Needle poking or stabbing feeling in the throat can be due to many reasons but the most important and important one is Glossopharyngeal neuralgia (GPN) it’s a rare condition which can cause sharp, stabbing, or shooting pain which feels like needle poking in the throat area near the tonsils, the back of the tongue or the middle ear, some other causes can be allergies, Stomach acid return or GERD, Pharyngitis, Otitis media, Cervical discopathy and many more.

This pain takes place along the pathway of the glossopharyngeal nerve, which is present deep in the neck. It serves the back of the tongue, throat and the parotid gland, the middle ear and the eustachian tube in human body.

 Needle poking feeling in throat treatment

If you want to read about needle poking feeling in throat treatment then keep reading it’s explained all below from causes to symptoms to treatment.

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General idea about needle poking feeling

Such painful episodes of needle poking feeling are mostly intermittent, lasting from a few seconds to a few minutes but the pain might occur several times in a day. In some other cases it might even not come back for several weeks to months. Certain activities in particular may trigger these painful episodes, including following:

Sometimes people with this problem try to avoid eating, drinking or chewing because they fear that these activities might trigger a painful attack and if continued over time, this can result in weight loss which is not a good thing .

What are the causes for this needle poking feeling the throat?

Needle poking feeling in throat can be due to   following reasons which include :

This is a disorder which is rare but can cause annoying pain and needle poking in the throat. Glossopharyngeal neuralgia is such a disorder where there is problem in function of the ninth pair of nerves in the brain, the lingual-pharyngeal nerve or the glossopharyngeal nerve. In human body we have 12 pair of nerves that emerges from brain and each of them has its own function.

The ninth one is mostly  responsible for sensation and muscle movements near throat. There is nothing worrisome  in this disorder and it almost always resolves completely and spontaneously without any long lasting adverse effects just the consideration must be made about accompanying heart problems so for that doctor should be consulted.

As we know the pharyngeal nerve and the Vagus nerve are anatomically close to each other, in some rare cases the development of glossopharyngeal neuralgia can simultaneously stimulate the Vagus nerve leading to heart issues.

Generally, only one side of the head and neck is affected by GPN as the glossopharyngeal nerve has several branches, including the tympanic branch that receives sensory information  from the middle ear and mastoid muscle, there is another important branch that is the carotid sinus nerve that innervates the carotid body and carotid sinus.

Such painful attacks can result in life-threatening symptoms, like fainting , slow heartbeat or arrhythmia.

Cervical discopathy is a type of problem which can provoke lots of different pain and discomfort ranging from dull pain in neck to sharp shooting pain to fingertips. Pain in this disorder can be felt in throat and has needle like characteristics poking one , but unlike glossopharyngeal neuralgia lasts longer and wouldn’t resolves completely on its own needs intervention.

Inflammation of thyroid gland is called thyroiditis can be painful in many cases .The characteristic of thyroiditis pain is that it exacerbates or gets really bad by swallowing and drinking. Pain in this issue can start suddenly but unlike glossopharyngeal neuralgia wouldn’t resolve spontaneously on its own.

What are the choices for Needle poking feeling in throat treatment?

If this poking feeling is due to GNP then in most cases, anticonvulsant drugs are the first line of treatment. If this drug therapy is not effective or if a patient has side effects from this treatment  surgery is considered. First line Medications include:

  1. Nerve block
  2. Lingual pharyngeal nerve neurolysis

The first one  that is nerve block is reversible but the neurolysis is irreversible. The pharyngeal lingual nerve is called as the ninth nerve as it emerges from the brain. This nerve, along side with many other nerves like the Vagus nerve, the Accessory nerve, and internal jugular vein, exit from a hole in the floor and base of the skull known as the jugular foramen and then enters the lateral surface of the neck from the right and left. People  who are not completely relieved from the pain by nerve block are then considered for option of nerve neurolysis.

An specialist like anesthesiologist can perform lingual-throat neurolysis in two ways that are:

 It is typically  recommended to use a combination of drug therapy in addition to the interventional therapy in the process of treatment of severe and sudden attacks of glossopharyngeal neuralgia. The combination of these therapies almost always gets better results.

 How is it diagnosed?

Doctor will take proper history as it’s very helping. The location of the pain is very important in the diagnosis of glossopharyngeal neuroglia  since in other conditions, like trigeminal neuralgia, can produce similar symptoms. There is no single particular diagnostic test which can confirm that GPN is present or not . An ear, nose and throat specialist will perform an examination or we can say physical exam to rule out other disorders. The doctor may stimulate certain areas, like the tonsils or the back of the tongue, to see if pain occurs or not. The doctor might ask whether certain activities, like talking or chewing, swallowing trigger any pain or   not. An MRI i.e. magnetic resonance imaging or a  CT (computed tomography) scan  can be ordered to determine whether any tumor or blood vessel is compressing the nerves and causing pain or not.

Take away

What one feels in the throat is very hard to understand by the doctor if not described properly or if not  given  as detailed as possible.

When  person visits the physician he must try his best to explain the feeling as if present in one side or both side of the throat. If any experience of discomfort in the stomach is felt or if patient is on new medication, he shouldn’t forget to tell the doctor about them.

Finding the exact cause of throat pain may become so difficult in some cases and may require lots of exams and imaging for diagnosis.

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