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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chronic Muscle Spasm And Pain In Upper Back And Shoulders?

I have had chronic muscle spasm, tightness, and pain for years in my upper back, shoulders and neck. I have gone to chiropractors and massage practitioners, which helps but never takes it away. Tingling, crawling skin feeling and fatigue. I don t want to go to a dozen doctors before I can get help. Please let me know if I should see a neurologist or rheumatologist. When I say years, I mean years...it has gotten worse.
posted on Thu, 18 Dec 2014
Twitter Mon, 12 Jan 2015 Answered on
Twitter Mon, 12 Jan 2015 Last reviewed on
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Orthopaedic Surgeon, Joint Replacement,  's  Response
I have studied your case and I think that you might be having Disc prolapse in spine.I would suggest you to get MRI of the spine so that we can confirm if disc herniation is present and if yes, than we can start treatment accordingly.
I have following suggestions for you.
1. Back muscle strengthening exercises.
2. Tablet Pregabalin and Methylcobal daily.
3. Avoid weight lifting, forward bending and jerky activities.
4. Hot water fomentation to the back.
5. Voletran ointment
I hope these methods will help you in pain relief. Let me know if there is any other follow up questions.
thanks.
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What Causes Chronic Muscle Spasm And Pain In Upper Back And Shoulders?

I have studied your case and I think that you might be having Disc prolapse in spine.I would suggest you to get MRI of the spine so that we can confirm if disc herniation is present and if yes, than we can start treatment accordingly. I have following suggestions for you. 1. Back muscle strengthening exercises. 2. Tablet Pregabalin and Methylcobal daily. 3. Avoid weight lifting, forward bending and jerky activities. 4. Hot water fomentation to the back. 5. Voletran ointment I hope these methods will help you in pain relief. Let me know if there is any other follow up questions. thanks.