What could be the cause of swollen and painful lymph nodes?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

Three days ago, I had my atlas adjusted and now for two days, the lymph nodes (cervical lymph nodes) in my neck have been extremely painful and swollen for the last two days. I have no fever or other symptoms. Should I be concerned? I had my atlas which was supposedly two degrees off by an atlas orthogonal chiropractor.

I actually went in because of my knee and wrist pain then before I knew it, I was having my atlas adjusted by a machine. My last few days I have been miserable and feeling awful. Exhausted, my lymph nodes are so painful on the sides of my neck that I have been in bed all day. I just feel this might be related but I do not know.

Please advise.

Thank you.

Answered by Dr. Jay Indravadan Patel

Education:

BPT

Professional Bio:

Dr. Jay Indravadan Patel is a Physiotherapist with extensive years of clinical practice. He specializes in helping patients recover from injuries related to surgery, illness, aging, and disability. His expertise lies in diagnosing the root causes of pain or dysfunction and creating personalized treatment plans. He incorporates therapeutic exercises, manual therapy, and electrotherapy to restore mobility, improve strength, and enhance overall quality of life.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

What I see there might be some changes in the muscles which may have led to compression over the lymph nodes? Few basic things to ask before I proceed. Are you having pain in the neck? Is the pain sharp shooting or dull aching? Are you feeling any kind of muscle tightness near the neck? Any signs of swelling? The pain in the knee and wrist can be of different pathology and need a different approach.

Coming back to the history, the swelling in lymph node if you suspect then you need a physician approach than the chiropractor. We need to check out why the lymph nodes got swollen. Is it due to any pathology or due to some external factors. Usually, this area does not allow lymph nodes to get swollen sooner until there is some pathology and it is always good on our side to take care of our body in proper guidelines. Hope you take this matter to a physician first rather than a chiropractor. As per my practice of 12 years I never recommend cases with lymph node issue to chiropractor as the job is different.

I hope that you get your answer.

Please let me know if you need any help.

Thank you.

The Probable causes

The probable cause is degenerative disc disease.

Investigations to be done

Do MRI (magnetic resonance imaging) of the cervical spine.

Differential diagnosis

The differential diagnosis is trapezitis.

Probable diagnosis

The probable diagnosis is neck pain.

Treatment plan

The treatment plan is to use an ice pack and take rest.
Medically reviewed by Dr. Divya Banu M
Published At April 10, 2019
Reviewed At April 9, 2025

Education:

BPT

Professional Bio:

Dr. Jay Indravadan Patel is a Physiotherapist with extensive years of clinical practice. He specializes in helping patients recover from injuries related to surgery, illness, aging, and disability. His expertise lies in diagnosing the root causes of pain or dysfunction and creating personalized treatment plans. He incorporates therapeutic exercises, manual therapy, and electrotherapy to restore mobility, improve strength, and enhance overall quality of life.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Divya Banu M is a dedicated Dental Surgeon with valuable clinical experience. She specializes in the diagnosis, prevention, and treatment of various diseases and conditions affecting the oral cavity. With a gentle and patient-centered approach, she is committed to promoting oral health and enhancing smiles through quality dental care. Her areas of expertise include restorative dentistry, preventive dental care, and cosmetic dental procedures.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

BPT

Professional Bio:

Dr. Jay Indravadan Patel is a Physiotherapist with extensive years of clinical practice. He specializes in helping patients recover from injuries related to surgery, illness, aging, and disability. His expertise lies in diagnosing the root causes of pain or dysfunction and creating personalized treatment plans. He incorporates therapeutic exercises, manual therapy, and electrotherapy to restore mobility, improve strength, and enhance overall quality of life.

This doctor is not available for online consultations on the platform anymore.

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muscle tightnessdegenerative disc disease (ddd)neck swelling

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