Question

36 yo F evaluated for posterior neck pain and stiffness that began 1 week ago while she was doing sit-ups. Pain is worse with movement of the head.Most appropriate management?

Answer 1

The most appropriate management for posterior neck pain and stiffness is to consider muscular disorders as the cause and perform a thorough physical examination. Treatment options may include physical therapy, muscle relaxants, pain medication, and in severe cases, botulinum toxin injections.

Step-by-step explanation:

The most appropriate management for a 36-year-old female with posterior neck pain and stiffness that began 1 week ago while doing sit-ups and worsens with head movement would be to consider muscular disorders as the cause of the pain. The pain in the neck could potentially be due to strain on the neck muscles. One possibility is cervical dystonia, which is a condition characterized by involuntary muscle contractions in the neck.

Management:

1. Perform a thorough physical examination of the neck, including range of motion tests.
2. If cervical dystonia is suspected, further evaluation may include imaging studies such as X-rays or an MRI of the neck.
3. Treatment options may include physical therapy, muscle relaxants, pain medication, and in severe cases, botulinum toxin injections to relax the affected muscles.
4. Follow-up appointments may be necessary to monitor the progress and response to treatment.