Neck Muscle Injury

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  1. #16
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    This is an old thread but I have had similar pain for months and found this post while searching on carotidynia.

    Cardinal, I see you're online - what turned out to help you the most?

    Thanks,
    Irene

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    Irene,

    I have had a couple of questions about this lately actually.

    For the diagnosis, what helped me most was finding the right doctor who knew what he was doing. An ENT will often follow a different diagnosis procedure than other doctors will. You may need to see several different types of doctors before you find one that will correctly diagnose and know how to treat your injury. For me it took a doctor of physical therapy about 15 minutes to diagnose that I had an omohyoid muscle injury. I had gone to see several docs before that and they didn't have a decent guess at what it could be. The omohyoid injury was independently confirmed by a chiro also. After more than 3 years I still have no reason to doubt the diagnosis.

    Time and peace of mind (knowing what the injury was) did more than anything to help with this one. 1-1.5 years after the injury and things were pretty much as they are now.

    A little neural rewiring/pain desensitization may have helped too. I tend not to feel it now unless I think about it. I still feel a lump in my throat, but don't notice it unless I start thinking about the injury. Sleeping position helped with the pain also. I would keep from stretching the muscle while sleeping (I slept on my stomach with my head tucked into my collar bone).

    Strengthening the muscle via whole body cns stimulation seems to make little difference (my neck and whole body is far stronger than it was three years ago). I never extensively tried muscle relaxer or pain killers. I viewed them as a means to mask the pain rather than get rid of it, so I just didn't bother. In any event it doesn't appear they were necessary.

    Certainly I needed to avoid some gym lifts for awhile. Now nothing I train aggravates the injury.

    My doctor said that if I was going to reinjure my neck I would have done it before I saw him since I had been deadlifting/BPing, squatting etc, with the injury.

    He was right on that account too. I haven't reinjured it all.

    I never ended up trying accupuncture or ART or anything like that. Certainly it is worth a shot though if you need it.

    Hope this helps...

    -Cardinal

  3. #18
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    Thanks for your reply. I sleep exactly the same way lol. I think this happened during a hectic period singing while not well and out in the cold (pretty sure I know when it all started, I sing in a couple of bands).

    I do some weight-training (just light stuff to stay toned really) and that does not seem to aggravate anything, just always feel it when I swallow, but of more concern to me, it actually hurts when I sing. On my dr's advice, took ibuprofen for three weeks, did not make anything go away though. He has given me stronger anti-inflammatories now, but I have not started them. It just seems like they are a bandaid.

    Thanks though for the good ideas and alternate diagnosis I found in this thread. Will wait to see the ENT and explore some alternatives in the meantime.

    Irene

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    Neck/Throat problem

    Hi Cardinal,

    I have the exact symptoms as you described and they are aggravated by the heat? Did you ever find anything that helped? My symptoms have been going on for 3 months and besides GERD, have not found anything yet that can explain the symptoms. Are you still having problems? Any suggestions?

    Kelly

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    Arrow My search lands me here. Same Issue!

    Well my search web-wide sent me here. I'm having pretty much the exact same symptoms/neck problems nearly word for word. I have to go out of town tomorrow and I'm sure a 747 will not aid in my neck pain or lump/gland flaring!

    Got a heat pad from wally world, took some tylenol, taking friday off. My only guess is that will be temporary fix.

    I'm guessing some of you out there may have a slight ache/pain sometimes when swallowing, mainly food??...

    Thanks!

  6. #21
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    Kelly,

    Nothing new to report since February. I rarely think about but still feel a constant lump in my throat.

    RegularOleJoe,

    All I can say is that time makes it better.

    In my case it was the result of a direct muscular injury. If either of you expect it to be purely muscular consider going to a doctor of sports medicine and a good chiro. Of the doctors I went to see, they were the first to hone in on the muscular side. Everything I did to make it better is pretty much listed above. After enough time passed, things sort of leveled out and now I just deal and don't think of it much.

    Hopefully you two will notice that the pain goes away completely. My 'lump' feeling is most certainly due to the fact that the muscle itself was torn and is now in a different physical position than it was before. The neck is sensitive enough to feel even a slight displacement.

