How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr Basu Your Own Question

Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 22394
Experience:  MD
23744323
Type Your Health Question Here...
Dr Basu is online now
A new question is answered every 9 seconds

I have a pain in my neck. Left side only on the cervical spine.

Customer Question

I have a pain in my neck. Left side only on the cervical spine. Comes back for days and then stops for days. No tingling in my arm and no headache. I subsequently get knots around the left shoulder blade. Physical therapist says my head tends to tilt towards my right.
Submitted: 1 year ago.
Category: Health
Expert:  Dr Basu replied 1 year ago.

mysticdoc :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

mysticdoc :

Hi there,

I am Mysticdoc, experienced Internal Medicine Specialist.

I am here to help you with your concerns.

mysticdoc :

Based on your symptoms, it is possible you may have herniated disc at the cervical spine causing nerve compression.

mysticdoc :

In most cases, this is not significant requiring any surgical intervention.

mysticdoc :

Physical therapy is still the preferred initial treatment to correct the problem.

mysticdoc :

In many cases, the problem is related to the incorrect posture during sleeping and sitting ( incorrect position of the chair for example).

mysticdoc :

Hence, MRI scan although needed, is not going to change the management significantly.

mysticdoc :

Since you do not have any tingling, numbness or weakness of the arms or hands, this is not a serious condition.

mysticdoc :

You should continue with the physical therapy--be patient, sometimes, it may take several months to recover from.

mysticdoc :

Also focus on getting an ergonomic chair at work place, get a firm but comfortable mattress for sleeping.

mysticdoc :

Try to maintain proper posture during sleeping --avoid fetal position ( crooked spine position or sleeping on one side for long time).

mysticdoc :

You can use pillows under knees to relieve pressure on the lower spine.

mysticdoc :

Also choose a right pillow --not too high or low 2-3 inches thickness not too soft or firm either.

mysticdoc :

These changes should help with your recovery.

mysticdoc :

Best wishes,

Please rate the chat Good or Excellent, if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you!

Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/

Expert:  Dr Basu replied 1 year ago.
Our chat has ended, but you can still continue to ask me questions here until you are satisfied with your answer. Come back to this page to view our conversation and any other new information.

What happens now?

If you haven’t already done so, please rate your answer above. Or, you can reply to me using the box below.
Expert:  Dr Basu replied 1 year ago.
mysticdoc : The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
mysticdoc : Hi there,
I am Mysticdoc, experienced Internal Medicine Specialist.
I am here to help you with your concerns.
mysticdoc : Based on your symptoms, it is possible you may have herniated disc at the cervical spine causing nerve compression.
mysticdoc : In most cases, this is not significant requiring any surgical intervention.
mysticdoc : Physical therapy is still the preferred initial treatment to correct the problem.
mysticdoc : In many cases, the problem is related to the incorrect posture during sleeping and sitting ( incorrect position of the chair for example).
mysticdoc : Hence, MRI scan although needed, is not going to change the management significantly.
mysticdoc : Since you do not have any tingling, numbness or weakness of the arms or hands, this is not a serious condition.
mysticdoc : You should continue with the physical therapy--be patient, sometimes, it may take several months to recover from.
mysticdoc : Also focus on getting an ergonomic chair at work place, get a firm but comfortable mattress for sleeping.
mysticdoc : Try to maintain proper posture during sleeping --avoid fetal position ( crooked spine position or sleeping on one side for long time).
mysticdoc : You can use pillows under knees to relieve pressure on the lower spine.
mysticdoc : Also choose a right pillow --not too high or low 2-3 inches thickness not too soft or firm either.
mysticdoc : These changes should help with your recovery.
mysticdoc : Best wishes,
Please rate the chat Good or Excellent, if you are satisfied with our conversation and do not have any further question, so that I get rewarded for my time & effort. Thank you!
Please bookmark my profile for asking further questions!
This is the link to my profile:
http://www.justanswer.com/medical/expert-mysticdoc/
Customer: replied 1 year ago.

You are right for the most part. I have done physical therapy in the past. Many visits for this problem and they help a lot. But then it just comes back. Knots are forming around my left shoulder blade from this one pressure point at the base of the cervical spine. Is their a medical term for what this could possibly be? ie Cervical Foraminal Stenosis? I have reason to believe that this could be a recurring symptom from nerve damage.

Expert:  Dr Basu replied 1 year ago.
Cervical foraminal stenosis will affect the spinal cord and would have caused weakness of the both upper extremities.
Similarly, significant nerve compression will cause at least tingling or numbness in the upper extremities.
Hence, both are unlikely given the lack of other symptoms.
Knot formation is more of muscular nature --fibrosis of the subcutaneous tissue can cause knot formation and hence the trigger points since they pressure on the cutaneous branches of the nerves.
But that does not suggest problem lies in the spine.
Also, there is a chiropactic term called subluxation of the spine --due to the stiffness of the ligaments around the cervical spine.
These problems can be effectively addressed by the physical therapy and also with chiropractic therapy in some cases.

But, in summary, this does not look like any significant spine problem.

Best wishes,

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery