Pain where neck connects shoulder

Question

Asked for Female, 26 Years

Pain at the base of the neck since two months. Vitamin D turned out to be 8.54 and high sensitivity c - reactive protein (hs-crp) is 15.8, are all of these connected?

Answers (2)

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Dr. Prakash Patil

Orthopedist 14 yrs exp Nashik

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Hi. One of the common problem of young females. Looks like early spondylitis, mostly mechanical neck pain aggravated with Vit D deficiency. Not all can be related, but if CRP is positive and you experience pain, stiffness, symmetrical involvement of other joints too, go for RA factor and HLA B 27 test. Correct the Vit D deficiency. Start with neck strengthening exercises. Medications to sort out neck pain and physiotherapy. If pain and tingling in upper limbs, go for MRI neck.

Next Steps

Watch for progress of symptoms to upper limbs, development of stiffness and symmetrical joint involvement. If settled with medication and exercise, no need for further investigation. Orthopaedic consultation needed.

Health Tips

Avoid forward neck bending and lifting heavy weight.

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Dr. Abhishek Patil Rheumatologist 14 yrs exp Bangalore · Accepted Answer

Dr. Abhishek Patil

Rheumatologist 14 yrs exp Bangalore

It’s very common to find low vitamin D in general population of India .. it’s likely not the cause of your pain Raised hsCRP may be a marker of inflammatory arthritis