How to treat severe pain at the back of the neck?

Question

Hello doctor,

I have random pain or ache in the back of the neck, mostly on the lower part and on the side, at the top which holds the head, that comes and goes. The pain is like a toothache type and it hurts during stressful times (when I have an anxiety attack). When doing something stressful, mountain climbing, fruit picking, plastering, or holding the plasterboard, and also when doing the physical exercise that involves the shoulders, my neck aches, and feel like I want to stretch it. There is no swelling. Also, the heat makes it more painful and sometimes stiff. Could this be something mental and stress-related? I suffer from generalized anxiety, health anxiety as well as social anxiety. What is causing this severe pain in the back of my neck?

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I went through your query.

This is most likely cervical pain, due to compression of nerves between the spine. This is a spine problem and is probably linked to a history of trauma. You should get an X-ray of the cervical spine anteroposterior and lateral view. You need to visit a physiotherapist after an x-ray. Till that time, I suggest you take a tablet of Neurobion Forte (Vitamin B1, B6, and B12) once daily which is a nerve vitamin. Also, take a tablet of Pregabalin (anticonvulsant) at bedtime, which is a nerve stabilizer, which should resolve your pain. You could use hot water fomentation, or Diclofenac gel (painkiller) for local application. Also, take painkillers like a tablet of Flexon MR (Ibuprofen, Chlorzoxazone, and Paracetamol) whenever pain is very severe.

Hope this helps you and get back if you have any doubts.

Thanks and regards.

How to treat severe pain at the back of the neck?

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