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How to manage neck muscle spasms and functional limitations?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 31-year-old female. I am in a job for which I will be out of the home for at least 11 hours. My problem has been stiffness in the neck (on the left side alone) for the past four months. In certain positions of my neck, my head trembles, my heart beats fast, and shortness of breath is produced.

I got my ECG done, and the results were normal. Normal blood pressure is 100 to 110/60 to 70, and pulse rate 86 to 120. A brain and cervical MRI was done recently. Brain normal and mild scoliosis at the C6 and C7 vertebrae.

My body vibrates when I get out of the car. I was perfectly healthy four months ago.

Please help.

Answered by Dr. Muhammad Majid Hanif

Hi,

Welcome to icliniq.com.

I want to assure you not to worry, as everything is going to be fine if proper care and treatment are opted for. I have thoroughly gone through your case and can well understand your genuine health concerns.

Your issues are all due to the scoliosis of the cervical vertebra, due to which you feel the pain and stiffness in the neck. It causes misalignment and pain due to stretch and pressure on the nerves and the muscular spasms in the neck.

I suggest the following treatment plan:

  1. Take tablet Ibuprofen for pain.
  2. Take the capsule Lyrica (Pregabalin) by mouth.
  3. Apply Voltaren gel (Diclofenac Sodium gel) on the painful areas and massage gently.
  4. Apply Therma Care heat wraps to the neck and shoulder.
  5. Doing physical therapy for the neck and yoga will be very beneficial.

A few preventive measures that can help you are:

  1. Avoid the same position of the neck, like watching television, a laptop screen, or a mobile phone for a long time, to avoid sprains and muscle strains.
  2. If you feel nothing helps, consult an orthopedician for a proper physical evaluation and continue treatment accordingly.

I hope this helps.

For more queries, you can contact me anytime. I am here to help you.

Thank you.

Patient's Query

Hi doctor,

In my last query, I explained that the stiffness is only when I move my head to the left side. Though I can move, I do not have that ease. It has only been for the past four months.

I hear a cracking sound in the neck (frequently). Sometimes, when I push my neck too much, my head trembles like it seems to move on its own. If I try to push my neck too much, my voice gets choked, and I feel short of breath. When I get out of the car after traveling for a long time, my body feels really heavy and vibrates a bit.

My ECG and MRI brain are normal. Cervical spine MRI shows mild scoliosis with convexity to the right, a small central posterior disc bulge at C5 and C6 indenting the thecal sac. There is no cord compression or central canal stenosis.

I have no pain anywhere in the neck, head, arm, or other only feel heavy and some pressure. Is there any possibility of becoming physically challenged permanently or losing my speech permanently?

Please help.

Answered by Dr. Muhammad Majid Hanif

Hi doctor,

Welcome to icliniq.com.

I want to assure you not to worry, as everything is going to be fine if proper care and treatmentares opted for.

No, you are not going to get any permanent physical disability. Please remain calm and start the treatment.

You have a severe muscular spasm of the neck muscles. Let me explain in simple words. When there is some issue with the support of the neck that is given by the central vertebral column, there comes the burden on the muscles of the neck to support and do some extra work than usually they were doing in a share with the vertebral column.

Your cervical spine is somewhat curved, and that is called scoliosis. There is a zigzag or mild curve in the spine inside your neck. In such a situation spine is unable to properly support the head. It causes muscles of the neck to get tense and spasm, which is very common, but it does not always come with pain.

As in your case, the pain is not so much; there is stiffness. Both are the same,e and the treatment as I suggested previously is to relieve the muscular spasm and to reduce inflammation in the structures of the neck.

Also intervertebral disc bulge posteriorly in the middle portion. This causes the issue with the spine to be even more prominent.

When muscles get tense and spasmodic, the range of mobility is decreased, muscles twitch and vibrate, and the head seems to move on its own when you do some stretch of the muscles of the neck by pushing the head forward beyond the point of laxity of the spasmodic muscles of the neck.

When there is kyphosis in the cervical spine, it also puts pressure on the brainstem, which causes pressure feelings on the respiratory control center in the brain,n causing difficulty in breathing and heart issues as described by you in history.

Also, the pressure on the vagus nerve in the neck may cause issues, with like muffled voice and respiratory issues.

You also need to usea neck collar to support the neck and head and to give rest to your cervical spine and the neck muscles. It will help in recovery.

No, you will not lose your voice permanently. It is a problem if the laryngeal nerve is compressed in the neck and starts with the hoarseness of voice, and that is altogether a different story.

Some preventive measures that can help you are:

  1. You should avoid long drives and jerks to the neck.

  2. Use appropriate pillows while sleeping.

  3. Do not use a mobile phone while looking down. Take the phone to the level of your nose and then use it.

  4. Avoid excessive usage of such gadgets that require keen attention and neck movements, which may cause more issues to the existing problems.

I hope this helps.

Thank you.

Patient's Query

Thank you, doctor.

I will follow your advice. I still need some things to be clarified in addition. While I try to stretch my neck,k my throat feels sore too. Earlier, er I used to travel to the office by public transport, but now I travel by personal car due to sickness.

I cannot avoid the long drive for the time being, and my office will not give me any leave now.

I cannot quit my job ever due to rising medical and educational expenses. What can be done in this situation?

Will it be possible for me to lead a normal and healthy life with these physical deformities and by following your prescriptions?

I have one additional problem detected with a submucosal uterinfibroi did for which I need surgery. Will scoliosis create any problem for that?

Kindly suggest.

Answered by Dr. Muhammad Majid Hanif

Hi,

Welcome to icliniq.com.

I appreciate your health concerns. I have gone through all the details provided and can well understand the issues you are suffering from. Do not worry, things will settle down soon.

  1. Yes, you can spend a healthy life without any need for the taking off from your job or due to a disability.

  2. Just use the neck collar support while driving. Fasten seat belts properly and keep a slow pace to avoid jerks. It does not mean that you are disabled. Rather, it is just a little modification of the lifestyle to make you feel better. You may remove the collar in the office if needed.

  3. Start as I mentioned in my previous answer about the remedies. And here I am adding some great foods for you to boost your immunity and get a better fighting body against diseases.

  4. I am sure you are a strong person and will defeat your diseases with courage. Please do not feel down anytime.

  5. Soreness in your throat may also be unrelated to this issue and can be due to a throat infection. If so, you may take medications like Amoxicillin, Ibuprofen, Claritin (Loratadine), and keep on doing gargles with Scope mouthwash.

  6. No, scoliosis will not produce any issues for the surgery, no matterwhether you opt for myomectomy or hysterectomy. Both procedures are done through laparoscopy and are safe, no matter if you have scoliosis. And do not get overwhelmed and preoccupied,d as you have a very mild scoliosis that will not pose any issues to you for getting a surgery.

Some important foods that will make you feel good and give essential nutrition to your body are as follows:

Elderberry, button mushrooms, acai berry, watermelon, oysters, almonds, cashew, cabbage, grapes, whole wheat, along with wheat germ, low-fat yogurt, green leafy vegetables, spinach, tea, green tea, sweet potato, and broccoli.

I hope this helps.

Thank you.

Answered by

Dr. Muhammad Majid Hanif

Medically reviewed byDr. Sneha Kannan

Published At December 29, 2015
Reviewed AtDecember 24, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif

Dr. Muhammad Majid Hanif

Cardiology

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