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Neck stiffness and pain
I have symptoms like neck stiffness, lower back pain and stiffness, ear pain, pain under the feet, lower head stiffness and pain. Dizziness and also when hit on the head, it gives a hollow sound. Cracking sounds in the neck, when shaking my head. And also, stiffness in the arms.
Consulted with ent doctor, there's no issue with my ear.
I'm unmarried and bp is 100/60
What could these refer to?
Answers (27)
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Presenting Symptoms:
Neck stiffness, lower back pain, stiffness in arms
Ear pain, cracking sounds in neck
Head feels hollow on percussion, dizziness
Pain under the feet, lower head stiffness
BP: 100/60 mmHg (low-normal)
🔍 Differential Considerations (as per Harrison's Manual):
1. Cervical Spondylosis / Disc Disease
Common in young females due to poor posture, long hours at screen/desk
Explains neck stiffness, cracking sounds, dizziness (cervicogenic vertigo)
May radiate symptoms to head, arms, and ears due to nerve root irritation
2. Fibromyalgia
Widespread musculoskeletal pain with fatigue, sleep disturbance
Often includes neck, back, arm pain, and vague dizziness
Seen in young females, sometimes worsened by emotional or physical stress
3. Myofascial Pain Syndrome
Trigger points in neck/back muscles
Pain referral to ear, head, arms
May mimic ENT or spine-related issues
4. Postural Hypotension / Autonomic Dysfunction
BP of 100/60 + dizziness may indicate orthostatic symptoms
Can co-exist with fatigue syndromes like chronic fatigue or fibromyalgia
5. Vitamin Deficiencies (especially B12, D)
Can lead to dizziness, neuropathic symptoms (feet pain, arm stiffness), fatigue
🚫 Less Likely (but considered if red flags appear):
Meningitis – no fever or photophobia present
Intracranial pathology – unlikely unless neurological signs or persistent vomiting, visual changes
✅ Recommended Steps:
🩺 Clinical Evaluation:
Neurological examination – rule out radiculopathy, cerebellar signs
Musculoskeletal exam – check for tender points, posture
🧪 Investigations:
X-ray or MRI cervical spine (if cervical spondylosis suspected)
Serum Vitamin B12, Vitamin D, Calcium, Thyroid Profile
ESR/CRP if inflammatory disorder suspected
💊 Management (based on likely diagnosis):
Neck exercises, posture correction, ergonomic advice
Short course of NSAIDs for pain
Physiotherapy for cervical or lumbar stiffness
If fibromyalgia suspected → low-dose amitriptyline or pregabalin
📘 References:
Harrison’s Manual of Medicine: Chronic pain syndromes, fibromyalgia, and cervical spine pathology
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+109
Hiii
Not only ear and blood pressure ,but many other factors like nerve compression n
Decreased blood circulation gives rise to neck pain , dizziness n rest symptoms
In order to know ur disease in a better way
Consult me here so I try to help u out
Thnks
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kindly connect with me for a proper evaluation
stiffness and pain may lead to spodylosis .
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Dr. Sivasuriyan S
Consult Now
Ayurvedic Endocrinologist & Internal Medicine Specialist
4 yrs exp
Chennai
It could be cervical radiculopathy or muscle spasm need further evaluation, kindly connect
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Your symptoms could be due to a viral infection. Even Vitamin deficiency may be the cause. Please seek a proper consultation with a General Physician in your area for a physical examination and further management
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Get a cervical spine xray and consult a orthopedist in your area for a clinical project and appropriate management.
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Hello,
Take balanced diet. For prescription please pay and consult or contact me at WhatsApp at +9195950eight7399.
Thanks.
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Connect
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Musculoskeletal pain with spasm.
Need proper good posture
Along with the stretching exercise at beginner level to moderate.
Next Steps
if pain stays tab Zerodol BD
tab vertin 8mg BD
Health Tips
DON'T OVERDO EXCERCISE
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Consult a physician physically so he can physically examine you and help you accordingly.
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It seems to be a spasm or a muscular pain. Apply heat to the area.
Next Steps
Avoid too much strain. If it’s unbearable you can try Tab Cipzox twice a day.
Health Tips
Rest will help and avoiding pillow for a few days
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It's musculo skeletal pain , that resolves after proper exercise, good posture maintainance during sitting and walking, types of pillow used while sleeping. Dnt worry.
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Appears to Fibromyalgia.
Please share if any Investigations you had in past.
Next Steps
share Investigations if you had.
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Need more details connect plz
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Need few more details
Kindly connect.
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Contact after xray neck if you need
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Connect,
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Already answered
Xray cervical spine apply n lat view.
Tab eterocoxib Mr two times a day after food for ten days.
Vertin 8 mg three times a day after food for ten days.
Consult neurophysician.
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Dr. Thresia Pereira
General Physician
37 yrs exp
Mumbai
Consult available now
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Dr. Khatri Mohhmed Azaruddin
Pediatrician
5 yrs exp
Delhi
Your symptoms could be related to issues in the musculoskeletal or nervous system, and may involve:
1. Cervical Spine Problems (like cervical spondylosis or disc issues):
• Can cause neck stiffness, dizziness, cracking sounds, arm stiffness, and head pressure.
2. Fibromyalgia or Chronic Myofascial Pain:
• Characterized by widespread muscle stiffness, pain under feet, neck/back stiffness, and fatigue.
3. Early Ankylosing Spondylitis or Other Inflammatory Arthritis:
• Especially if you have morning stiffness in the lower back or heel pain.
4. Vitamin Deficiencies (like B12 or D3):
• May cause nerve-related symptoms, muscle pain, dizziness, and fatigue.
5. Postural or Nerve Compression Issues:
• Poor posture, especially with prolonged sitting, can lead to muscle imbalance, nerve compression, and stiffness.
Your normal ENT exam rules out inner ear causes, making spine or systemic issues more likely. The “hollow” sound you perceive when tapping the head is unusual but could be linked to muscular tension or sinus resonance.
Recommended tests:
• MRI Cervical Spine
• X-ray LS Spine/SI joints
• Blood tests: Vitamin D, B12, ESR, CRP, HLA-B27
• Thyroid profile
Consult: Neurologist, Rheumatologist, or Spine Specialist as next steps.
Next Steps
maintain proper posture, do light neck/back stretches, ensure good sleep, and consider vitamin supplementation if deficient.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Low vitamin d
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Sunil Nagar
General Physician
18 yrs exp
Rewa
Tab zerodol p 1 SOS
Connect
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take nucoxia mr 2 times a day for 3 days.
If you don't have allergy to it.
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Dr. Mohit Pawar
General Physician
4 yrs exp
New Delhi
Get xray of neck done
Next Steps
Comsult
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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