Monday, January 17, 2022

What Doctor To See For Neck And Shoulder Pain

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When Should I See My Doctor

Diagnosing Neck & Shoulder Pain – Dr. Stephen Gardner

You should see a doctor if:

  • the pain is getting worse
  • the pain doesnt ease up in a week or so
  • you have numbness, tingling or pins and needles in your arms or legs
  • you start having difficulties with your bladder or bowel
  • you have a fever as well as neck pain

What Are The Signs Of Neck Sprain Or Strain

Regardless of whether youve sprained or strained your neck, you should consider seeing one of our neck and spine doctors if you experience any of the following symptoms.

  • Hard, knotted muscles in your neck and shoulders.
  • A decreased range of motion.
  • Pain.
  • Tightness in the general neck-and-shoulder area.
  • Stiffness as you go to look over your left or right shoulders.
  • Tenderness.
  • Headaches originating from the base of your skull and continuing to the front of your forehead.

When To See The Doctor For Neck Pain And Dizziness

While most cases of dizziness are mild and quickly go away on their own, sometimes the problem requires medical attention. If dizziness persists and interferes with routine activities or quality of life, it should be examined by a doctor.

See Diagnosing Neck Pain

In addition, any type of pain, tingling, numbness, or weakness that radiates down into the arm or hand should be evaluated by a doctor. If neck pain and/or dizziness are accompanied by severe headache, nausea, feeling faint, bowel/bladder dysfunction, and/or trouble with coordination or walking, medical attention is needed immediately.

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What To Do If You Experience Shoulder And Neck Pain

If you all of a sudden get extreme pain in your shoulder, neck and jaw it may be a sign of heart attack so you should have someone call 911 to get checked out immediately. However, this a rare occurrence. With 99% of cases your shoulder and neck pain or discomfort with come after youve had some kind of physical trauma such as accident, a fall, or sports injury.

The first hing to try is applying heat and ice where the pain is located. Always try ice first. Apply the ice pack to the inflamed area for 10 minutes, then give it a 5 minute rest, then apply heat for 5 minutes. Then repeat. If after a day or two you find the pain just isnt subsiding, get into see a doctor for further examination.

This may result in you heading off to get X-rays done to further diagnose the exact cause of the inflammation. As the healing process moves on you would be greatly benefited if you can manage to afford physiotherapy and/or a chiropractic care.

Wed like to finish with a video today. Check it out below!

Neck Pain With Headache Treatment

6 ways to ease neck pain

There are many treatments for this condition and the foremost thing a doctor does is diagnosing the root cause. Based on the reason he may treat with various medicines and therapies that may include OTC drugs, prescribed medicine, muscle relaxers, cortisone injections, and posture adjustments. They may also recommend physiotherapy if needed.

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Gallstones Or Enlarged Gallbladder

Pain in your right shoulder can be a sign of a gallstone blocking a duct in your gallbladder. You may also feel pain in your back between your shoulder blades. The pain may be sudden and sharp.

You may or may not feel the more common symptoms of gallstones or gallbladder inflammation. These are:

  • sudden pain in your upper right abdomen
  • pain in the center of your abdomen, below your breast bone
  • nausea or vomiting

Should You See A Neurologist For Back Pain And Neck Pain

People manage chronic back and neck pain in different ways. Some try stretching or alternating heat and cold at the source of the discomfort. Others turn to over-the-counter pain medicine and a stoic demeanor. Acute pain often goes away without medical treatment, but dont ignore chronic and persistent pain that lasts for weeks, months, or years. Weakness, numbness, tingling or pain radiating into an arm or leg are important symptoms that need evaluation by a physician. Talk to your doctor to determine the cause of the problem. Your primary care physician may refer you to a specialist, such as a neurologist, to help determine the cause of your back pain.

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What Can Cause Sharp Pain In Your Neck And Shoulder When Breathing

A couple of conditions can cause pain in the neck and/or shoulder when you take a deep breath, including:

  • Pleurisy : Symptoms include sudden chest pain that may be felt only while coughing or breathing deeply, fever, cough, and shortness of breath.
  • Pericarditis : Symptoms include rapid-onset stabbing chest pain, possibly pain in the shoulder, fever, weakness, and trouble breathing. It gets worse if you lie down or breathe deeply.

Pleurisy and pericarditis aren’t usually medical emergencies but you should treat any chest pain or breathing difficulty as an emergency until you know for sure what’s causing it.

Informed Choice Can Help You Choose A Trustworthy Provider

Shoulder Pain & Neck Pain Relief – Ask Doctor Jo

There are as many choices as there are colors in the rainbow. There are a number of distinct physicians within the medical world that you have a choice from. Internists, family physicians, orthopaedists, neurosurgeons, spine surgeons, physical medicine and rehabilitation specialists, neurologists, anesthesiologists, and even some psychiatrists that treat lower back disorders. There are places that have multiple specialists who treat these disorders as a group.

