Get E-Book on COVID-19

Q. I feel some pressure in neck after accidental strangulation. Is this a sign of hernia?

Answered by
Dr. Jagdish Chaturvedi
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 21, 2020

Hello doctor,

Five weeks ago, I fell down while mountain-biking. I went over the handlebars and hit my head and chest. I was wearing a helmet and a chest protector and both of them had cracked as a result of the impact. The helmet strap had strangulated my neck pretty hard. Ever since I have been continuously having sensation pressure at the place where the strap had impacted. Activities like turning my neck, yawning, laughing cause some pain. Over the past five weeks, the symptoms have not improved. I am very worried because I am afraid I might have to deal with this forever. They did a CT scan and said that it was normal. Should I ask for an MRI? Could this be some kind of hernia?

Dr. Jagdish Chaturvedi

Otolaryngology (E.N.T)


Welcome to

Sorry to hear about your injury. Since your CT (computed tomography) scan is normal, it is very unlikely that there is any bony or skeletal injury hence reducing the possibility of something permanent.

It appears that there is some soft tissue injury in the laryngopharyngeal region or a cartilaginous injury that is resolving very slowly. This indicates an injury closer to the voice box region because of constant movements during speech, laughter and swallowing delay recovery. This may also explain why it is taking so long to heal completely. In my opinion, an MRI (magnetic resonance imaging) is certainly indicated since there has been no improvement in symptoms for five weeks and to look for cartilaginous injury or soft tissue lesions such as a granuloma or hematoma following trauma. In addition, a video laryngoscopy performed by an ENT will help to evaluate the voice box and supporting apparatus internally for any injury (specifically the inter arytenoid region).

A hernia in the neck or a laryngocele may be a possibility following neck injury but seems very unlikely in your case since there is no visible bulge in the neck which worsens on coughing, etc. There may be an internal laryngocele that may be picked up on video laryngoscopy.

I hope this helps.

Was this answer helpful?


Related Questions:
How to rule out neck pain and numbness?
Please suggest treatment for granulomatous mastitis.
I was left with a hole in the skull after hematoma evacuation. Is it safe?

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers

I have been having neck pain since I met with an accident. Please help.

Query: Hi doctor, I involved in a car accident seven years ago. I have been having problems with my neck ever since. I recently consulted an orthopedic specialist and had an MRI done last week. The results are as follow: Multilevel degenerative disc disease with straightening of lordosis. Multilevel bul...  Read Full »

My biopsy report showed granulomatous mastitis. Was the biopsy specimen autolyzed?

Query: Hi doctor, A wide excision was done last year, and the report showed granulomatous mastitis. How can autolyzed tissue alter the report of biopsy? What do you mean by autolysis? What if the specimen is autolyzed? What would you do?  Read Full »

What is the treatment for hematoma?

Query: Hi doctor,Before five months, I had surgery for thigh hematoma. Now, the same problem started again. It is increasing in size and painful. Also, there is swelling. Please see the photo attached here.  Read Full »

Also Read

Crohn's Disease
Crohn's disease causes inflammation of the digestive tract, which results in symptoms like severe diarrhea, stomach pain...  Read more»
I was diagnosed with Celiac disease a year back. Can you suggest any medicine?
Having celiac fromnlast 10 year dignosis recently ayear ago since then i am gluten free still cant absorb food feeling w...  Read more»
My head is shivering from 20 days, and it feels like head trauma. What is the cause?
Hello sir, My head is shivering like anything , feeling like trauma is head. And its start anytime in a day and when s...  Read more»

Ask your health query to a doctor online?

Ask an ENT Otolaryngologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.