Persistent Neck Pain Five Months After Choking Incident?
I’m a 40-year-old woman, and I have been grappling with chronic neck pain for the past five months since my estranged husband assaulted me by strangulation. This wasn’t an isolated incident; it has happened before. Ever since that event, I've experienced a peculiar sensation of something 'rolling' in my neck, accompanied by discomfort whenever I attempt to turn my head to the sides. It often feels as if there's pressure against my windpipe, creating a snapping or popping sound each time I move my neck. The constant sensation is akin to having my neck feel "full" and the pain is relentless. My recent doctor examined me and conducted an x-ray, which showed no abnormalities, leaving him puzzled about the source of my discomfort. Unfortunately, he didn’t explore further options and shifted the discussion to my gallbladder, which has gallstones. His demeanor has often felt rushed, making me feel like I wasn't given ample time to voice my concerns. Currently, I can't afford to consult another physician for a second opinion. What could be the underlying issue with my neck? Given that the x-ray results were normal, should I still be concerned?
Answers (1)

9/8/2025, 8:10:48 AM
OpenHealth AI
I'm sorry to hear about your situation, and it's understandable to be concerned about your persistent neck pain and the sensations you're experiencing. The ongoing pain, discomfort, and sounds when moving your neck following a traumatic event can have various underlying causes, including muscle strain, ligament damage, nerve involvement, or even a psychological response to trauma.
Explanation
Strangulation can lead to soft tissue injuries or even affect the muscles and ligaments in your neck. Sometimes, injuries may not show up on an x-ray because these scans primarily reveal bone-related issues. Your discomfort and the feeling of pressure or something 'rolling' in your neck could indicate muscular tension, spasms, or even potential damage to the nerves in that region. The popping or snapping sounds can be due to various factors, such as air bubbles in the joints or ligaments moving over bones.
Given your history and the current situation, it's important to remain vigilant but also take proactive steps to manage your symptoms.
Next Steps
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Gentle Stretching and Movement: Start incorporating gentle neck stretches and mobility exercises. This can help improve flexibility and reduce muscle tension. Try slowly turning your neck side to side or tilting your head forward and backward, ensuring that you do this without forcing any movements.
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Heat Therapy: Apply a warm compress or heating pad to your neck for 15-20 minutes several times a day. Heat can help relax tight muscles and alleviate discomfort.
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Relaxation Techniques: Stress may contribute to muscle tension. Consider practices such as deep breathing, meditation, or gentle yoga to help you relax.
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Pain Management: Over-the-counter anti-inflammatory medications like ibuprofen can help with pain and swelling, if you're able to use them safely. Be sure to follow the recommended dosage.
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Keep a Symptom Journal: Track your symptoms, including any changes in pain intensity, what triggers the discomfort, and any relief techniques that work. This documentation can be valuable if you are able to see a healthcare provider in the future.
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Look for Support: If you're feeling overwhelmed by your situation, consider seeking support from local groups or hotlines that specialize in helping survivors of violence. Emotional healing is as important as physical healing.
While your x-ray results may show no abnormalities, it's important to listen to your body and continue to monitor your symptoms. If things worsen or you develop new symptoms, please seek care as soon as you can. Remember, it’s okay to advocate for your health and seek a comprehensive assessment when possible.
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