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Neck pain , neck stress ,low d vitamin
I am a 29 year old female, on 2024 mar I got a baby boy , I had a 90% normal delivery but at the last moment the umbilical cord was wrapped around baby's neck twice , that's why they had do a c-section at the last minute, and d vitamin is 14 when I'm pregnant, post delivery 6 months ,at that time lightly hit my head on the cupboard to prank my hubby but there was a tuck sound ,then after two days i got severe headache and neck pain ,I got an x ray and ct scan of my head done , everything was normal ,but in neck x-ray shows very few marginal osteophytes and my vit d is 19 ,I did neck isometric excercise for few days,and painkillers,after that pain settled, but since neck pain is intermittent,4 months back i felt very sleepy but i couldn't sleep ,I had a severe headache and neckpain, vibrating senses in my neervs ,i tested so many tests everything is normal but d vit is 8 and b12 is 280,then they gave b12 and d3 inj. Afterthat i became normal but d vit tab take when i remember now neck p
Answers (6)
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Based on your history, your symptoms are more suggestive of mechanical neck pain/cervical muscle strain rather than a serious injury, especially since your CT scan was normal. Mild cervical osteophytes at your age are often incidental and may not be the primary cause of pain. Your severe vitamin D deficiency can also contribute to muscle pain and fatigue. The improvement after vitamin D and B12 supplementation is reassuring. However, persistent or recurrent neck pain should be evaluated clinically.
Next Steps
Continue vitamin D supplementation as advised by your physician and avoid taking it irregularly. Maintain good posture, especially while using mobile phones or computers, continue supervised cervical strengthening and stretching exercises, and avoid prolonged neck flexion. If the pain persists, radiates to the arm, or is associated with numbness or weakness, consult an Orthopaedic Spine Surgeon. An MRI of the cervical spine may be required if symptoms persist despite conservative treatment. You may also book an online consultation with me through Practo for a detailed evaluation.
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Seek immediate medical attention if you develop progressive arm weakness, difficulty walking, loss of balance, bowel/bladder symptoms, or severe persistent headache with vomiting.
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Your difficult delivery/C-section and the umbilical cord around the baby’s neck are unlikely to be responsible for your present neck symptoms. Based on the intermittent pattern, normal head CT and worsening with travel, poor sleep and muscle tightness, this is more suggestive of mechanical neck pain with muscle spasm/postural strain. Small marginal osteophytes on an X-ray may be incidental and do not automatically mean serious cervical disease. However, the “vibrating” sensations cannot be diagnosed online and require a neurological examination.
Next Steps
Consult an orthopaedic specialist for examination of neck movement, muscle tenderness, arm power, sensation and reflexes. Begin supervised physiotherapy with posture correction, gentle mobility, deep-neck flexor and shoulder-blade strengthening. MRI is usually considered when neurological symptoms persist, examination is abnormal, or pain does not improve after appropriate conservative treatment—not solely because minor osteophytes appear on X-ray.
Because your vitamin D was previously very low, take the prescribed course regularly and discuss an appropriate maintenance dose with your doctor rather than taking tablets intermittently or repeating injections without supervision.
Health Tips
Use a medium-height supportive pillow, avoid prolonged downward mobile-phone posture, take breaks during car travel, apply warm compresses and improve sleep arrangements as far as possible. Avoid forceful neck manipulation.
Seek urgent medical care for severe or rapidly worsening headache, repeated vomiting, fever with neck stiffness, arm or leg weakness, persistent numbness, hand clumsiness, imbalance, difficulty walking, or bladder/bowel disturbance.
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Chronic neck pain may point to other issues like disc bulges in cervical spine.
Next Steps
Get an mri done. Avoid severe exercise if pain is present. Use a neck collar for few days. Avoid sudden neck movements.
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
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Dr. Rahul Kumar Pandey
Orthopedic surgeon
10 yrs exp
Lucknow
This is most likely chronic mechanical neck pain (cervical strain/spondylosis) rather than a serious injury especially since the CT scan and X-rays were normal except for minimal osteophytes. Your severe vitamin D deficiency (19 ng/mL) and borderline vitamin B12 may be contributing to muscle pain and nerve symptoms.
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Health Tips
If pain persists for more than 8 weeks, radiates to the arm or is associated with numbness or weakness, get an MRI of the cervical spine.
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
7 yrs exp
Ahmedabad
Get mri of cervical spine
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.