Recurrent Muscle Spasms LONG VENT

Nurses General Nursing

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I know that this board isn't for medical advice, but I need to vent.

For the past several months I have had recurrent painful muscle spasms in the right side of my neck down to the bottom of my right shoulder blade. It started when I woke up with torticollis and could not get my neck to untwist. I have flexeril from an old sprain, but it didn't work so I went to the ER, was given valium and vicodin and sent home. I followed up with my primary care, who put me on Skelaxin TID, Naprosyn BID, and Soma at HS, with vicodin for pain.

It didn't work, a week later I'm still spasmed and twisted with huge knots on my shoulder, and now am having numbness and tingling in my fingers. I was placed on bedrest for a week with Soma QID, Naprosyn BID, vicodin for pain. After a week, I slowly was able to regain full ROM in my neck, I finally can move enough to have xrays of the cervical spine, and they are normal.

A month after that it I had sustained spasms in my right shoulder, and had to take Skelaxin TID, Naprosyn BID, and Soma at HS, vicodin for severe pain, it resolved after a week.

3 Weeks later I have spasms in my right shoulder/neck that resolve after 2-3 days on Skelaxin TID and Soma at HS.

2 weeks later I have severely painful sustained spasm in my right shoulder/neck I take my skelaxin, naprosyn, soma and vicodin. It gets progressively worse, it's the weekend, I can't get ahold of my primary care provider. Last night I took a soma, 2 vicodin, and couldn't sleep,( usually this knocks me out, or makes me act extremely sedated). I have deep pain in my shoulder joint, radiating pain to my elbow, and numbness/tingling in my fingers, pain on turning my head to the right when I touch my chin to my chest. My arm aches, but certain movements are painful, DH had to help me pull off my scrub top last night, and lifting my arm above shoulder height is excruciating, and every so often the muscles will spasm even tighter and I just have to grit my teeth :bluecry1: :bluecry1:

I see my PCP today, and he says that it doesn't seem like a herniated disk according to the previous Xrays from 2 1/2 months ago. We have no idea what the original injury was, I just woke up like this one day months ago and have been having problems since. He can't tell me an etiology, and in response to my statement that "usually i resolve after awhile on soma, becuase it's stronger, the skelaxin just gets it down to where I can think straight enough to work without being sedated", was to say that "we have something stronger than soma". He doesn't want to refer me for an MRI or CT scan.

So now I am on valium TID with vicodin for pain, and can take naprosyn or ibuprofen ( my choice, whichever seems to work better for me), and I will have Physical therapy with ultrasound 3x a week for 3 weeks. I still have to get in touch with my manager to find out what the heck I'm going to do about work, 'cause I can't go to work on valium.

I AM SICK OF HAVING TO CHOOSE FROM BEING IN PAIN OR FEELING SEDATED!!!!!!!!! :banghead: :banghead:

I am sick of my coworker's and even DH saying "maybe it's stress". I am stressed because IT HURTS and it's scary not knowing what the heck is wrong with me, and why this keeps happening. I can't figure out a rhyme or reason to the flares, it even happened on my honeymoon.

DH used to be in healthcare, and some of my friends are, and it's so frustrating because they just look at me and say, "you just need an outlet for your stress and it'll get better". I feel like they just look at me and think this isn't that serious( if it hurts bad enough that I can't sleep after taking vicodin and soma, it's serious to me). DH says, well you get grumpy, have a meltdown, and then boom your neck hurts. Actually I get grumpy because my neck hurts, and my ability to deal with frustrations goes down to nil if I dont' feel good, and then I have a meltdown and confess that my neck's been hurting.

If PT doesn't work, and this keeps happening, I will be then referred to a specialist and may have to get Botox injections, but my PCP is hopeful it won't get to that point, but we still don't know why this is happening.

Ok, I think I feel a little better for venting.

darlin', get rid of that PCP. one who doesn't know what's wrong, but won't order an MRI or ultrasound???? wouldn't that show if you had a nerve pinched or something? i've only been a nurse a couple of months, but my common sense says that you should have these before PT. What if PT makes it worse because of something hidden that they could have found on MRI or US? just my 2 cents. good luck, hope you feel better soon...

P.S always remember the old saying of "get a 2nd opinion"

They do more than get people out of bed...

In most other countries, a person with this type of injury would go to a physio (PT) before they would go to their PCP.

Physical Therapists are Master's prepared professionals who are more than adept at finding and treating the cause of problems such as this without causing further injury. A decent PCP should have sent her to a PT months ago.

Specializes in jack of all trades, master of none.

