Pain in neck for almost 4 months now

Question #11724

267 days ago

521

Pain in neck for almost 4 months now - #11724

Anwesha Modi

4 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,Nortriptylin, duloxetine, oxcarbazepine. But I It's still not helping me.

300 INR (~3.53 USD)

Question is closed

FREE! Ask a Doctor — 24/7,
100% Anonymously

Get expert answers anytime, completely confidential.
No sign-up needed.

Doctors' responses

Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

267 days ago

Myofascial pain often improves with consistent, focused physio + trigger-point therapy within 4–8 weeks.
If central sensitization exists, meaningful improvement may take 3 months or more with a combined approach (physio + CBT + med optimization).
Some patients require longer rehabilitation; the goal is improved function and reduced pain, not necessarily complete elimination immediately.

2045 answered questions

58% best answers

Accepted response

0 replies

Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

266 days ago

Hello Anwesha, I understand your concern. This is some advise from my side, follow this and please report the results to me after some time, probably after 20 days, so here it is -
Please get these blood investigations done - CBC, FBS.
Lifestyle & Posture Correction - Avoid long hours with neck bent (phone/laptop). Small breaks every 30–40 min, gentle stretching. Use a supportive pillow (not too high).
Medications -
Tab. Chlorzoxazone + Diclo + Pcm, twice a day × 5 days
Tab. Multivitamin once daily × 3months
And since you are already on duloxetine & nortriptyline, these also help with nerve and chronic pain.
Physiotherapy - Gentle stretching & strengthening (not traction if it worsens pain). Focus on isometric neck exercises rather than aggressive modalities.
Mind–Body Approach - Stress and depression can amplify muscle tension and pain. Relaxation techniques: deep breathing, yoga, meditation. Cognitive-behavioral therapy (CBT) can help in reducing pain perception. Kindly consider getting CBT done. It is very effective. Kindly consult a psychologist/ a psychiatrist for the same.
Feel free to reach out again.
Regards,
Dr. Nirav Jain
MBBS, DNB D.Fam.Med.

1040 answered questions

43% best answers

Accepted response

0 replies

Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

266 days ago

You have persistent neck pain after the episode of hair-pulling that didn’t respond to multiple conservative treatments and a normal X-ray, which suggests a soft-tissue/myofascial problem, occult cervical disc/nerve irritation (not seen on X-ray), or chronic pain/central sensitisation contributing to ongoing symptoms. Get a cervical MRI to look for disc, nerve root, or soft-tissue pathology, stop traction (since it worsened symptoms), and pursue a focused multimodal plan — supervised neck stabilization physiotherapy, graded exercise, targeted treatments such as trigger-point injections or image-guided nerve/root injections if indicated, and review neuropathic pain options and sleep/analgesic strategies at a pain clinic. Please consult a neurologist or pain-management (spine) specialist for MRI-guided evaluation and a coordinated plan, and ask your psychiatrist to review your antidepressant/psychotropic regimen because chronic pain and depression interact and medications may need adjustment; seek urgent care if you develop new limb weakness, numbness, loss of bladder/bowel control, or fever.

1265 answered questions

48% best answers

Accepted response

0 replies

Dr. Varunkumar J

I am an ENT specialist with over 6 years of clincial practice and in this time I have tried to balance hospital work with building my own setup. Currently I work as Consultant at Meridian Hospital Kolathur and also as visiting consultant at VIHAA Hospital Anna Nagar. Along with this I started SCOPE ENT CLINIC in Villivakkam, which is my own space to treat patients with more time n focus. Running a clinic teaches you different kind of responsibility, not only treatment but also trust, making sure patient feels heard and safe. My practice covers a wide range of ENT issues, from common ear infections, sinus problems, throat disorders to more complex surgical cases. I try to focus on giving indiviualised treatment plans, because each patient story is differnt even if the diagnosis sounds similar. Working in multiple hospitals also let me collabrate with other specialities which is important when dealing with complicated ENT cases linked to allergy, pediatrics or even neuro. Founding my own clinic was both challenging and rewarding. Some days are hard, managing staff, handling emergencies, ensuring things run smooth.. but it gave me chance to create an environment where patients get continuity of care. For me ENT is not just about procedures but also education, I try to explain conditions in simple words, guide on prevention and lifestyle changes that can reduce recurrnce. Over these years, what matters most to me is not just how many cases I handled but the connections built with patients and their families. I want to keep growing, keep learning new techniques and stay updated with advances in ENT, but at the same time keep the human touch alive in practice.

