagnosed with pneumonia. Sometimes, pneumonia can cause referred pain in the neck or shoulder area. However, this is less common.

    • Treatment of pneumonia typically involves antibiotics, rest, and hydration.

What you can do

While waiting for your appointment with your healthcare provider, here are some things you can do to help manage your symptoms:

  1. Over-the-counter pain relievers: Non-prescription medications such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) can help reduce pain.
  2. Rest: Try to avoid any activities that may be causing or worsening your neck pain.
  3. Heat or cold therapy: Applying a hot or cold pack to your neck for 15 minutes at a time may help reduce pain.
  4. Good posture: Try to maintain good posture, especially if you're sitting for long periods of time. This can help prevent further strain on your neck.

What you should look out for

If you experience any of the following symptoms, you should seek immediate medical attention:

  • Severe pain that doesn't improve with rest or over-the-counter pain relievers
  • Difficulty breathing or shortness of breath
  • Chest pain
  • Weakness or numbness in your arms or hands
  • Difficulty swallowing or speaking
  • Unexplained weight loss

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.

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People Also Ask


What is cervical radiculopathy and how is it treated?

Cervical radiculopathy is a condition where the nerve roots in the cervical spine become irritated or compressed, causing pain, numbness, or weakness that radiates from the neck into the shoulder and arm. Treatment usually involves pain relief medications, physical therapy, and sometimes surgery.


Can pneumonia cause neck and shoulder pain?

Yes, although less common, pneumonia can cause referred pain in the neck or shoulder area. This is due to the inflammation and infection in the lungs affecting nearby structures.


What are some common treatments for musculoskeletal strain in the neck?

Common treatments for musculoskeletal strain in the neck include rest, over-the-counter pain relief medications, physical therapy, and applying heat or cold packs to the affected area.


What should I do if my neck pain doesn't improve with over-the-counter medications?

If your neck pain doesn't improve with over-the-counter medications, you should seek medical attention, especially if you experience severe pain, difficulty breathing, chest pain, or weakness or numbness in your arms or hands.


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