Neck Muscle Issues: When To See A Doctor

what doctor neck muscle issues

Neck pain is a common issue, often caused by physical strain, poor posture, or stress. While it can usually be treated at home with painkillers, heat, or stretching, certain red flags indicate the need for medical attention. These include pain associated with muscle weakness, incontinence, or sudden onset of clumsiness. If you're unsure about the cause of your neck pain, your primary care physician can help you identify a specialist. For instance, chiropractors deal with bone alignment and muscle stiffness, while orthopedists specialize in the skeletal and muscular systems. Neurologists, on the other hand, are experts in the brain and nervous system and can address issues like nerve damage or spinal tumors.

Characteristics Values
Doctor to see Primary care physician, chiropractor, orthopedist, neurologist
Self-care treatments Rest, over-the-counter painkillers, heat, gentle stretching, cold therapy, exercise, stress reduction techniques, quitting smoking
Red flags Pain associated with muscle weakness in the arms or legs, loss of bowel or bladder function, sudden onset of clumsiness and/or falling, severe pain that radiates down the arms or legs when moving, severe accident, high fever, difficulty breathing
Physical exam Check head and neck alignment, observe range of motion, feel neck and supporting muscles for tenderness and signs of strain
Imaging tests X-rays, MRI, CT scan
Treatments Non-steroidal anti-inflammatory drugs (NSAIDs), epidural steroid injection, trigger point injection, radiofrequency ablation, physical therapy, transcutaneous electrical nerve stimulation (TENS), acupuncture, massage, osteopathic or chiropractic spinal alignment, surgery

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When to see a doctor

Neck pain is often a dull, aching feeling that worsens when you move your head. It can be caused by injury, strain, or joint problems, and in some cases, it can be indicative of a more serious or life-threatening condition.

If you experience neck pain, it is recommended that you initially treat it with non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, gentle stretching of the muscles in the neck, upper back, and shoulders, and applying heat. If your pain does not improve or worsens after a week, it is advised to see a clinician with expertise in spine care.

When you experience neck pain, it is important to pay attention to the rest of your body and any other symptoms you may be experiencing. Seek immediate medical attention if your neck pain is accompanied by any of the following:

  • Muscle weakness in the arms or legs
  • Loss of bowel or bladder function
  • Sudden onset of clumsiness and/or falling
  • Severe pain radiating down the arms or legs when you move
  • Pain after a traumatic injury, such as a car accident or a fall

If you do not have any emergency symptoms, you can schedule an appointment with your primary care physician or a specialist, such as an orthopedist or a neurologist, depending on your specific symptoms and insurance requirements.

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Imaging tests

  • X-rays: X-rays can show issues with bones, joints, and soft tissues in the neck. They can detect problems such as cervical alignment, fractures, slipped discs, and arthritis.
  • Computerized Tomography (CT) Scan: A CT scan is a special type of X-ray that uses a computer to provide cross-sectional images of the neck. It allows doctors to see the bones and discs and detect small changes or calcifications.
  • Magnetic Resonance Imaging (MRI): An MRI can show both bones and soft tissues in the neck, including spinal cord, nerves, bone marrow, and soft tissue. It can detect issues such as slipped discs, infections, cysts, tumours, and damage to ligaments. MRIs are particularly useful when neurological changes accompany the pain.
  • Electrodiagnostic tests: These tests check the function of nerves and muscle response and include nerve conduction studies and, rarely, a myelogram if an MRI is not possible.

Before any imaging tests, your doctor will take your medical history and perform a thorough physical exam, which will help determine the most appropriate type of imaging.

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Treatment options

Neck pain is a common condition often caused by muscle issues, which can usually be treated at home. However, if the pain persists, it might be time to seek medical help.

Home Remedies

If you have a stiff neck, it will usually get better on its own within a few days. Home treatment options include:

  • Applying heat, such as with a heating pad, to loosen muscles and promote blood flow.
  • Applying cold therapy, such as an ice pack, to reduce inflammation and swelling.
  • Taking non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, to reduce pain and inflammation.
  • Gently stretching and exercising the neck, upper back, and shoulder muscles.
  • Practising stress reduction techniques, such as mindfulness, meditation, breathing exercises, and yoga, to relieve tension in the body.
  • Improving your posture, especially if you spend a lot of time staring at a screen.

Medical Treatment

If your symptoms don't improve with home treatments, you should see a doctor, preferably one with expertise in spine care. They will take your medical history and perform a physical examination, checking your head and neck alignment and observing your range of motion.

