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Dr Basu
Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 20603
Experience:  MD
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Pains from neck into head Stiff neck Male aged 75

Resolved Question:

Pains from neck into head
Stiff neck
Male aged 75
Submitted: 10 months ago.
Category: Health
Expert:  Dr Basu replied 10 months 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 :

Sorry to hear about your problem.

mysticdoc :

Besides pain, do you have any tingling or numbness to your upper arms or fingers?

mysticdoc :

Are you experiencing any dizziness?

Customer:

He is not experiencing any of the symptoms you mention - tingling, numbness, dizziness.

mysticdoc :

ok

mysticdoc :

any other symptoms he has currently besides pain?

mysticdoc :

Does he have any other symptoms?

mysticdoc :

I did not get your reply yet.

mysticdoc :

Pain and stiffness of the neck can be caused by the muscle spasm of the trapezius muscle located on the sides of the neck.

mysticdoc :

This can be from the postural problem commonly.

mysticdoc :

However, there can be other possibilities as well.

mysticdoc :

Herniated disc at the cervical spine can cause pressure on the nerves supplying the back of the neck and head.

mysticdoc :

This can cause severe pain.

mysticdoc :

Another possibility can be a posterior stroke but usually this also causes other symptoms which are not present currently.

mysticdoc :

In case of herniated disc, physical therapy will be helpful besides medications.

mysticdoc :

Regsarding medications, a muscle relaxant like methocarbamol or diazepam will help with the symptoms.

mysticdoc :

Warm compress, gentle massage also will provide relief to the symptoms.

mysticdoc :

Ultrasound therapy also helps with muscle stiffness.

mysticdoc :

In more severe cases not responding to the above, a MRI scan of the cervical spine should be considered.

mysticdoc :

Epidural steroid injections also can be considered to reduce the inflammation.

mysticdoc :

Besides muscle relaxant, an analgesic like Ibuprofen can be used at 600 mg 3 times daily with food for short term.

mysticdoc :

Pain medication injection like Toradol can be used in case of acute pain tnot responding to oral medication for immediate relief.

mysticdoc :

Please reply here if you have any further question.


Please do not rate till you have all your questions answered to your full satisfaction.

Customer:

Thanks for all the info (above). He has suffered from lime tick disease (2 yrs. ago). The emergency room doctor mentioned that if he felt weak or tired (which he did upon going to the emergency room, he should be checked out soon for something called "torticollit" (spelling ???)

mysticdoc :

Torticollis

mysticdoc :

that is the term for the muscle spasm of the neck.

mysticdoc :

If he still has weakness, then that can be a sign of stroke.

mysticdoc :

In that case, further evaluation is required.

mysticdoc :

This is not lyme disease related currently since there is no fever or rash or facial numbness.

mysticdoc :

Cervical radiculopathy or nerve compression is more likely in his cases.

Customer:

Many thanks for all the info. When I pick him up from the airport tomorrow I will take him directly to his doctor, or to an emergency room. Because of his age I an concerned about stroke/heart issues. I was concerned about another lime tick bite but he has no fever, rash or facial numbness.

Dr Basu, Experienced Specialist
Category: Health
Satisfied Customers: 20603
Experience: MD
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