There are a number of distinct physicians within the medical world that you have a choice from. Photo Source: are many types of nonmedical practitioners to choose from, and they vary greatly even within their own specialty. You can go to a chiropractor, physical therapist, massage therapist, athletic trainer, acupuncturist, Feldenkrais or Pilates practitioner, personal trainer, or even an aroma therapist.

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What Do Chiropractors Do For Shoulder Pain

When people think of chiropractic care, they usually imagine back pain, neck pain, and headaches, as research STRONGLY supports chiropractic treatment for these complaints. But what about chiropractic care for shoulder pain?

In 2010 and again in 2014, the United Kingdom government published landmark studies that reviewed previously published research on various forms of treatment for MANY conditions, both musculoskeletal and non-musculoskeletal . These reviews noted there is favorable scientific evidence for the use of chiropractic treatment with regards to shoulder-related conditions including shoulder girdle pain/dysfunction, rotator cuff pain, and adhesive capsulitis .

When doctors of chiropractic approach treatment for patients with shoulder pain, care typically focuses on restoring shoulder range of motion using various manipulative and mobilization techniques directed at the three joints of the shoulder: the glenohumeral , the acromioclavicular joint , and the scapulothoracic joint . Chiropractic care may also include exercise training focused on restoring motion, strength, and stability to the muscles and soft tissues surrounding the shoulder region. A host of physical therapy modalities are also utilized as adjunctive procedures in many chiropractic settings at various stages of healing following shoulder injury. The goal of care is to return patients to their normal level of everyday function.

When Should I See A Shoulder Doctor

If you have had any of the following symptoms, seek expert medical advice in order to achieve relief from your shoulder pain:

  • Persistent shoulder pain that has lasted for longer than a few weeks or cannot be relieved by home treatments, such as over-the-counter pain medication or hot/cold therapy
  • Difficulty sleeping due to pain or discomfort of the affected shoulder
  • Difficulty or pain when attempting to reach backwards, to raise your arm over your head, or to reach across your body
  • A snapping, clicking, or popping sound in the shoulder, particularly when lifting or throwing
  • A previous dislocation of the shoulder
  • An apparent abnormality or deformity of the shoulder or upper arm

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Can Neck Pain Be Prevented

The best way to prevent neck pain is to keep your spine flexible and your muscles strong. You can do this with regular exercise 30 minutes on most days. Make sure you take plenty of breaks throughout the day to stretch.

Its important to develop good posture especially when youre sitting, at work or driving. Try not to slouch or to poke your chin out. A supportive pillow is also important to prevent neck pain.

Treatment Of Pain In Collarbone And Neck And Shoulder

Shoulder Pain Symptoms &  Conditions

Treatment of pain in collarbone and neck and shoulder is specific for a reason. In the most common cases of traumatic injuries, treatment will be some form of neglect, be it surgical or nonsurgical.


If your neck pain is mild and you do not have any other symptoms, you can manage it at home. Home remedies for neck pain include the RICE method:

  • Rest Avoid using your arm and shoulder too much.
  • Ice Apply ice to the sore area for 20 minutes at a time. Do not apply ice directly to your skin wrap it in a cloth.
  • Compression This can be done by covering the shoulder area so that your shoulder does not stand still.
  • Elevation Sleeping with your head slightly raised so your shoulder area is larger than your entire body.

2. Medication

The patient will usually be given pain medication, be it opioid or non-steroidal anti-inflammatory drug . In the event of an infection, the health care provider may also prescribe antibiotics. Depending on the type and severity of the injury, the health care provider will order an external sling or brace to keep the arm free of injury, or they will consult with an orthopedic surgeon to work on the wound and repair it from the inside.

3. Physical therapy

4. Over-the-counter pain relievers

5. See a doctor

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What Are The Most Common Causes Of Neck Pain

Neck pain may be caused by trauma such as whiplash a sudden impact causing your head to jerk and thus tearing the muscles and tendons in your neck. People who play contact sports and athletes, in general, are much more prone to neck strain. However, neck pain may also be the result of a neck sprain, which is caused by the tearing of the ligaments in the neck attaching bones to one another.

A Neurologist Is Highly Specialized In Diagnosing Back Pain And Neck Pain And In Assessing Risks And Treatment Options

Every back pain and neck pain patient is unique, with different degrees of problems associated with a bone or disc abnormality. A neurologist is trained to discover the causes of symptoms, as well as using EMG testing to assess the injury to nerves and whether it is reversible in the short and long term.

However, conflicts in assessment can come in if a neurologist sees a patient sent to them by one of their surgical friends working in the same hospital system. On the one hand, he/she has a primary duty to the patient to provide the best care possible. On the other, the neurologists salary might be paid by the hospital system, which receives compensation, as does the surgeon, when surgery is done.

To have a true and unbiased second opinion about whether surgery is necessary, its best for you to see an independent neurologist or, at least, one in another hospital system. In most non-emergency cases, a conservative approach is both possible and optimal.

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Dr K Daniel Riew On Technology

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You see it everywhere. In homes and offices, while walking down the street, riding the bus, or standing in line. Tech neck, the act of stressing muscles while using phones, tablets, and computers, resulting in neck and shoulder pain, stiffness, and soreness, is a problem thats getting worse.

