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Hello
I am experiencing pain in the neck region along with shoulder and pain also in collar bone, the pain started accidentally while i was asleep when I suddenly feel pain when I feel a sudden sprain in neck region.
The pain also radiates in right hand when I raise my hand up and down.also it pain when I move my neck right left and up and down as well.
It's been 4 days the pain is not gone and also I am not able to sleep completely as any movement in neck while sleeping causes pain and disturbs sleep. As I am allergic to nsaids medicine exception of etoricoxib and piroxicam only.
Kindly suggest any medicines to relieve the pain . please reply as soon as possible.
Answers (16)
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Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a free detailed discussion
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Your symptoms strongly suggest an acute cervical muscle spasm with nerve irritation (cervical radiculopathy).
This typically happens after sleeping in a wrong posture or a sudden neck movement.
The features match:
• Neck pain
• Pain radiating to shoulder / collarbone
• Pain radiating to right arm when lifting it
• Pain with neck movements
• Disturbed sleep due to pain
This is not dangerous, but it is very painful and usually takes 5–10 days to settle with proper treatment.
Next Steps
Medicines You Can Safely Take (Considering your NSAID allergy)
Since you cannot tolerate NSAIDs except etoricoxib and piroxicam, we will use medicines that are safe for you.
1. Etoricoxib 60 mg once daily after food
OR
Piroxicam 20 mg once daily after food
Choose only one, NOT both.
These are safe anti-inflammatory options for people who cannot take regular NSAIDs.
2. Muscle Relaxant (very important)
You can use ONE of the following:
• Thiocolchicoside 4 mg – Twice daily
OR
• Tolperisone 150 mg – Twice daily
OR
• Tizanidine 2 mg – At bedtime
These help reduce the muscle spasm causing the nerve pain.
3. Neuropathic Pain Relief (for radiating arm pain)
• Pregabalin 75 mg at night
OR
• Gabapentin 300 mg at night
This reduces nerve irritation and helps sleep.
Additional Supportive Care
Warm compress
Warm water bag on the neck and shoulder
10–15 minutes, 2–3 times daily
Avoid pillow for 2–3 days
Or use a thin soft pillow only.
Neck movement rule
Avoid:
• Sudden neck turning
• Looking down at mobile
• Lifting weight
• Driving long distances
Health Tips
When to See a Doctor Urgently
• Severe weakness in the arm
• Numbness spreading to fingers
• Pain worsening day by day
• Fever or swelling at neck
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Neck sprain. Take hot fomentation. Kindly consult with me on 94 two six 86 seven eight 96.
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THIS IS NOT AT ALL A GENERAL QUERY, ITS SO HUGE A PROPER QUERY.
ADVISE
XRAY CERVICAL VERTEBRAE AP N LATERAL VIEW DIGITAL WITH REPORTING TO RULE OUT EXTRA CERVICAL RIB N OTHER ABNORMALITY.
TAB ETEROCOXIB THYOCHOLCHICIDE TWO TIMES AFTER FOOD FOR FIVE DAYS.
VOLINI GEL SPRAY LOCALLY WHERE U FEEL PAIN TIMES.
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You may have neck muscles sprain ,You can continue with etoricoxib 120 mg once a day and muscle relaxant like mydocalm twice daily for a few days.
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You can consult me directly on Practo, or reach out via WhatsApp:
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I’ll guide you step-by-step with easy-to-follow treatment plans.
Early consultation helps avoid complications — feel free to connect.
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Dr. Tejasree
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
4 yrs exp
Tirupati
Good evening, This is muscle sprain, Use Tab GABAPENTIN 75 MG ONCE A DAY AT NIGHT BEFORE SLEEP
TAB. ETEROCOXIB TWICE A DAY AFTER MEALS
TAB . PANTOP- DSR ONCE IN THE MORNING BEFORE MEALS
Next Steps
AVOID HIGH PILLOW WHILE SLEEPING
DO SIMPLE NECK EXERCISES LIKE MOVING SIDE BY SIDE UP AND DOWN 10 SECONDS EACH SIDE
Health Tips
IMMEDIATELY CONSULT A CLINIC IF U R EXPERIENCING NUMBNESS AND TINGLING IN ARM OR HAND
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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This is probably due to muscle strain. Kindly take Tab. Tolperisone. For proper dosage and follow up, Kindly take an instant consult or contact me at miracle health centre, Shalimar bagh
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Kindly consult
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This is neck stiffness.
Try visit physiotherapist.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Do connect and consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Start tab pregeb 75 along With Tab etoricoxib and piroxicam
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Dr. Jitendra Kumar
General Physician
45 yrs exp
Delhi
Rx
Tab pantosec DsR 1 od bbf
Tab Dolo 650 bd
Tab Gabapin 100 x1 bedtimex10 days
Voveran Emugel locally
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