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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pressure At The Base Of Neck And Muscle Aches?

Hello.... I have been experiencing pressure at the base of my neck. It feels like someone is pressing their thumb right in that hollow or something is lodged there and my voice is hoarse. I am constantly tired and have some muscle aching and have slight vertigo or dizzy spells. I get cold easily and swing from having diarrhea to being extremely constipated. I suspect this has to be related to my thyroid, although I have never had the hoarse voice and throat issue. I was diagnosed as hypothyroid before, but I lost my health insurance and have not been to the Dr. for 3 years, if not longer.
Thu, 27 Aug 2015
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hi,
Thanks for your query.
seems you are suffering from cervical spondylitis, the giddiness & the sensation of loss of balance in your case is termed as CERVICAL VERTIGO. This is generally a benign condition and is usually self limiting.
I advice you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. You can take nonsteroidal anti-inflammatory drugs such as ibuprofen, Etoricoxib or Diclofen etc. for pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. Do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders.

When you have episodes of dizziness (vertigo)-
Do not lie flat on your back. Prop yourself up slightly to relieve the spinning sensation.
Move slowly to avoid the risk of falling. Take rest. Resting will help prevent attacks of light-headedness.
Do not drive a motor vehicle, operate equipment, or climb on a ladder while you are dizzy.
Do not use substances that can affect your circulation, including caffeine, tobacco, alcohol.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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What Causes Pressure At The Base Of Neck And Muscle Aches?

Hi, Thanks for your query. seems you are suffering from cervical spondylitis, the giddiness & the sensation of loss of balance in your case is termed as CERVICAL VERTIGO. This is generally a benign condition and is usually self limiting. I advice you to wear a soft neck collar during the day to help limit neck motion and reduce nerve irritation. You can take nonsteroidal anti-inflammatory drugs such as ibuprofen, Etoricoxib or Diclofen etc. for pain relief and muscle relaxants, particularly if neck muscle spasms occur after discussing with your doctor. Do exercises under guidance of a physical therapist to strengthen neck muscles and stretch the neck and shoulders. When you have episodes of dizziness (vertigo)- Do not lie flat on your back. Prop yourself up slightly to relieve the spinning sensation. Move slowly to avoid the risk of falling. Take rest. Resting will help prevent attacks of light-headedness. Do not drive a motor vehicle, operate equipment, or climb on a ladder while you are dizzy. Do not use substances that can affect your circulation, including caffeine, tobacco, alcohol. I do hope that you have found something helpful and I will be glad to answer any further query. Take care