It is great to come across this site. I have been battling a similar problem, I think mainly to Irene and Jon the trumpet player. I am a singer and about 2 years ago, had an acute muscle strain in the neck I think from one episode when I was singing with neck tension out of my comfortable range for about 45 mins. I had an acute pain on the left side of my neck lateral and antero-lateral (near adams apple) that lasted for about 2 weeks and then dulled to an ache that lasted about 3 months, mainly worse with any singing or heavy physical activity. I also developed upper shoulder pain on the same side around the trapezus I think where the shoulder curves up into the neck, i think from large numbers of push ups at training a few months after this episode of initial neck pain had resolved. Anyway, the problem is that I can now barely lift anything with my left arm as it causes pain, things like situps etc cause my neck to hurt also. The pain is a sort of burning down the lateral side of the neck on the left and also the anterior lateral side on the left right next to the adams apple. Am at the stage now where I am thinking I have to quit singing as it keeps flaring up. Have had ENT scopes done-cords clear, had a L) shoulder ultrasound-clear, c-spine MRI no nerve compression, only slight narrowing between c4-5 but not enough to cause problems. I also had that clicking sensation on swallowing about 2 years ago but this has not recurred. the problem seems to arise with any increase in intrathoracic pressure-thus lifting heavy items, sneezing, coughing hard, singing much of the time. Have tried so many different ways of singing to try and reduce/avoid the problem but it just keeps coming back and it happens when I don't sing too. Also when it flares up it lasts for a few days at a time, occasionally I take sustained release voltaren but try to avoid NSAIDs etc for long term use. Really depressing as I think that the two things I love music and sport might have to be deleted from my lifeAny thoughts from anyone??? My thoughts are: a tear in the omohyoid or one of the other supporting muscles in the neck region that move the larynx but also relate to lifting the shoulder perhaps (e.g levator scapulae, except that this is a very deep muscle I think and not sure that it does anything with moving the larynx)... Has anyone recovered from this kind of thing or does it tend to be permanent? Have tried alternative therapies and physio-no change in condition. Things like heat and cold do not seem to affect it. Last doctor I saw ended up suggesting it was perhaps psychological as the tests didn't show anything definitive. I know it is not psychological 'cause it HURTS and very particular activites trigger the pain! And apart from everything else, why would I want a problem that stops me doing the things I absolutely love? I also am pretty sure it is not reflux has it does not fit the picture of that condition and I did try anti-reflux tabs for a while as one doctor suggested them and they did not make any difference to the problem.
Thanks for all the great posts above too, some very thoughtful and helpful commments there.






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Any thoughts from anyone??? My thoughts are: a tear in the omohyoid or one of the other supporting muscles in the neck region that move the larynx but also relate to lifting the shoulder perhaps (e.g levator scapulae, except that this is a very deep muscle I think and not sure that it does anything with moving the larynx)... Has anyone recovered from this kind of thing or does it tend to be permanent? Have tried alternative therapies and physio-no change in condition. Things like heat and cold do not seem to affect it. Last doctor I saw ended up suggesting it was perhaps psychological as the tests didn't show anything definitive. I know it is not psychological 'cause it HURTS and very particular activites trigger the pain! And apart from everything else, why would I want a problem that stops me doing the things I absolutely love? I also am pretty sure it is not reflux has it does not fit the picture of that condition and I did try anti-reflux tabs for a while as one doctor suggested them and they did not make any difference to the problem.

