Thyroiditis mainly includes subacute thyroiditis, acute suppurative thyroiditis, Hashimoto’s thyroiditis, etc. Neck pain is mainly seen in subacute thyroiditis, acute suppurative thyroiditis, and Hashimoto’s thyroiditis, which usually has no neck pain, and treatments mainly include antibiotics, non-steroidal anti-inflammatory drugs (NSAIDs) and glucocorticoids.
1. Subacute thyroiditis: Subacute thyroiditis is mainly caused by viral infections, and often has an enlarged and painful thyroid gland, but it is commonly unilateral. Mild pain can be treated with nonsteroidal anti-inflammatory drugs, such as acetaminophen and ibuprofen; severe pain can be treated with glucocorticoids, such as prednisone.
2. Acute suppurative thyroiditis: Acute suppurative thyroiditis is mainly caused by bacterial infection, there can be pain in the thyroid gland and the surrounding soft tissues, the treatment of antibiotics, such as amoxicillin, ceftazidime, etc., and if the formation of an abscess, can be given to the surgical incision and drainage.
If an abscess is formed, it can be surgically incised and drained. Thyroiditis neck pain on both sides of the neck is recommended to consult an endocrinologist, under the guidance of a physician to standardize the treatment, to avoid misunderstanding the diagnosis and treatment.