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Neck pain since 2.5 months with no injury
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Mental & Emotional Health
Question #10786
350 days ago
582

Neck pain since 2.5 months with no injury

Anwesha Modi

2 months back I had an angry episode and I pulled my own hair. After that I had severe neck pain that I was unable to move my neck much. Slowly the pain decreased. And it now has come to a point where it is not decreasing further. The pain is constant for a month or maybe more. I have tried several medicines and treatment but none of them helped. The orthopedic suggested me traction but it made my pain worse. I have tried ultrasound therapy, TENS, heat, needles, traction, massage and medicines like powergesic, cobadex czs, zix mr. My physiotherapist said that there's no injury, everything is normal, my x-ray looks normal. Maybe my muscles are stressed. I also am suffering from depression since 6 yrs. And also have bodyache since 4 yrs for which I take medicines such as trifluoperazine, nortriptyline and fluoxetine.

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Doctors' responses

Please follow these

Recommended Tests: - MRI Cervical Spine (to rule out disc herniation/nerve root compression) - Serum Vitamin D3, B12

1) Tab Gabapax NT 100 1 tab at bedtime for 4 weeks 2) Tab Shelcal hd 1 tab after lunch continue

Visit nearest orthopedican

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Hello dear Please be advised I think you are having either any trauma or injury There are chances of cervical spondylitis also Please follow below instructions Physiotherapy with aroma oil Voveron xr gel twice a day for 2 weeks In case of no improvement consult orthopedetian and get mri evaluation done too Regards

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Your persistent neck pain after the hair-pulling episode may be due to deep muscle strain or stress-related tension, especially since scans and therapies haven’t shown injury. Since the pain is not improving and you’re also managing depression and chronic bodyache, it’s important to consult a pain specialist or neurologist for a more focused evaluation. They can assess if there’s a nerve or muscular involvement and guide treatment that considers both your physical and mental health.

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Given your history of neck pain and the various treatments you’ve already tried, it’s quite clear that this is a complex issue. Since imaging and professional assessments haven’t shown an injury, mechanical stress or muscle tension might be significant contributors. Emotional or psychological stress can lead to physical symptoms, like muscle tension, especially in the neck area, further complicating matters. Your ongoing depression and body ache are relevant here, as these conditions often intersect and can exacerbate physical discomfort. It’s crucial to approach this holistically.

A few steps could be beneficial: Consider stress management techniques like mindfulness or gentle exercises such as yoga or tai chi, which might help relieve muscle tension. Regular, low-intensity activities may help improve both mood and physical symptoms. Since medications like those you’re taking for depression and pain management don’t seem to have alleviated your current symptoms, revisiting your treatment plan with your psychiatrist and other healthcare providers is a good next step. They might need adjustment or consideration of alternative therapies. Nutritional support also plays a role; ensuring you’re getting proper nutrients and hydration can support muscle health.

If previous treatments made your pain worse, stop them and consult your healthcare providers on safer alternatives. Psychological therapy forms, like Cognitive Behavioral Therapy (CBT), could help by potentially impacting both mental health and pain perception. If your neck pain persists or worsens, a referral to a specialist such as a neurologist may help in ruling out any less common conditions. You’re really in a position for multidisciplinary care, targeting both the physical and psychological aspects of your symptoms. Don’t hesitate to reach out if symptoms change or if you need professional assessments.

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