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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause Of Chronic Pain In Neck, Back, Muscle Rigidity, Tremors In Fingers?

Hello, I am a 30 year old female. I have had chronic pain in the right side of my back, neck, and shoulder for more than 10 years now. My usual doctor says it is all due to a minor scoliosis that I have. H says it puts constant strain on my muscles. I have also always had migraine and neuro issues since I was a child. I have always suspected that something more is going on than the scoliosis however. My muscles will get stiff and be impossible to release no matter what I do. It hurts SO bad for days at a time! Recently I have had a weird feeling in my arm as well. Not pain, but more like weak feeling??? Also my fingers cramp up and sometimes when I am hurting really bad they will have tremors in them, especially in the thumb. I will end up getting a headache when this happens as well due to the tension build up! I take WAY too many OTC pain meds and I know it, but I just want the pain to stop... I get desperate! When I am able to stretch and exercise regularly it helps some, but not much. Sometimes it hurts too bad to exercise, but I try because I know it helps a little. My dad has a TENS unit and it helps occasionally as well. My pain/muscle rigidity seem to get a LOT worse when it is cold. My fingers also always stay ice cold. I don't know what is causing all of this, but I feel like something HAS to be wrong somewhere! Please help!
Mon, 24 Feb 2014
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello,
Thanks for your query.
There are numerous causes and conditions that produce neck pain as well as back pain. Presence of weakness and loss of strength in the hands and suggests some neurological disturbances either in the spinal cord or in the nerves.

An MRI scan of the concerned spinal columns will help in establishing the proper diagnosis. I suggest you not make any delay in approaching a doctor as it is definitely abnormal to have neurological problems with weakness in the limbs at your age.

The treatment for your problem will depend on the condition diagnosed. Generally, with early diagnosis and early treatment, one can expect favourable outcome after treatment.

As you are very young, the therapeutic response will be good when compared to the elderly age groups. All these words are just to boost up your morale and provide you some reassurance.

Temporarily, please follow the below mentioned measures to get some symptomatic relief -

- avoid any movements that produces pain
- do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves
- Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles.
- Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain.

I do hope that you have found something helpful and I will be glad to answer any further query.
Take care
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What Is The Cause Of Chronic Pain In Neck, Back, Muscle Rigidity, Tremors In Fingers?

Hello, Thanks for your query. There are numerous causes and conditions that produce neck pain as well as back pain. Presence of weakness and loss of strength in the hands and suggests some neurological disturbances either in the spinal cord or in the nerves. An MRI scan of the concerned spinal columns will help in establishing the proper diagnosis. I suggest you not make any delay in approaching a doctor as it is definitely abnormal to have neurological problems with weakness in the limbs at your age. The treatment for your problem will depend on the condition diagnosed. Generally, with early diagnosis and early treatment, one can expect favourable outcome after treatment. As you are very young, the therapeutic response will be good when compared to the elderly age groups. All these words are just to boost up your morale and provide you some reassurance. Temporarily, please follow the below mentioned measures to get some symptomatic relief - - avoid any movements that produces pain - do not use bulky pillow underneath your head while sleeping as this position will produce more compression of the nerves - Use a Soft collar which allow the muscles of the neck to rest and limit neck motion. This can help decrease pinching of nerve roots with movement. Soft collars should only be worn for short periods of time, because long-term wear can decrease the strength of neck muscles. - Analgesic (diclofenac & lornoxicam) and muscle relaxant (thiocolchicoside) combination medicines will provide symptomatic relief from pain & muscle spasm. Neurotropic vitamins like METHYLCOBALAMINE (activated Vit B12) or PREGABALIN will help in alleviating the neuropathic pain. I do hope that you have found something helpful and I will be glad to answer any further query. Take care