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Neck pain ,no radiating pain in hands
I am 29 female 2 year back i hit my on the cupboard to prank my hubby but there was a tuck sound then after two days i got severe headache and neckpain and I got x ray and head ct scan everything is normal but neck x ray shows very few marginal osteophytes,vit d is 19 then I do neck isometric excercise and took painkillers then pain was settled,but intermittent neck pain ,4months i feeling very sleepy and couldn't sleep ,I had severe headache and neckpain, vibrating senses in nerves ,they tested me for fbs,pbs ,tsh ,kft,lft,CBP, vit d,b12 everything was normal,but d vit is 9and b12 is 384,then they gave b12 and d3 inj, then I become normal, and d vit tab for 8 weeks i took when i remember now my neck pain came again , not getting sleep,neck muscles feel tight sometimes ,when i travel in car my neck is hurting, my ortho ignored my neck pain ,said you're 29 you don't have any problem, eat protein,sleep proper , exercise,but I had 2yearold baby disturb my sleep since 2 years, what im do
Answers (5)
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From your history, your symptoms are unlikely to be related to the minor head injury that occurred 2 years ago, especially since your CT brain was normal. Your recurrent neck pain is more likely related to chronic cervical muscle strain, poor posture, sleep deprivation while caring for your child, and Vitamin D deficiency, all of which can contribute to persistent neck pain and headaches.
Although a few marginal osteophytes on X-ray are usually not significant at your age, they do not fully explain your symptoms. Since your pain has persisted for nearly 2 years and worsens during car travel, it would be appropriate to evaluate the cervical spine further if symptoms continue despite conservative treatment.
Next Steps
* Continue Vitamin D supplementation as advised by your physician and recheck your Vitamin D level after completing treatment.
* Maintain good neck posture, continue supervised cervical isometric and strengthening exercises, and avoid prolonged neck flexion while using a mobile phone or caring for your child.
* Ensure adequate protein intake and try to improve sleep quality as much as possible.
* If symptoms persist, or if you develop pain radiating to the arm, numbness, tingling, or weakness, consult an Orthopaedic Spine/Shoulder Specialist for a detailed examination. An MRI of the cervical spine may then be required.
* If you would like a personalized evaluation and treatment plan, you may also book an online consultation with me through Practo.
Health Tips
Seek immediate medical attention if you develop progressive arm weakness, difficulty walking, loss of balance, or bowel/bladder symptoms. Otherwise, most patients improve with appropriate rehabilitation, correction of Vitamin D deficiency, posture modification, and adequate sleep.
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Your neck pain should not be dismissed only because you are 29. From your description, recurrent muscular/mechanical neck pain related to muscle tightness, posture, prolonged travel and disturbed sleep is possible. However, the “vibrating/nerve” sensation and recurrent headaches require an in-person examination. A few marginal osteophytes on an X-ray do not necessarily explain the symptoms; findings must be correlated with your neurological and neck examination. Persistent pain or pins-and-needles symptoms should be medically assessed.
Next Steps
Consult an orthopaedic specialist, for assessment of neck movement, muscle spasm, arm strength, sensation and reflexes. Start supervised physiotherapy focusing on posture correction, cervical mobility, deep-neck flexor strengthening and shoulder-blade strengthening. An MRI is not automatically required, but may be advised if there is arm numbness, radiating pain, weakness, abnormal examination findings or symptoms continuing despite appropriate treatment.
Since your vitamin D was previously very low, discuss repeating 25-OH vitamin D and calcium testing after completing treatment. Do not continue high-dose vitamin D or injections without medical supervision.
Use a supportive—not excessively high—pillow, take frequent breaks from mobile-phone use and travelling, apply warm compresses for 15–20 minutes, and continue only gentle, pain-free exercises. Avoid forceful neck manipulation.
Health Tips
Seek urgent care for a sudden severe headache, fever with marked neck stiffness, repeated vomiting, confusion, worsening arm or leg weakness/numbness, hand clumsiness, difficulty walking or loss of bladder/bowel control.
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Dr. Rakesh Kumar
Orthopedic surgeon
6 yrs exp
Coimbatore
Get personalised evaluation done
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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.
Next Steps
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.