  7. #22
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    I'm in the same boat as all of you. 2 months now.. How did all of you guys' symptoms start? Mine came after a serious bout with vomiting and dry heaves.. I think it is muscular, because I've see an ENT, general practice doc, and gastroenterologist. The gastro doc put a scope down my throat but did not see anything.

    My general practice doctor said he though I may have strained the muscles in/around my esophagus, and said it should hopefully go away in another couple of months.

    Have you all noticed anything else that exacerbates symptoms? For example, whenever I drink alcohol my symptoms are far worse the next day. It also has made running fairily unenjoyable.

    How did all of you end up with these problems, and what makes it worse for you?

  8. #23
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    Quote Originally Posted by skydivinryan View Post
    I'm in the same boat as all of you. 2 months now.. How did all of you guys' symptoms start? Mine came after a serious bout with vomiting and dry heaves.. I think it is muscular, because I've see an ENT, general practice doc, and gastroenterologist. The gastro doc put a scope down my throat but did not see anything.

    My general practice doctor said he though I may have strained the muscles in/around my esophagus, and said it should hopefully go away in another couple of months.

    Have you all noticed anything else that exacerbates symptoms? For example, whenever I drink alcohol my symptoms are far worse the next day. It also has made running fairily unenjoyable.

    How did all of you end up with these problems, and what makes it worse for you?

    I will prefice what I am about to say with the fact that Doctors know pretty much nothing about soft tissue injuries. The fact that the doctor told you it should "hopefully go away in a few months" confirms this.

    Find a massage therapist or a very good manual phyiscal therapist that can work on your tissue. Someone who understands neuromuscular release and trigger points would be very helpful to you.

    As well, you may want to try to find a physical therapist that is knowledgeable about primal reflex release technique (prrt) as it may be able to help you inhibit the hypertonic muscles that using a reflex response from the body.

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    Awesome thread - and I hope things go well for all concerned!

    The neck is a damn sensitive area. I "cricked" my neck once just looking over my shoulder to reverse a truck after driving on a cold day with the window open - that was about 6 years ago and still sometimes get pain in it after sleeping heavily. Those kind of little injuries are hard to treat but even harder to ignore.

    Just want to say ice pack to the neck - very bad idea. If you cool one side more than the other you can cause further problems, if you cool the brain's blood input side you can knock yourself unconcious - or worse.

    +2 for accupuncture, just make sure it's a specialist, not a hobbyist.


    B.

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    I hope people will read this!

    Cardinal and co, i too have been suffering from a neck pain that seems to be in the same place as you described. I played the trumpet up until a year and a half ago when i developed a pain in that area.....after being concerened that it wouldnt go away, ive been to doctors and specialists who cant seem to help. at one point they thought that acid reflux could be irritating the throat as it causes a gag reflex that involves neck muscles; and hence stopping muscles relaxing/healing. I am still unsure as to weather this may or may not be the cause. perhaps it may be worth you guys having that checked out too?? sometimes you cant feel reflux so you dont realise you have it. Other than that i know this is a really old post but am hoping that perhaps YOU have made some progress since your last posts?
    i have some questions to see if our 'thing' is the same:

    1.does it hurt much more after periods of talking/singing?
    2.does it hurt more after alcohol?
    3.is the pain more like a kind of tightness/soreness unless aggravated further?
    4. does it appear to be worse about 30 mins + after eating, but relived whilst chewing food/eating?

    I too tried pain killers/anti imflam tables to no result. This is seriously depressing me now as i have already had to give up playing the trumpet and it affects me greatley in all areas of my life as i cannot talk for extended periods - this affects partys, working in jobs, getting to know ppl etc and its a HUGE cause of concern for me. I am 24 and was set to be a professional musician, but now am looking for another career (that doesnt envlove talking much!)

    so pleeease send me and advice if you have any. i reccomend seeing if acid reflux is irritating your condition as i have been told that this can sometimes be the case.

    Jon

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    I've had this same problem since June '08, but it got a lot worse in Sept '08.

