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Last updated: September 19, 2025View editorial policy

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Differential Diagnosis for Recurring Pain in Left Side at Neck and Back

Single Most Likely Diagnosis

  • Musculoskeletal Strain: This is often the most common cause of recurring pain in the neck and back, due to overuse, poor posture, or injury. The pain is typically localized to the area of strain and can be exacerbated by movement.

Other Likely Diagnoses

  • Herniated Disc: A herniated disc in the cervical or thoracic spine can cause recurring pain on one side of the neck and back, especially if the disc is pressing on a nerve.
  • Degenerative Disc Disease: Wear and tear on the spinal discs can lead to recurring pain in the neck and back, often worse with movement or activity.
  • Scoliosis or Spinal Deformity: Abnormal curvature of the spine can cause uneven wear and tear, leading to recurring pain on one side of the neck and back.

Do Not Miss Diagnoses

  • Pulmonary Embolism: Although less likely, a pulmonary embolism can cause sudden, severe pain on one side of the back, and is a life-threatening condition that requires immediate attention.
  • Aortic Dissection: A tear in the aorta can cause severe, tearing pain in the back, often radiating to the neck, and is a medical emergency.
  • Spinal Infection or Abscess: Infections such as osteomyelitis or discitis can cause recurring pain in the neck and back, and require prompt antibiotic treatment to prevent serious complications.

Rare Diagnoses

  • Pancoast Tumor: A rare type of lung cancer that can cause recurring pain in the neck and back, often accompanied by other symptoms such as arm weakness or numbness.
  • Multiple Myeloma: A type of blood cancer that can cause recurring pain in the neck and back, often due to bone lesions or fractures.
  • Ehlers-Danlos Syndrome: A rare genetic disorder that can cause recurring joint pain and musculoskeletal symptoms, including neck and back pain.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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