Last year, Americans spent a daily average of 5 hours and 53 minutes with digital media, including 3 hours, 17 minutes a day on non-voice activities on mobile devices a jump of more than an hour since 2013, according to eMarketer.

The result? Headaches, neck spasms, and creaky shoulder joints, caused by holding ones neck still for long periods, says K. Daniel Riew, M.D., director of cervical spine surgery and co-director of spine surgery in the department of orthopedic surgery at the NewYork-Presbyterian Och Spine Hospital. Here, Dr. Riew breaks down the causes and symptoms of tech neck and offers ways to correctly and safely align the body while using mobile phones, computers, and other digital media devices.

So how should you sit? A better way to sit is with the chair reclining 25-30 degrees with a good lumbar support to prevent slouching. In this position, the discs in the back, as well as the neck, are subjected to much lower forces than in an upright position, and the muscles in the back of the neck no longer have to contract to hold your head up.

Dr. K. Daniel Riew

The Products Doctors Swear By For Neck Pain

Woman’s Doctor: Shoulder and neck pain

Neck pain is an extremely common problem its estimated about 80% of people will experience it at some point in their life.

And its no surprise its so common, considering all the time we spend on our computers and mobile devices. The issue is prevalent in folks who spend long hours with their necks bent forward, which is otherwise known as tech neck or text neck. Neck pain can also be caused by other moves or injuries. Anyone who has ever slept the wrong way knows that its actually pretty easy to hurt your neck unintentionally.

With over 300 muscles in the neck, it is common to irritate or over-stretch a muscle from overuse or overexertion such as turning the head side to side, said Rahul Shah, a board-certified orthopedic spine and neck surgeon in New Jersey. Additionally, neck pain can come from causes that go beyond the muscles and tendons within the neck. Other causes of neck pain can include irritation of the neck joints, arthritic bone spurs, and disc or spinal cord problems.

So how do the experts handle this issue? Below are a few products doctors personally recommend.

HuffPost may receive a share from purchases made via links on this page. Every item is independently selected by the HuffPost Shopping team. Prices and availability are subject to change.

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How Are Neck And Shoulder Pain Diagnosed

  • X-rays: Plain X-rays can reveal narrowing of the space between two spinal bones, arthritis-like diseases, tumors, slipped discs, narrowing of the spinal canal, fractures and instability of the spinal column.
  • MRI: Magnetic resonance imaging is a noninvasive procedure that can reveal the detail of neural elements, as well as problems with the tendons and ligaments.
  • Myelography/CT scanning: This is sometimes used as an alternative to MRI.
  • Electrodiagnostic studies: Electromyography and nerve conduction velocity are sometimes used to diagnose neck and shoulder pain, arm pain, numbness and tingling.

Diagnosing And Treating Neck Pain And Headache

Clinicians use information from the features of headache, physical examination, and diagnostic tests to make an accurate diagnosis of the type of headache. It is also possible for two headaches to occur together. Treatment of primary headaches include medications for both immediate relief and sustained relief . Treatment of secondary headaches focuses on the underlying condition to control symptoms.

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Independent Neurologists Can Provide The Most Informed And Trustworthy Referral To A Surgeon

Unfortunately, some patients cant be helped by non-surgical treatment, even when receiving the best care. Disc herniation can be too extreme, bone can build up around nerves to the point where they no longer fit through. But, an independent neurologist who has seen thousands of cases will be able to refer you to best surgeon for your case, one who will be able to perform the surgery you actually need.

How Do Health Care Professionals Diagnose Shoulder And Neck Pain

Pin on exercise

A thorough history and physical examination are usually adequate to establish the diagnosis for most injuries. However, your doctor may do a series of tests, depending on the cause of your injury, the location of your pain, or your other symptoms. The list is extensive and may include X-rays, an electrocardiogram , blood tests, and CT scans.

  • X-rays: These may be done if you have tenderness to touch along the bony areas of your spine or shoulder, a history of significant trauma, deformity of the area, or your doctor suspects a condition related to your heart or lungs.

A treatment plan will be developed after a complete history and physical examination . Treatment options vary for each condition. Clearly, a simple strain is treated far differently than a heart attack.

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When Should You Call Your Doctor

911 or other emergency services immediately if:

  • Neck pain occurs with chest pain or other symptoms of a heart attack, such as shortness of breath and nausea.
  • A person has signs of damage to the spine after an injury . Signs may include:
  • Being unable to move part of the body.
  • Severe back or neck pain.
  • Weakness, tingling, or numbness in the arms or legs.
  • You have new or worsening numbness in your arms, buttocks or legs.
  • You have new or worsening weakness in your arms or legs.
  • You lose control of your bladder or bowels.
  • You have long-term neck pain that suddenly gets much worse, and you did not cause it by being more active.
  • You have a history of cancer or HIV infection, and you have new or increased neck pain.
  • Pain wakes you from sleep.

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