What Causes Chronic Pain In The Neck And Back?

Posted on Wed, 4 Jan 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 4 Jan 2017 Answered on

Sat, 21 Jan 2017 Last reviewed on

Question : Hi SIr,
I have ache onmy back and neck from back side from past 5months. Even in this winter season my palms keep hot. Also there is pain in chest left hand side by pressing. Echo was done and nothing came ony by pressing the pain occur and sometime by stretching or by walking. Doctor advised that this is a muscular pain. lease suggest

Answered by Dr. Remy Koshy (59 minutes later)

Brief Answer:
Requires a few details related

Detailed Answer:
Hi XXXXXXX
Thanks for posting your query,

I have read through your query and can understand your concern,

Before I can guide you any further, it would be better if you could provide me with a few related details so I may be able to provide you with the exact line of management:

- do you have any associated symptoms like shortness of breath, heartburn, swelling over the chest, discoloration?

- history of trauma, asthma?

- are you on any medications?

- daily lifestyle?

Kindly provide me with the above details.

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy

Follow up: Dr. Remy Koshy (1 hour later)

Hi Dr. Remy

I do not have any history of trauma and asthama. I have moderate sinus. I am not in medication and my daily lifestyle is normal as my working hrs are for 9hrs 5 days a week. I am facing backache and ache on neck from past six month as well as pain in chest while pressing and sometimes by walking. nothing came in the echo and ecg

Answered by Dr. Remy Koshy (15 hours later)

Brief Answer:
Explained below..

Detailed Answer:
Hi XXXXXXX
Thanks for writing back,

Sorry for the delay in replying,

From the description that you have provided, I would like to enlist the following possibilities:

- long standing pain (6 months) over the back and neck, is likely to be related to cervical spine related problems

- fibromyalgia- which also mimics the above symptoms

Since both ECG and ECHO are normal, all heart conditions could be ruled out.

At any cause, your symptoms only point out to muscle causes.

For now, I would suggest you to do the following:

- Take Tab. Neurobion Forte twice daily for 5 days.

- Consult with an orthopedic doctor for proper examination and further investigations.

Hope I have answered to your query.

Please revert back for any further queries

Regards

Above answer was peer-reviewed by : Dr. Remy Koshy