Trapezius Myalgia
Last Wednesday, I woke up with what I thought to be a crick in my neck on the left hand side. I assumed this was simply due to sleeping awkwardly and so I self medicated with some non-prescription pain relief and judicious use of a heat pad. Unfortunately, the problem has persisted and in the last 24 hours it has become much worse. I awoke this morning at about 5:00 AM and as I sat up in bed, an intense pain ran up the left side of my neck and behind my ear. It took several attempts for me to get out of bed because if I turned my head in either direction or inclined my chin, the pain would again run up the side of my neck. Sitting down, getting up and raising my arms caused similar results. While dressing, I attempted to pull a t-shirt over my head. The pain in my neck on this occasion was so severe that I yelled out loud and nearly blacked out.
Last Wednesday, I woke up with what I thought to be a crick in my neck on the left hand side. I assumed this was simply due to sleeping awkwardly and so I self medicated with some non-prescription pain relief and judicious use of a heat pad. Unfortunately, the problem has persisted and in the last 24 hours it has become much worse. I awoke this morning at about 5:00 AM and as I sat up in bed, an intense pain ran up the left side of my neck and behind my ear. It took several attempts for me to get out of bed because if I turned my head in either direction or inclined my chin, the pain would again run up the side of my neck. Sitting down, getting up and raising my arms caused similar results. While dressing, I attempted to pull a t-shirt over my head. The pain in my neck on this occasion was so severe that I yelled out loud and nearly blacked out.
Mrs P subsequently took me to Princess Royal University Hospital in Farnborough, Kent. It is not my local hospital but we decided to go there because it has both an Urgent Treatment Centre and a comprehensive Emergency Department that are both available 24/7. Furthermore, being a training hospital there are a lot more staff available. Due to traffic and the fact it took a while for me to get in and out of the car, I arrived at the UTC at 7:40 AM. Fortunately, there were only about 10 or so people in the waiting room. After checking in at reception, I was quickly seen by a triage nurse who took note of my symptoms, current medication and wider medical history. Fortunately, as this wasn’t battlefield triage, I was not shot in the head. Instead, I waited for about 90 minutes and was then seen by a doctor who was very thorough in reaching a diagnosis.
As I didn’t have a fever or persistent vomiting he ruled out meningitis, which was fine by me, as I had even considered that. Because I was in pain when raising my arms and that the pain was specific to my neck, I was concerned that it may be heart related. I suffer from heart disease and take medication for it. Thankfully, I wasn’t having a stroke. Hence the doctor concluded that I have injured my left trapezius muscle, which runs along my neck, connects to the shoulder blade and down to the top of the rib cage. This is known as Trapezius Myalgia and it is not a medical disorder or disease per se but rather a symptom of an existing underlying condition. Hence I shall be having a scan within the next three days to determine what is causing the problem with this specific muscle. IE is it a sprain, tear or something else.
I spent about two hours at the Urgent Treatment Centre and was impressed by its efficiency. I suspect that I arrived at possibly the optimal time of day. Upon returning home, I checked the National Health Service app on my phone and found that the doctor who saw me had already updated my medical history. This had details regarding my Trapezius Myalgia and a list of follow up actions. Due to lines of demarcation and ongoing changes to “business delivery”, he could not make a direct referral to the physiotherapy department at my local hospital. There is now a self referral system in place which has to be done via a specific app. Needless to say, I have now installed this app and completed the requisite questionnaire. I now await a response from the musculoskeletal (MSK) clinic at my local Hospital, Queen Mary’s in Sidcup.
The NHS in the UK tends to be very good at dealing with urgent problems and emergencies. It doesn’t always do so well with follow up clinics and long term health issue management. For example, Mrs P’s records were not migrated when a specific cardiology department database was updated a few years ago, resulting in her effectively falling off everyone’s radar for 66 weeks. I am not especially happy or confident that the ongoing move to make all major medical departments accessible apps, is going to be as successful as the Minister of Health thinks. However, for the present my immediate health concerns have been addressed. My ailment has been diagnosed and I have a supply of opiates to address the immediate pain. The next step is to determine why it happened and what can be done to effectively remedy it. No doubt that will be another blog post.
