Exploring Hyoid Bone Syndrome: Seeking Answers
I’m a 28-year-old male. Last Halloween, my friends and I were engaged in some wrestling. At one point, I was held in a choke longer than I should have been, but it didn’t seem off at the time. However, the following morning, I awoke with significant neck pain. I also observed a peculiar clicking sensation and sound each time I swallowed, located around my throat. Since then, I have consulted several ear, nose, and throat specialists. They examined my condition and reviewed a CT scan, declaring everything to be normal, without any abnormalities detected. Despite this reassurance, the clicking persists, and doctors remain baffled about the cause. My anxiety has shot up in response to this unsettling situation. Occasionally, I wake up to find my neck inexplicably sore, yet no one seems to have any familiarity with what’s being referred to as "hyoid bone syndrome." I’m reaching out for any advice or recommendations for specialists who might have insights into my condition. I’ve heard some people suggest that chiropractic adjustments might provide relief, though I have not yet pursued that option. Any guidance or help would be incredibly valued as I search for solutions to this frustrating issue.
Answers (1)
7/11/2025, 6:20:41 PM
OpenHealth AI
Thank you for sharing your experience; it sounds quite challenging and understandably frustrating. Your symptoms of neck pain, a clicking sensation while swallowing, and ongoing anxiety following the choke hold incident are significant concerns. While no abnormalities were found in your CT scan, it’s important to address both the physical and emotional aspects of your situation.
Main Points:
- Your symptoms could relate to muscle strain or tension around the hyoid bone, possibly exacerbated by anxiety.
- Ongoing neck discomfort and clicking sounds are concerning but could often be managed with conservative care and lifestyle adjustments.
Explanation: The hyoid bone is located in your neck and plays a role in swallowing and movement. Strain from the choke could lead to muscle tightness or issues related to the tendons and ligaments in that area, resulting in the clicking sounds you observe. Chronic neck pain can also lead to anxiety, which sometimes contributes to muscle tension, creating a cycle of discomfort. Since imaging has not revealed structural concerns, focusing on muscular and tension-related management can be beneficial.
Next Steps:
- Physical Therapy: Look for a physical therapist who specializes in neck and jaw rehabilitation. They can teach you exercises to improve mobility and reduce muscle tension.
- Mindfulness and Relaxation Techniques: Incorporating stress management techniques such as meditation, yoga, or deep breathing exercises can help alleviate both anxiety and muscle tension. Apps or online videos can guide you through these practices.
- Chiropractic Care: If you are interested, consider consulting a chiropractor experienced with neck pain issues. If you choose this option, make sure they have a background in treating similar cases.
- Self-Care Measures: Apply warm compresses to your neck to relax tight muscles, and ensure you're maintaining good posture, especially during daily activities. Gentle neck stretches may also help reduce discomfort.
- Monitor Symptoms: Keep a diary of your symptoms, noting any changes and triggers. This can be a useful tool for discussions with healthcare providers and help identify patterns related to your pain and clicking.
It’s important to focus on both your physical symptoms and emotional well-being. You are taking a proactive step by seeking information, and I hope this guidance helps pave the way toward relief. Feel free to reach out if you have further questions or need more clarification!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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