Q. I had right-sided neck pain followed by tingling and weakness in right leg. Will I recover from this?

Answered by
Dr. Tejash Patel
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 15, 2020

Hello doctor,

I am 21 years old. Last night, I had right side neck pain followed by tingling in the right leg and weakness. The situation got worse, as my whole body was weakened and jaw pain.

Next morning I got up, I was feeling little better from the last night, but still I have some neck pain, shoulder pain, tingling (right leg), jaw pain and weakness. Please help.

#

Hello,

Welcome to icliniq.com.

I want to know regarding history of weight lifting, any jerk or trauma? From your history, it is most likely due to muscle spasm.


Treatment plan:

Hot fomentation. Diclofenac gel or spray for a local application. Tablet DAN MR (Diclofenac 50 + Clorzoxasone 250 + PCM 325) two times a day, tablet Deflazcorte 6 mg two times a day after meal, capsule Omeprazole 20 mg two times a day before meal. Start for five days.

Preventive measures:

Avoid weight lifting. Avoid bending.

Regarding follow up:

Follow up after five days with x-ray if not improved with medication.

Thank you doctor,

I did not do any weight lifting. Neither any trauma, injury or jerk. But after waking up yesterday, I had side neck pain (nerve pain) which last all day and during the night I experienced symptoms started by right leg tingling, arm weakness, shoulder pain, chest weakness, and jaw pain. Today after getting up, I am feeling a little better but tingling, weakness, and jaw weakness continue. I am very scared. Please help.

Is it just a muscle spasm or pinched nerve or radiculopathy? Will this recover or get worse? Will it lead to things such as loss of bowel control or paralysis? Is this chronic and happen again? Can I recover from it fully? Please help.

#

Hello,

Welcome to iclniq.com.

You will recover, from your history, it seems to be a muscle spasm. We can start with medication for five days and look for an x-ray. Please do investigation MRI sos, if not relived with medicine, and how your progress after five days. I will also suggest you physiotherapy after five days. Do not be afraid, things are not that serious as you think like loss of bowel control and paraplegia.


The Probable causes:

spasm

Investigations to be done:

1.xray cervical spine and l.s spine ap and lateral view
2.MRI la spine with screening whole spine sos only if needed will tell you if needed.

Probable diagnosis:

cervical and lumber spasm (acute back pain under investigation)

Treatment plan:

continue as described above

Preventive measures:

avoid weight lifting,bending,long journey

Thank you doctor,

I will start the medication from today for five days, as you have prescribed.

#

Hello,

Welcome back to icliniq.com.

Take the medication properly. You will get well soon.


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