Wow... You've only been off work a few days. I feel your pain, but I was off for 8.5 months... I don't know how anyone in my household dealt with me, but they did :)

Glad to read you are going for the MRI.

Wacky how meds affect people so differently. For me, the valium was the ONLY thing that didn't cloud me at all. Everything else (Vicodin, Skelaxin, Flexeril) left me gorked.

Wow... You've only been off work a few days. I feel your pain, but I was off for 8.5 months... I don't know how anyone in my household dealt with me, but they did :)

Glad to read you are going for the MRI.

Wacky how meds affect people so differently. For me, the valium was the ONLY thing that didn't cloud me at all. Everything else (Vicodin, Skelaxin, Flexeril) left me gorked.

Well what's been happening is I work for a few weeks, then I'm out a week, then I work a month, then I'm out a week, and so on. My old NM was great, but he quit and now I'm having difficulty with getting my shifts covered. I'm out of sick leave, and I can't use my comp time earned or my annual leave in lieu of sick leave because they have to pay OT to cover my shifts. My old NM found a loophole where I could use my annual leave, but my new NM says that' a no go. And because it's not work related I can only be on light duty 2 weeks at a time. So now I'm AWOL, but I have 60 hours of annual leave I can't use.ERGGHHH. I'd rather be LWOP (leave without pay) because it looks better on my record.

I am really hating the valium though, it works, but I feel like a zombie, and for an anxiolytic, it surely leaves me close to tears most of the time.

update. After much woe, several doctor's, a trip to the ER for "intractable pain". I finally got my MRI.

I have a herniated disk at c5-c6, I'll be in cervical traction for 2 weeks.

Of course this dx is controversial, one MD states he doesn't think the "bulging" area has anything to do with the s/s I have been having. I don't believe him, I tend to believe the MD( ortho doc, with a great bedside manner) who actually took the time to do an indepth hx and physical exam. My deep tendon reflexes are greatly diminished on the Right arm, something I really wasn't aware till my appt. today.

Pain has been diminished lately, but MD states that it's becuase I've been on "light duty" and DH won't let me do anything, so it's been resting. If severe pain returns, we might try gabapentin first, before we try an invasive tx.

Part of me just wants to say to hell with it, cut me open and do surgery so I'll never have to deal with this again, but I know surgery doesn't always fix the problem, and no way is insurance going to pay for it without trying other (cheaper) tx's first.

HEY !!!!!!!!!! I can feel what you are going thru!!!!!!!

I don't have numbing/tingling in my finger, but after a car accident, I have shoulder and neck pain. I had 2 MRIs, one showed everything ok, then I had an MRI that included flexion and extension, and revealed a bulging disc in c3-c4. (this explains the non-numbness down my arm, and only shoulder/neck pain)

It is so real. Don't let anyone down grade your pain!!!

I chose non-surgical tx, and then decided I couldn't live on medications....

I have tried everything!!!!!!! I found the best was limited use when the pain is severe, heat rotated with cold, hot baths, massage, special sleeping positions, special pillows, and P.T. (to teach my exercises). Just a thought, it might ease some pain for a while, in addition to your medication. It might even lessen the need for the meds........

I do now have a thought however, can something irritate, inflame, aggravate that disc? Cause sometimes I have no pain at all, for weeks at a time, and sometimes it is unbearable for weeks...........

Specializes in Home Health, Hospice.
HEY !!!!!!!!!! I can feel what you are going thru!!!!!!!

I don't have numbing/tingling in my finger, but after a car accident, I have shoulder and neck pain. I had 2 MRIs, one showed everything ok, then I had an MRI that included flexion and extension, and revealed a bulging disc in c3-c4. (this explains the non-numbness down my arm, and only shoulder/neck pain)

It is so real. Don't let anyone down grade your pain!!!

I chose non-surgical tx, and then decided I couldn't live on medications....

I have tried everything!!!!!!! I found the best was limited use when the pain is severe, heat rotated with cold, hot baths, massage, special sleeping positions, special pillows, and P.T. (to teach my exercises). Just a thought, it might ease some pain for a while, in addition to your medication. It might even lessen the need for the meds........

I do now have a thought however, can something irritate, inflame, aggravate that disc? Cause sometimes I have no pain at all, for weeks at a time, and sometimes it is unbearable for weeks...........

Hi, so sorry about your pain!

i can only speak for myself, but I find that stress DOES have a huge impact on my pain level. Also, seemingly simple, non strenuous tasks can cause major problems. (I have 6 herniated discs, 3 cervical, 3 lumbar)

Just try to learn what aggravates it, I keep notes on my calendar when I get flare ups.

Good luck to you!

K-

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