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Suggest Treatment For Persistent Neck Pain

Posted on Fri, 1 Jul 2016

Question: i had same neck pain some 17 years back when i was 30 years old. it was as the doctor said due to heavy helmet and computers. it went away in a year or two. this has occurred again. initially it was stress an the neck and shoulder was stiff now for the last one month there is spasm , and a particular point pain in the neck along with shoulder spasm. have done xray but nothing serious to show. dont know what the trigger is. have done physio therapy for 10 days but it recurs back. i am doing exercises what the physio recommended but some times there is no pain some time there is too much.
have tried heat pad and analgesic.
Please give a medication

Answered by Dr. Neeraj Kumar (23 minutes later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question and reports and understand your concerns.
You are having cervical radiculopathy with muscle spasm.
You need to take pain killers with muscle relaxant like Ezact MR, Zerodol TH.

Pain modulator medication like Pregabalin or Amitryptiline can be taken for sustained response for few weeks.
Physiotherapy to be continued.

The complete response may take 2-3 weeks.

Avoid lifting heavy objects overhead, extreme movement of neck, lifting heavy objects.
Hope you found the answer helpful.

Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (25 minutes later)

Thanks Dr!
Please advice on dosage

Should i take Ezact MR and Zerodol TH or one of it and dosage as in how many a day and for how many days

Pregabalin or Amitryptiline dosage how many a day and for how long.

Any SOS after the dosage period is over and the pain recurs.

Answered by Dr. Neeraj Kumar (16 minutes later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Take either Ezact MR 60 mg or Zerodol TH 100 mg once or twice a day as needed.

Pregabalin can be started at 75 mg at night.

Increase in dose or addition of Amitryptiline can be planned if response is not good after 2 weeks.

Wishing you good health and early recovery.

Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Neeraj Kumar (41 hours later)

Hi Dr!
Will the pain go away completly forever with the medication?
Do i have to do physio exercises every day forever.?
What is the sos medication if it reoccurs?
What is the psture i should avoid and what all i should do
Thanks?

Answered by Dr. Neeraj Kumar (3 hours later)

Brief Answer:
Continue physiotherapy

Detailed Answer:
Hello,
It will improve with medication and exercises.
Neck pain is usually due to wrong neck postures while sleeping, sitting.
Avoid lifting heavy objects overhead.
Continue isometric neck exercises for 3-6 months.
Avoid extreme neck flexion or extension and turning to extreme degrees.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Yogesh D