Neck Pain: Cervical
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ButterflyPain's picture
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Muscle tightness associated with cervical disc problems???

I have cervical problems (below) , but I also have really bad tight muscles on my shoulders down to the ending of my shoulder blades. If the shoulder and below muscles get too tight it starts affecting the cervical nerves and head nerves and tortures me a lot with bad head pain. I get this one nerve pain on my head, that doesnt let go for the most part unless I take a muscle relaxer or have someone massage my shoulders. It is really terrible to wake up to or stay up with.

It seems anytime I sit down all the muscles will almost instantly tighten, even if they were loose for awhile from walking or sitting in a high back chair.

Klonopin, Soma work best, but sometimes those don't help, or help long enough...I just started neurontin and I believe it is helping with the top of the head nerve pain, but not the one that hurts me the most.

Is this normal?

_____________

Findings:
There are no gross abnormalities at the upper three cervical interspaces or the cervical-thorasic junction. Disc desiccation without disc protrusion is noted at T1-2. The second and third thoracic interspaces are normal.
At C5-6, there is mild to moderate disc desiccation with a 2mm central disc protrusion with slight central stenosis.
At C6-7, there is more moderate disc desiccation with a 3mm central disc protrusion with mild central stenosis but no direct spinal cord compression.
There is no evidence of nerve root canal stenosis or nerve root impingement at any cervical level. All of the facet joints are normal. The cervical cord is normal. There is no fracture or dislocation. There are no intradural or paraspinous masses.

My Cervical X-ray said:
Findings
AP, both obliques, open mouth, and lateral views of the cervical spine revealed very minimal hypertrophic uncovertebral joints at C5-6. On oblique view there is a suggestion of minimal osteophyte formation and foraminal impingement at C5-C6, especially on the left side. No fracture is seen.
Lumbar Xray - L3 Mild Osteophyte formation, indicates : Lumbar disc disease.

Medications: Atenolol 25 mg, Soma 350mg, Lexapro 10mg, Klonopin .25 (when needed), Cymbalta 30mg, neurontin 300mg 1x a day, either tyl 3 or reg vicodin for pain.
Neck Pain on left side, on the back of neck, in between shoulder blade on spine, headaches, left arm and leg pain, sometimes numbness or burning, muscle spasms. Depression and Anxiety.

shortfuse5691's picture
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to butterflypain :)

hmm. No! Your issues sound like how I feel now after my laminectomy 6/9/09. I can tell you that swimming helps relax the muscles some. I am on soma too and take that twice a day. damaged muscles take a long time to heal is what I am told.

_____________

6/9/09 cervicial laminectomy C3
1/13/06 cervical fusion C4 through C6.
1/23/08 bunionectomy
11/23/06 L3,L4 discectomy.

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recovery cervical foraminotomy

good grief - 10 weeks post-op & muscles are sooooo tight still!!!!!!!!!!!! makes you think "will I ever get better"
sheesh...... didn't have a clue recovery would be this painful for so long... but it's better than the pain that led me to the surgery.. I am just not a patient person & have to continually remind myself that I have to chill....
they cut 4" around C5-6 & C6-7 & grinded down the discs...
hugs to all - Julie in Texas

_____________

MsJulie

ButterflyPain's picture
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p.s.

I just also want to say that when I'm walking and my muscles are loose , I still have a tight or stiff feeling neck and upper thorasic spine. I also wake up with that, and I have radioculpathy in my left arm and leg.

_____________

Findings:
There are no gross abnormalities at the upper three cervical interspaces or the cervical-thorasic junction. Disc desiccation without disc protrusion is noted at T1-2. The second and third thoracic interspaces are normal.
At C5-6, there is mild to moderate disc desiccation with a 2mm central disc protrusion with slight central stenosis.
At C6-7, there is more moderate disc desiccation with a 3mm central disc protrusion with mild central stenosis but no direct spinal cord compression.
There is no evidence of nerve root canal stenosis or nerve root impingement at any cervical level. All of the facet joints are normal. The cervical cord is normal. There is no fracture or dislocation. There are no intradural or paraspinous masses.

My Cervical X-ray said:
Findings
AP, both obliques, open mouth, and lateral views of the cervical spine revealed very minimal hypertrophic uncovertebral joints at C5-6. On oblique view there is a suggestion of minimal osteophyte formation and foraminal impingement at C5-C6, especially on the left side. No fracture is seen.
Lumbar Xray - L3 Mild Osteophyte formation, indicates : Lumbar disc disease.

Medications: Atenolol 25 mg, Soma 350mg, Lexapro 10mg, Klonopin .25 (when needed), Cymbalta 30mg, neurontin 300mg 1x a day, either tyl 3 or reg vicodin for pain.
Neck Pain on left side, on the back of neck, in between shoulder blade on spine, headaches, left arm and leg pain, sometimes numbness or burning, muscle spasms. Depression and Anxiety.

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Hi ButterflyPain

I have the same tight muscle problem you describe. I don't know which comes first, the tight muscles or the disc pain. When I sit down I feel like someone is pushing my head down between my shoulders. Sometimes it feels that way even walking. Oh yeah, the headaches! It never ends does it?? I have noticed the more my neck hurts the more tense I get and then the worse the headaches get! Is that the way you feel? I hope you have a better day today. Take care.

User offline. Last seen 17 hours 4 min ago. Offline
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muscles

Please, please, please get a remedial massage if you have any muscle problems (which we all have).

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

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Oh I do know what you mean.

Oh I do know what you mean. You should feel the muscles on top between my neck and shoulders, they are hard as a rock like I work out every day! But I don't, of course. I also have areas in my back that you can feel these much smaller knots, about pea sized, and they do cause a lot of pain too. I hardly ever get headaches though, all my pain is in my neck and upper back out towards my shoulders.

