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Q. I have neck pain at the back and it hurts even while yawning. Please help.

Answered by
Radhika Kariya
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Aug 15, 2020

Hello doctor,

My neck has been hurting for over a week. I do not know how I hurt it. It started on the left back of my neck. Then a couple of days ago, the right side additionally started hurting, and now it hurts when I yawn as well. I have tried Tylenol, muscle relieving cream, heating pad, support during sleep, and gentle stretching, and nothing helps.

I am currently on Kurvelo birth control, Escitalopram (Lexapro), QVAR inhaler.

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Hello,

Welcome to icliniq.com.

Pain in the upper back to the right and left side typically originates from the trapezius muscle. This pain does not require forceful activities or jerky movement. It can occur after simple tasks too. Muscles around the shoulder and upper back muscles can be swollen. Poor posture during routine tasks leads to such kind of pain. It will be relieved by rest, gentle massage, and ice pack application.


The Probable causes:

Cooking or overhead activities with shoulders elevated, weight lifting, using cell phone lying position, and prolong driving with poor posture.

Differential diagnosis:

Trepezitis. Cervical spondylitis. Upper para spinal muscles spasm.

Probable diagnosis:

Trepezitis.

Treatment plan:

Ice pack application for six to eight minutes thrice daily for four days followed by Diclofenac gel application. Massage with gentle pressure over the upper part of both shoulders and backside of the neck region.

Preventive measures:

Use low height and soft pillow. Avoid overhead activities. Avoid use of cell phone in lying position. Avoid prolong driving. Avoid jerky neck turning movements.

Regarding follow up:

After pain reduction. Exercise is advisable to reduce the chance of recurrence of the same condition.


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