What causes swelling on the left side of the neck?

Dec 12, 2025 Source: Cainiu Health
Dr. Li Feng
Introduction
In general, swelling on the left side of the neck may be caused by external trauma, poor posture, cervical lymphadenitis, thyroiditis, or infected sebaceous cysts. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. In daily life, it is important to protect the neck from external impacts and maintain proper posture to reduce neck strain.

Under normal circumstances, swelling on the left side of the neck may be caused by external trauma, poor posture, cervical lymphadenitis, thyroiditis, or infected sebaceous cysts. If discomfort occurs, it is recommended to seek timely medical evaluation and treatment at a正规 hospital. Specific causes are analyzed as follows:

1. External Trauma: A collision or impact to the left side of the neck can cause local soft tissue contusion and bleeding, resulting in swelling and pain. Apply cold compresses within the first 48 hours to control bleeding, then switch to warm compresses after 48 hours to promote resolution of swelling. Avoid repeatedly pressing or massaging the injured area.

2. Poor Posture: Prolonged head tilting or forward head posture can lead to muscle tension and spasms on the left side of the neck, forming hard lumps and swelling. Correct sitting and standing posture, keep the neck upright, perform gentle neck rotation exercises every hour, and lightly massage the tense muscles with your hands.

3. Cervical Lymphadenitis: Infections in the throat or oral cavity can spread to the cervical lymph nodes, causing them to swell and become painful. Medications such as cefradine capsules, amoxicillin capsules, or metronidazole tablets may be used as directed by a physician. Drink plenty of water during treatment and avoid spicy foods.

4. Thyroiditis: Viral or bacterial infection of the thyroid gland can cause swelling and pain in the left thyroid, accompanied by fever and fatigue. Under medical guidance, medications such as ibuprofen sustained-release capsules, levothyroxine sodium tablets, or prednisone tablets may be prescribed. Rest adequately and avoid overexertion.

5. Infected Sebaceous Cyst: Blockage of sebaceous glands on the left side of the neck leads to cyst formation, which becomes red, swollen, and painful upon secondary infection. Topical or oral antibiotics such as clindamycin gel, cefuroxime axetil tablets, or mupirocin ointment may be used as directed. After the infection is controlled, surgical excision of the sebaceous cyst is typically required.

In daily life, take care to protect the neck from external impacts; maintain proper posture to reduce strain; practice good oral hygiene to prevent infection spread; and undergo regular health check-ups to detect thyroid or soft tissue abnormalities in the neck early.