Depending on the diagnosis, your doctor may recommend:

  • Physical therapy to strengthen and stretch the neck muscles and improve posture.
  • Transcutaneous electrical nerve stimulation (TENS) to disrupt the pain signals.
  • Steroid injections to reduce inflammation and relieve pain.
  • Alternative therapies such as acupuncture or massage.
  • Imaging tests, such as X-rays or an MRI, to check for more serious issues.

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Exercises and stretches

Neck stretches and exercises can help relieve pain and stiffness, improve flexibility and mobility, and prevent future problems. They can also help to improve movement in the neck. However, it is important to note that if you experience neck pain, it is recommended to consult a healthcare professional for guidance on suitable exercises.

Shoulder Rolls

Stand or sit with your head squarely over your shoulders and your back straight. Slowly raise both shoulders up, hold for 5 seconds, and then lower them. Repeat this movement 10 times. This exercise is particularly useful if you need to maintain a fixed position for extended periods, such as when working at a computer.

Neck Retraction

Look straight ahead and slowly slide your chin towards your chest. Hold this position for 5 seconds and then return to the starting position. Repeat this movement 10 times. You can also try a variation of this exercise while lying down. Pull your chin backward and down as far as possible, hold for 1-5 seconds, and then release. Repeat this movement 10 times.

Resistance Exercise

Look straight ahead and slowly lean your head to one side. Use your hand on the same side of your head to provide resistance by gently pressing against your head with your fingertips. Hold for 5 seconds and then return to the starting position. Repeat on the other side, doing 10 repetitions on each side.

Towel Stretch

Roll up a towel and place it around the back of your neck. Hold both ends of the towel taut with your hands. Start by looking straight ahead and then slowly tilt your head back, looking up as far as you can. As you look up, your hands should move upward, allowing the towel to support your head and neck. Gently pull on the towel to apply pressure. Return to the starting position and repeat this movement 10 times.

Neck Stretch

Stand or sit with your head squarely over your shoulders and your back straight. Slowly turn your head to one side until you feel a stretch on the opposite side of your neck. Hold this stretch for 15-30 seconds, and then slowly turn your head forward again. Repeat on the other side. Do up to 10 sets.

It is important to listen to your body and stop any exercise that causes pain or discomfort. Additionally, it is recommended to start slowly and gradually increase the number of repetitions and variations of exercises as you build comfort and strength.

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Causes of neck pain

Neck pain, or cervicalgia, can be caused by various factors, ranging from physical strain to underlying health conditions. Here are some common causes of neck pain:

Physical Strain

Overusing or straining the neck muscles during repetitive or strenuous activities can lead to stiffness and pain. This can include activities such as lifting heavy weights, repetitive neck movements, or holding the neck in an awkward position for extended periods, such as when watching TV or working at a computer. Poor posture, weak abdominal muscles, and heavier body weight can also affect spinal alignment and contribute to neck pain.

Mental Stress

Stress and agitation can cause the tightening of neck muscles, often without the individual realizing it until they experience pain. Stress management techniques such as mindfulness, meditation, breathing exercises, and yoga can help relieve tension and reduce neck pain.

Injury

Trauma and injuries, such as whiplash from automobile accidents, can damage muscles, tendons, ligaments, discs, vertebral joints, and nerve roots in the spinal cord, leading to neck pain.

Structural Neck Problems

Underlying structural issues in the neck can cause pain. These include arthritis (worn cartilage at the ends of neck bones), degenerated discs (worn cushions between neck bones), herniated discs, and bone spurs.

Sleep Positions

Certain sleep positions can cause neck muscle strain and pain. Sleeping on the stomach or side without proper support can rotate the head and neck unnaturally, leading to discomfort.

Other Health Conditions

Neck pain can also be a symptom of other health conditions, such as infection, rheumatological conditions, cancer, meningitis, concussion, multiple sclerosis, or cervical vertigo. In some cases, neck pain may indicate a serious underlying condition, especially if accompanied by other symptoms such as dizziness, fever, or seizures.

Frequently asked questions

Neck pain can often be treated at home through rest, ice and/or heat therapy, over-the-counter painkillers, and gentle stretching. If the pain persists or is severe, it is recommended to see a doctor.

Your primary care physician is a good place to start if you're unsure about the cause of your neck pain. They can refer you to a specialist if necessary. A chiropractor can help with bone alignment and muscle stiffness, and an orthopedist specializes in the skeletal and muscular systems. If your neck issues are caused by nerve damage or a brain or spinal tumour, you should see a neurologist.

The doctor will take a medical history and perform a physical examination, checking your head and neck alignment and observing your range of motion. They may also order imaging tests such as x-rays, MRIs, or CT scans to help guide additional treatments.

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