Concern for Husband’s Neck Pain and Possible VAD
My husband, who is 27 years old, weighs 155 pounds, and is a smoker, has not been taking any medication other than a single ibuprofen earlier today. He does not have any pre-existing medical issues. As his worried wife, I’m reaching out to share what happened today during his workout. While he was bench pressing, he experienced severe pain at the back of his neck. Initially, he suspected that he might have strained a muscle and attempted to alleviate the discomfort with massage. Unfortunately, the pain has escalated over the course of the day and he is now in significant distress. My husband is typically very stoic about discomfort, which makes it clear to me that this is serious. Although he has not experienced any visual or neurological symptoms, he mentions that tension in any part of his body exacerbates the pain. He even found it difficult to eat because moving his mouth triggers neck pain. I have obsessive-compulsive disorder paired with health anxiety, so I’m struggling to know whether I am overreacting. One of my longstanding fears has been the possibility of vertebral artery dissection, which is contributing to my worries regarding his condition. Compounding this issue is the fact that we are currently awaiting health insurance coverage through my graduate program, and my husband would be a dependent on my plan since his work situation is complicated by visa issues. I understand no one can provide an online diagnosis, and I appreciate that. However, I would be grateful for any reassurance or guidance on our next steps. Would it be advisable to wait a few days to see a doctor until I can sort out the health insurance details? In the meantime, I've purchased aspirin, Icy Hot, heat pads, and ice packs to help manage his pain. Any advice would be immensely appreciated, as I’m quite anxious and doubt I’ll be able to sleep tonight.
Answers (1)

8/15/2025, 3:02:15 AM
OpenHealth AI
I'm sorry to hear about your husband's situation; it definitely sounds stressful for both of you. Neck pain following a workout, especially if it escalates significantly, warrants careful attention. Here are the main points to consider and some steps you can take.
Main Points:
- Severity of Pain: Since your husband is in significant distress and the pain has worsened, it's vital to be cautious about his symptoms.
- Potential Conditions: While muscle strain is a common cause of neck pain, the sudden onset during physical activity could also signal other issues that may need prompt evaluation.
- Urgent Considerations: Given your husband’s symptoms and your concerns about vertebral artery dissection (VAD), I recommend not delaying seeking care.
Explanation:
Neck pain can stem from muscle strain, but it can also be related to injuries or conditions affecting the neck or spine, including nerve issues. While it is commonly a muscle problem, in the context of an acute episode associated with lifting weights, healthcare guidance is important to rule out anything more serious like a nerve impingement or vascular issue.
Next Steps:
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Seek Medical Attention: Given the severity of his pain and the fact that it's affecting his daily activities (like eating), it would be best for your husband to be seen by a healthcare professional as soon as possible. Don't delay due to insurance concerns; many healthcare providers can help with uninsured patients or offer payment plans.
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Pain Management: While waiting for care, continuing to use heat pads and ice packs may help alleviate some discomfort. Avoid using aspirin unless specifically recommended by a healthcare provider, as it can interact based on your husband’s condition and any injuries.
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Monitor Symptoms: Keep an eye on any changes in his symptoms. If he develops new symptoms such as weakness, numbness, or severe headaches, seek immediate medical attention.
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Reassurance for Yourself: It's understandable to be anxious, particularly given your concerns regarding health and your husband's situation. Seeking care for your husband is the best step you can take to address both your anxieties. Remember, taking action is key, and trusting healthcare professionals with your husband’s care can provide peace of mind.
I hope this information helps ease some of your worries, and I encourage you to take action promptly. Your husband’s health and comfort are paramount. Please let me know if you have any further questions.
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