Medical Questions? Ask a Doctor Online!
Do you have following;
High blood pressure
Sedentary life style
Abnormal cholesterol and/or triglyceride?
Do you smoke, take alcohol regularly?
Any significant past medical or surgical history or family history?
This is most likely due to the pinched nerves in the neck which are giving you stiff neck, heavy feeling in arm, lightheadedness etc. This can be due to;
1) Herniated/degenerated disc in neck
2) Cervical spondylosis; bone spurs in the neck vertebrae pressing on the nerves.
Following investigations would be required;
1) X-ray of the neck spine
2) MRI of the neck
3) Nerve conduction velocity (NCV) study
4) Electromyography (EMG)
Following measures would be helpful;
1) Neck care in the activities of daily living.
a) No working on computer for more than half an hour in a single stretch. Same for TV.
b) Monitors and televisions exactly in front (180 degrees).
c) Contour pillow: Should fill the hollow when lying on back or straight. Available over the counter.
2) Cervical Collar or Brace
3) Cervical traction
4) Anti-inflammatory analgesics like Ibuprofen
5) Some physicians do give oral steroids in severe radiculopathy cases, in which heaviness is quite significant.
6) Physical therapy: gradually increasing exercises from passive stretching to active against resistance regime of neck.
7) Electrotherapy in the form of TENS, interferential and laser and ultrasound.
8) Hot fomentation
You can consult following specialists;
c) MD in Physical medicine and rehabilitation
Please feel free for your follow up questions.
Rest is the most important, as a matter of fact. Wear a neck brace which you can get at the pharmacy (called cervical collar). You can roll a towel around the neck till you buy the cervical collar. Getting your BP checked up would be necessary. Take multivitamin supplement also.
It is pleasure and privilege assisting you.