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Suffering From Severe Neck Pain For Over 4 Months?
Question: I have had severe neck pain for over 4 months. It made sitting up from a lying position give sharp pain. I went to A and E. twice. They said first I was using the computer too much. The second time they said it was arthritis of the neck. But the pain spread to my throat and back of tongue. It gave sore throat and cough . My doctor gave penicillin. The throat did not improve but the neck did. So was this a neck infection?? Well my voice has been hoarse for around 5 weeks or need to strain to use voice. Neck pain 10/10 for a long time is now mild but has has moved to another part of my neck. There is a bump also, painless developing on my scalp. I do have certain permanent medical issues for your information. What do you think I potentially have, and what would you do to diagnose me? One youtuber said the only symptom he had was a hoarse voice for three weeks and the found cancer of his voice box, How would I know for sure?
Brief Answer:
Laryngo-pharyngoscopy will help to rule out cancer
Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
As per the history you have provided my thoughts/provisional diagnosis is as follow:
Neck pain for 4 months can be due to fibromyalgia. The muscles go into spam and to support the nearby muscles also go into spasm. Hence it an change position as is seen in your case.
Your Doctor might have given you Penicillin along with other medicines, anti-inflammatory, painkillers. That might have helped with your neck pain.
Sore throat, coughing, hoarse voice indicate the throat inflammation; can be bacterial or even viral infection. The first principal in hoarse voice is voice rest, anti-inflammatory and anti-bacterial if the blood tests or local examination suggest this to be due to bacterial infection. Oral steroids may be indicated in some cases and totally depends upon the findings by your Doctor, preferably an ENT Surgeon and laryngo-pharyngoscopy to see for the vocal cords - its size, any inflammation, nodules and will rule out cancer too.
Hence give voice complete rest, take medicines as needed.
Postural changes for neck pain may help, avoid any position which instigates or enhances the neck muscle spasm and pain. Reduced neck pain indicates muscle spasm. You can palpate and compare the neck muscles on both sides simultaneously to know the spasm, difference in tightness and bulk of muscles.
I hope this answers your query and helps you.
Take care, follow the instructions and advise.
And give feedback.
Dr T Chandrakant.
General and ENT Surgeon. (Double Specialization)
Laryngo-pharyngoscopy will help to rule out cancer
Detailed Answer:
Hi.
Thanks for your query.
Noted the history and understood the concerns.
As per the history you have provided my thoughts/provisional diagnosis is as follow:
Neck pain for 4 months can be due to fibromyalgia. The muscles go into spam and to support the nearby muscles also go into spasm. Hence it an change position as is seen in your case.
Your Doctor might have given you Penicillin along with other medicines, anti-inflammatory, painkillers. That might have helped with your neck pain.
Sore throat, coughing, hoarse voice indicate the throat inflammation; can be bacterial or even viral infection. The first principal in hoarse voice is voice rest, anti-inflammatory and anti-bacterial if the blood tests or local examination suggest this to be due to bacterial infection. Oral steroids may be indicated in some cases and totally depends upon the findings by your Doctor, preferably an ENT Surgeon and laryngo-pharyngoscopy to see for the vocal cords - its size, any inflammation, nodules and will rule out cancer too.
Hence give voice complete rest, take medicines as needed.
Postural changes for neck pain may help, avoid any position which instigates or enhances the neck muscle spasm and pain. Reduced neck pain indicates muscle spasm. You can palpate and compare the neck muscles on both sides simultaneously to know the spasm, difference in tightness and bulk of muscles.
I hope this answers your query and helps you.
Take care, follow the instructions and advise.
And give feedback.
Dr T Chandrakant.
General and ENT Surgeon. (Double Specialization)
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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