The history suggests chronic mechanical neck pain, possibly associated with cervical muscle dysfunction/postural strain. However, the new intermittent “vibration” sensation in the left arm may indicate nerve irritation/cervical radicular involvement and should be assessed clinically. Pain around the temple and back of the head can sometimes be associated with cervicogenic headache, particularly when accompanied by neck pain and stiffness. Since the MRI is already 2 years old and the symptoms have changed, the old imaging alone should not guide current treatment.
Next Steps
Consult a physiotherapist for a fresh clinical examination. Assessment should include cervical ROM, posture, muscle strength, neurological examination of both upper limbs, reflexes, sensation, myotomes and appropriate cervical nerve provocation tests. Physiotherapy may include pain-relieving modalities if indicated, gentle mobility work, deep cervical flexor and scapular strengthening, postural correction and a progressive home exercise programme. A repeat MRI is not automatically necessary, but may be advised by the treating doctor if neurological symptoms persist, worsen or examination findings warrant it.
Health Tips
Avoid forceful neck manipulation, self-cracking of the neck and prolonged mobile/laptop posture until properly assessed. Seek prompt medical evaluation if you develop persistent numbness, progressive arm/hand weakness, loss of grip, problems with balance/walking, severe or unusual headache, dizziness, visual/speech disturbance, or bowel/bladder changes.