How can a painful lump above the collar bone while suffering from neck stiffness be treated?
Patient: my neck is very stiff. it appears a knot above collar bone, back side. its painful,have trouble sleeping. when i try to massage it, a small sharp shock occurs and slightly clicks years ago i was t boned, and had trigger point injections. 2.that was over 12/ 14 years ago. im trying ice. can you help me please. Doctor: Hello,  If you are suffering from an acute bout of cervical pain that was not really there before recently (even though you do have the remote history of the accident) and you believe there is a lump of some sort above the collar bone then.   I would recommend you see a doctor and have that looked at to make sure it is not a mass that is impinging upon one of the cervical nerves causing the pain and electric shock-like sensation.    Ice is an acceptable intermediate therapy but this should be looked at by a doctor with possible imaging studies to define the knot a bit more precisely.    Hope I have answered your query. Let me know if I can assist you further.  Take care  Regards, Dr Dariush Saghafi, Neurologist