267 days ago

Hi Dear Anwesha ,
Pain in neck can also be due to Temperomandibular joint disorder
Kindly have soft semisolid diet
local hot fomentation
TAB ZERODOL TH MAX 4mg 1-0-1 for 5 days
CAP SOMPRAZ D 1-0-0 before food for 5 days
DICLO Gel local application thrice daily for 7 days
Avoid stress in any form
avoid lifting weights
kindly give rest
take care

152 answered questions

49% best answers

0 replies

Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

267 days ago

Hello dear
See as per clinical history you are already taking medication
But I think for depression or anxiety preventive measures can give better results
Iam suggesting some tests and preventive measures
Kindly follow them for atleast 2 months
Do neck exercises like stretching
Do meditation for mental health
Engage in social activities for mind engagement
Indulge in hobbies for emotional stability
Take zincovit multivitamin therapy once a day for 1 month
Take vitamin d sachets once a week for 2 months
Apply diclofenac sodium gel twice a day for 15 days
Take voveron xr 50 mg accordingly for 3 days
In addition
Please share results of following tests
X ray
Cervical spine xray
Neck USG
Crp level
Esr
In case of no improvement consult neurologist or spine surgeon for better clarification
Please donot stop the current medication without consulting the concerned doctor
Hopefully you recover soon
Regards

3351 answered questions

68% best answers

0 replies

Dr. Abhishek Gill

I am a doctor with 5 years total experience, mostly split between Emergency and Obstetrics & Gynaecology—and honestly both keep you on your toes in totally different ways. In the ER, you don’t get time to second-guess much. Things come at you fast—trauma, active bleeding, breathlessness, collapsed vitals—and you learn to think, act, then think again. But in Obs/Gyn, it’s more layered. One moment you’re handling routine antenatal care, the next you're managing obstructed labour at 3am with everything depending on timing. I try not to treat anyone like "just another case." I take proper history—like actual, detailed listening—and then move step by step. Exam, investigations only if needed (not just because), and explaining things clearly to the patient and attenders. Not gonna lie, sometimes I do repeat myself twice or thrice. People are stressed, they don’t hear it all the first time. Communication I’d say is one of my stronger areas, but not in some fancy textbook way. Just knowing *how* to talk, when to pause, when not to overload info. Like with a first-time mother in pain who doesn’t care about medical terms—she just wants to know if her baby’s okay. Those moments taught me more about medicine than most of my exams. I handle postpartum issues, early pregnancy complications, PCOD, menstrual complaints, emergency contraception consults too—bit of everything. And in casualty shifts, I’ve done everything from inserting Ryle’s tubes to managing hypertensive crises. You have to stay sharp. But also know when to slow down and re-evalutate something that doesn’t fit right. Counselling’s part of the job too. Sometimes patients need reassurance more than a prescription. Sometimes they just need honesty, even if the answer isn't simple. I don’t pretend to have all the answers, but I do care enough to find them. Bit by bit. Every single day.

267 days ago

Hello Anwesha,
Your symptoms are consistent even after medications.
Since your reports are also normal, I suggest you to visit PHYSIOTHERAPIST.
1. Regular Physiotherapy
2. Tab MYORIL 1 tab at night for 7 days
3. Avoid exercises involving neck
4. Maintain proper posture while awake and sleeping.
If there are any associated symptoms like giddiness, headache, vertigo, the consult an ENT specialist for further evaluation.
Take care

178 answered questions

37% best answers

0 replies

Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

256 days ago

Given the persistence of your neck pain, it’s important to consider a comprehensive approach that addresses both physical and psychological factors. Your history of depression, combined with chronic body aches, suggests there might be a complex interplay between your mental health and physical symptoms. Neck pain that has not responded to conventional treatments and where diagnostics like the x-ray show no structural issues might often point to muscular involvement or a functional issue. Considering the stress and muscle tension linked with mental health conditions, your physiotherapist’s suggestion that muscle stress rather than injury might be involved seems plausible. An integrative approach could be useful here. First, review your current medications with a psychiatrist to ensure they’re optimized for your mental health conditions; sometimes adjustments or combinations may help improve both depression and chronic pain. Additionally, working with a clinical psychologist trained in Cognitive Behavioral Therapy (CBT) or mindfulness techniques could help manage stress and pain perception. On the physical side, maintaining gentle neck mobility through exercises might help. Consult a physiotherapist for personalized exercises that don’t exacerbate pain. Regular, low-impact physical activities like walking or swimming can also improve overall musculoskeletal health and mood. Consider trying a gentle yoga practice, focusing on relaxation and stretching, with guidance to avoid injury. Maintain good posture, and perhaps ensure your work and sleep environments support a neutral neck position. Importantly, if the pain escalates or significant neurological symptoms like weakness, numbness, or severe pain flare, seek medical attention promptly as further imaging or neurological evaluation might be needed to rule out other issues.

20594 answered questions

91% best answers

0 replies

FREE! Ask a Doctor — 24/7,
100% Anonymously

Get expert answers anytime, completely confidential. No sign-up needed.

About our doctors

Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.