    I can't weight lift or do uphill running or anything. It sucks and it's annoying!! I went to my main doctor and he doesn't know what it could be, he recommended to get a endoscopy, x rays, and a MRI. But I have no health insurance so that will cost me an arm and a leg.

    It's really annoying and I just want to know whats wrong!!!!

    oh and to answer johnhickman's questions.

    1. Yup
    2. For the most part, yes
    3. Yup
    4. Sometimes

    I also have "Acid Reflux", I recently just stopped taking all antacids though cause they don't solve anything, they just mess your digestive track up. I'm trying to get rid of it naturally by not mixing meats and starches, chewing my food better, small meals...etc. Its hard for me to stay on a planned diet though since my days are different and I am not really working out much (which gets me depressed so I tend to eat some junk).

  12. #27
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    Thumbs up zenblend

    I think its better if you have to take a massage therapy it will provide some relief from that try it

  13. #28
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    wildblue98

    John Hickman and Cardinal I find both of your stories very interesting as they remind me a lot of an injury I sustained over a year ago while lifting a heavy incline bench press with bad form and rotating my neck. Since the injury I have had peristent foriegn body sensation at the hyothyroid level in the neck which is the exact level you both describe. I had every test done mri, x rays, saw a dozen specialists in the area and noone could figure out what was wrong with my neck nothing showed up on any of the tests, I was in a lot of pain, and the doctors brushed it off as something muscular because they could not figure it out. My problem has gotten so bad I can not talk more than 5 min a day John Hickman so I sympathize with your problem it is awful. 3 months ago though I saw an ENT in Los Angeles and came across an article on clicking in the throat in which patients had persistent foriegn body sensation at the level in the neck you both describe caused by the elongation of the superior cornu of the thyroid cartilage. This flexible cartligenous fiber is very prone to become bent or stretched out from neck injuries it is in fact anatomically the weakest structure in the neck that is beneath the muscles. I noticed a slight click when I was pushing in on the area above "where you take your pulse" one day and I could replicate this click every time I pushed in softly. I decided to get this larnygeal crepitus checked out by the ENT who ordered a 3D axial CT SCAN which is the best imaging test avaliable to view this flexible cartilage. What they found is that I had elongated both portions of the cartilage so that they were comming into close contact rubbing on my transverse process. The elongation of the superior cornu thryroid cartilage also creates persistent foriegn body sensation at that level by putting pressure on the hypopharynx. What you guys describe is very similar to mine so I would really give this test a shot to see if you have a similar abnormality. Also, John Hickman I read one medical article on a man who was a trumpet player and had terrible pains from playing the trumpet in the area you described. It turned out it was something wrong with his superior cornu thryroid cartilage and this area was excised and the man was symptom free and did not have problems talking or blowing his trumpet again, so I would really look into this. I thought I had exhausted every possible test and then finally when I was going to give up they found the structure that had been altered from the injury, pain is not imaginary and there is obviously somethign wrong with both of your necks, it may very well be your thyroid cartilage which has been elongated or bent and this is the only thing you guys have not ruled out in that area so I would look into it.

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    wildblue98,

    What did they do to fix the problem?

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    Hi - I know this post is very OLD. BUT, I feel a bit desperate here after car accident injury to neck and thought I'd try... I am in LA and would love to see the doctor you saw. Can you please tell me who it was? I can go where ever and am close to UCLA. Am dealing with exact symptoms as first described and have been ruling out different things ever since car accident almost a year ago. GOAL is to get back to my life of sport and exercise, but right now running aggravates neck, jaw, face, headache... nausea - fun stuff. Been seeing amazing PT for TMJ disorder sypmtoms, but have not seen specialist for neck. Just saw Orthopedic Surgeon who seems a bit far from the muscle investigation... he is going to have me do a "flexion" and "extension MRI" because other MRI and X-ray of neck and CT of head showed only a small bulge at c5 and Doctors think that's not the cause of persistent neck pain.

    I'd love any help or ENT/Hyoid bone syndrome type specialists... in Los Angeles? THANKS!!!

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