I always feel uncomfortable when something is stuck in my throat and eyes, and the symptoms are sometimes mild and sometimes severe, and sometimes I feel that my neck is sore......Would you have thought that this could be caused by a cervical spine problem?
The throat is uncomfortable and I am in pain**.
In the outpatient clinic, I met such a patient, who visited the otolaryngology department several times due to persistent pharyngeal foreign body sensation for three months, but the examination showed no abnormalities, and the effect of medication was not good, and finally he was referred to the pain department for treatment.
The patient often feels pharyngeal discomfort, including phlegm but not coughing up, symptoms are mild and severe, and the neck is sore. Physical examination: bilateral cervical and dorsal muscle tension, anterior, middle and posterior scalene muscle tension and tenderness, and limited neck forward and lateral flexion. Consider pharyngeal symptoms due to cervical spine problems. In the pain department**, the symptoms of the cervical spine were significantly improved.
Obviously there is nothing Why do you have a foreign body feeling?
Pharyngeal foreign body sensation is a symptom of pharyngeal sensory and motor dysfunction, such as ball plugging, itching, urgency, stickiness, burning, mosquito walking, or feeling that there is a foreign body in the throat, coughing up, swallowing, etc. It can be triggered by damage to the pharynx and adjacent tissues and organs, or various irritation of the pharyngeal nerves.
Why is there a pharyngeal foreign body sensation?The pharyngeal innervation is extremely abundant, and the sensory and motor nerves mainly come from the pharyngeal plexus in the posterior pharyngeal wall, containing branches of the vagus, glossopharyngeal, accessory, and parasympathetic nerves, so the pharyngeal sensation is extremely sensitive.
Diseases of many organs throughout the body can also cause abnormal sensation in the pharynx through the reflex and conduction of nerves. Therefore, the mechanism of pharyngeal foreign body sensation is relatively complex, and there are many pathogens, which can be caused by a variety of diseases.
Worsening of bowed head Consider cervical spondylosis.
The symptoms of pharyngitis caused by cervical spondylosis are similar and different from those of common pharyngitis. The pharyngeal obstruction caused by common pharyngitis can be significantly relieved after targeted by otolaryngology**. In addition to the feeling of pharyngeal obstruction, ceropharyngeal syndrome also has neck discomfort and soreness, and the symptoms are significantly aggravated after bowing the head.
If you also have a foreign body sensation similar to the one mentioned above and have been ruled out by various examinations, it may be a pharyngeal foreign body sensation caused by cervical spondylosis, and it is recommended that you see a pain department. Patients can undergo low-temperature plasma radiofrequency ablation of the cervical spine, using a puncture needle to reach the target for ablation, the process is less than half an hour, and the patient can communicate with the surgeon during the operation.
Wen Lijuan, Wang Xiaoping (Xuanwu Hospital, Capital Medical University).