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Pain from neck to head and around the ea
My husband is 55 year old male having pain from neck to head and around the ears, left sided and from one week, unable to turn the neck on left side, unbearable pain...showed to doctor but no improvement...can I know the causes and treatment
Please help
Thanks
Answers (21)
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Advised MRI
Take
1tab disperzyme/Tab Zerodol Th 8mg Bd x 5 days
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Could be due to a muscle spasm
Suggest the following medication for 5 days
Tab.Zerodol -MR twice a day ,after food ,
Hot fomentation around the area
Tab.Paracetamol 500mg thrice a day
In general this would be enough to reduce pain and helps in muscle relaxing
Next Steps
consult for any queries regarding the issue
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Based on the history, this is most commonly due to cervical muscle spasm / cervical spondylosis causing cervicogenic headache.
Possible causes:
Neck muscle spasm, Cervical spondylosis or nerve irritation, Poor posture or sudden neck movement.
Rx:
TAB NUCOXIA 90 MG once a day for 5 days
TAB MYORIL 8 MG 1-0-1 FOR for 5 days
TAB GABAGESIC 100 MG 0-0-1 for 5 days
TAB PAN 40MG once a day 30 mins before food for 5 days
TRP gel LOCAL APPLICATION
HOT WATER FOMENTATION
PHYSIOTHERAPY- UST/IFT, CORE MUCSCLE STRENGTHENING EXCERCISES (Start physiotherapy once pain reduces)
Neck rest, avoid sudden movements
No relief after 3–5 days do MRI cervical spine
You can consult with me via Practo or a spine care specialist for further evaluation and treatment guidance.
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Need few more details for proper understanding of your issue.
You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management
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If you want to discuss your problem in more detail, feel free to message me on WhatsApp at nine one one nine two five five six nine nine for a detailed free discussion
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from your history it looks like muscle spasm
take tablet zerodol MR for 3 days
if no improvement better to consult
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The most likely cause can be muscle spasm, occipital neuralgia, Cervical spondylosis / disc prolapse.
Management
Warm water compress
Muscle relaxant plus NSAIDs
If pain does not improve, get MRI cervical spine, check ESR and CRP and take ortho-spine/neurology consultation
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In a 55-year-old, severe one-sided neck pain radiating to the head and around the ear, with restricted neck movement for one week and no improvement, is not simple muscle pain until proven otherwise.
The most likely causes include:
• Cervical spondylosis / cervical disc problem (very common at this age)
• Occipital neuralgia (nerve irritation causing sharp, severe pain to scalp and behind ear)
• Severe neck muscle spasm (torticollis)
• Herpes zoster (shingles) — even before rash appears
• Less commonly: temporal arteritis (important to rule out in >50 years if headache is severe)
Next Steps
• Clinical examination by physician/neurologist or orthopedician
• X-ray or MRI cervical spine if neurological cause suspected
• Check ESR / CRP (especially to rule out temporal arteritis)
• Examine skin and ear carefully for early shingles
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Muscle spam near cervical vertebrae as in our neck in difficult posture. On pillow.
Tab voveran 100 one per day for 3to5 days.
Ultracet p two times a day after food for five days.
Physiotherapy session.
Can consult superspecialist like orthopedic.
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T neurobion 1 od for 7 days
T aceclofenac 100mg od for 7 days
Rest
Not releved consult neurologist.
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Symptoms are possibly because of cervical spasm.
Get your xray cervical spine done.
If no relief with analgesic and muscle relaxants then go for physiotherapy.
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It can be due to muscle spasm by sleeping over same position over longer period
Weakness can be associated with nutritional factors such as vitamin deficiency .
Other causes such as neuropathy can also sometimes lead to radiating pain
Next Steps
consult me on practo
Health Tips
isometric exercise of neck
physiotherapy
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Severe one-sided neck pain radiating to the head and around the ear, with restriction of neck movement for a week, most commonly suggests acute cervical muscle spasm / cervical spondylosis with nerve irritation. Other possibilities include cervical disc prolapse, occipital neuralgia, severe muscle strain, or rarely ear-related or vascular causes if pain is extreme and persistent.
Next Steps
Since there is no improvement despite treatment, he needs re-evaluation. A cervical spine X-ray or MRI (if pain is severe or radiating) is advisable. Treatment usually includes short-term muscle relaxants, anti-inflammatory pain medicines, local heat therapy, and strict neck rest. Once pain settles, physiotherapy is very important to prevent recurrence.
Health Tips
Avoid sudden neck movements, pillow misuse, mobile bending, and prolonged sitting. Use a soft cervical collar temporarily if advised by a doctor (not long-term).
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Cervical muscle spasm is rarely because its not gone by nsaids so most likely its disk pain which is resistant to simple painkillers .may be its slip disk pain.
Physiotherapy is most helpful treatment and please consult me on practo for further management and evaluation.
Next Steps
MRI is mandatory.
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Take zerodol Mr when in pain
Use gel
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Muscle pain, hifenac mr helps
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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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Dr. Shaikh Huzaif
General Physician
20 yrs exp
Mumbai
Please consult
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Dr. Nazia Begum M.G
General Physician
15 yrs exp
Belgaum
Take tab cipzox
Apply sumogel
Hot compress
Neck exercises
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Dr. Sumit Verma
General Physician
4 yrs exp
Kanpur
It's can be happened because of the muscle spasm . You should take muscle relaxant.
Next Steps
Advise - Physiotherapy exercise
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