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Myofascial pain or something else?

Ill cut right to the chase.

Ive been having left sided upper back/shoulder/neck and occasionally arm and hand pain for a year now. I have a known C6-7 herniation a few years ago, but most of my symptoms don't seem consistent with this herniation, and most of the medical people i have seen have said its probably Myofascial. The pain is neither consistent and tends to move around, but Im still a bit concerned that it may be somehow nerve related.
I generally have bad posture, especially at the computer, leaning forward onto my left arm a lot.
My GP prescribed Pregabalin, which i don't really like and take a tiny dose of 25 mg x 2 per day so Im not sure how effective it is. I recently started taking something called Loxoprofen (NSAID) prescribed to me in Thailand and it seems to stop the pain about 80%. Xanax also has a similar reduction on the pain.
The question is this: If it was nerve pain, why do the NSAIDs and benzos seem to be so effective. I was under the impression that NSAIDs arent generally seen as effective for nerve pain.
I also occasionally get a slight numbness and tingling in my fingers, but not constant( a day to a few days usually). My amateur conclusion is that the NSAID is reducing inflammation and stopping muscle(s) from pressing on a nerve somewhere. Getting an actual Professional diagnosis is nigh on impossible for some reason.

Anyone have any ideas on this? Any advice/insight is much appreciated.



  • LizLiz Posts: 7,832
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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • the tingling and hand numbness might in fact be ulnar nerve issues. Those of us who tend to lean on our forearms, especially near the elbow tend to develop ulnar nerve compressions and that can become permanent if we continue doing it. I have it bilaterally from using my cane and need to get the surgeries done to move the nerve to another location to reduce the chance of further damage. Is the numbness on the outside fingers of your hand? The middle, ring and pinky?
  • Thank for the reply Sandi!
    The tingling and numbness are mostly in the top part of the left index finger (Median nerve i believe), although there is occasionally some symptoms (burning) in the other half of the hand (Ulnar) .

    Today I had a physio appointment and some stretch diagnostic tests done. The Physio seemed to think that there is some Median nerve irritation or compression due to tight muscles somewhere along the line, but not sure where yet.
    The index numbness has been worse for the past few days.

    Its frustrating to not know where the pain originates from... and I have an inclination to think its somewhere in my shoulder as when flexing the neck back and to the left, the armpit hurts, or the thoracic outlet (or nearby).
    Surely there are diagnostics to figure out where the problem is?

    Thanks for reading!
  • to see where the nerve compression is coming from. Most neurologists can do the test, or if you are seeing a physiatrist they also seem to do them.
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