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If you have alot of money

If you have alot of money you can go to massage therapy everyday...

Byt I dont have money for that so I cant...

_____________

C2-3: Mild right facet joint degenerative changes and right neuroforaminal stenosis.
C3-4: Minimal diffuse discosteophyte bulge and mild central cananl stenosis.
C4-5: Mild disc height loss with central annular fissure. Small broad-based left paracentral disc protrusion. Moderate central canal stenosis-the disc protrusion abuts and mildly flattens the left ventral surface of the spinal canal.
C5-6: Disc desiccation with mild height loss.
Diffuse discosteophyte bulge and uncovertebral joint hypertrophy, moderate central canal stenosis-the discosteophyte bulge mildly flattens the ventral surface of the spinal cord. Severe neuroforaminal stenosis bilaterally, right greater than left.

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Money

JKDE302
A daily relaxing massage is on the books for when I win the lottery!
Massage costs about $1 a minute, and you'd expect to have a 30-40 minute session initially.
You would not even consider a daily one at the remedial stage, as you need time inbetween.
It is a bit costly, but if it is the only cure, just think how much it would be really worth to you.
I'd suggest that you try at least one session with a remedial masseuse, and find out just what muscle problems you have.
That alone is well worth knowing as you unravel your symptoms. A cure that doesn't require drugs or surgery. Why wouldn't you try it?

I had a 60 minute session yesterday as I'd let it go too long, 4 weeks.
I'm trying to get it to every 3 weeks or so, but am back to weekly again. Trying to save money but it backfired.

Talking about knots, DonnaJay, I have a big hard lump between by left shoulder blade and the shoulder. Apparently it is a big mass of knotted muscle, as this muscle should not be evident, according to my masseuse.
She uses pressure point relief to relax all of my knots, but it will take quite a while to get it all sorted.
It will be a lot of expense but what else can I do?
My stretching/ exercise regime will gradually build up the muscles which are all now weak and knotted.
I'd be completely inactive without the massages, and even more brain dead.

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

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Peter

Are most masseuses trained in remedial massage? Living in a very small town out in the sticks, there are only a couple of massage therapists in town. Going out of town wouldn't gain anything, as then would have to drive back, undoing all the good Big Grin Do they do a whole body type massage, or just concentrate on neck, back, and shoulders? Any info appreciated.

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Massage

MaggieP wrote:
Are most masseuses trained in remedial massage? Living in a very small town out in the sticks, there are only a couple of massage therapists in town. Going out of town wouldn't gain anything, as then would have to drive back, undoing all the good Big Grin Do they do a whole body type massage, or just concentrate on neck, back, and shoulders? Any info appreciated.

No, most probably aren't trained in remedial massage.
The usual one is just the relaxation or feel good massage, which anyone can do with a little training, but it won't find and fix your problems.
Look for one that offers sports massage, as that may be the same or similar under a different name.
They would need to have attended a massage school and qualified.
They will treat whatever you want done.
I stick with shoulders and neck, but the last time she did a test and found my glutes weren't working, putting strain on my calves and lower back. But that is an exercise fix.
A day after my Thursday massage my mood suddenly lifted and I felt bright and able to think. Finished up stripping the dishwasher and cleaning it.
I realised then that I had the same result from other massages-they just lift the head and neck tension right away.
That's when you feel so good that you overdo it, trying to catch up!

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

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i too have been suffering

i too have been suffering terribly with muscle problems since diagnosed with disc problems , i live in uk so probably different system , i am on long waiting list for physio so i have had 2 sessions with osteopath (once a week as £40 a session), i truelly believe it is helping , he first does gentle neck manipulation just like massage then i have very tense shoulders , arms and front of chest he does massage quite rough , next day bit sore then feel so much better for few days , take less painkillers !!. i never realised until he showed be my tense muscle knots now .

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Exactly!

I am SUFFERING from the same symptoms that you describe only on the right side. And I am very sorry to hear that you share this pain because it is definitely something that I would not wish on anyone. The best relief that I have found is heat, heat and more heat. PT tried massage, heat and ultrasound which would help a little while they were doing it but it would come back with a vengeance by the time I made the 10 minute drive home! I hate my TENS unit so no help there. I finally gave in and let my PM do the cervical injections (I had horrible results with lumbar/caudal injections so I was very reluctant) and they brought instant relief after the very first injection! I had the complete series of 3 injections and went for a month without the awful headache! But gradually by the end of the second month I was right back where I started. I'm not a doctor and I would never think of telling anyone what to do, but for me personally it was well worth it and I will gladly do it again when the 6 months is up.

_____________

42 year old mom to Justin-21, Nick-19, Jessica-18 and
Grace-2!!
Click on my name to see medical history if you want to see info on Previous surgery, treatments, MRIs, etc.
8/13/09 First Surgery of 09: Lumbar Laminectomy, Forimanotomy, Fusion (no Optimesh). Woke up from surgery with no movement and very little feeling in legs - only front of thigh). Pain became worse over first few days and MRI revealed very large hematoma.
8/18/09 Second Surgery of 09 (hopefully last surgery ever!):
This surgery was neccessary to remove hematoma. While doc was in there he went much more invasive in clean up (attemting to restore legs) and put in Titanium Rods, the big screws (can't remember what they're called), and I think he mentioned a plate (will ask at check up). Woke up to the worst pain I have ever felt in my life! More pain than I EVER imagined possible!! No improvement to legs. A few days later, bladder and bowel problems began.
9/17/09 Update: I came home on August 28th by ambulance, insurance co refused rehab and doc felt I was not strong enough to make 4 hour trip by car. Truthfully, I wasn't medically ready to be home, but I sure was happy to be there and back home with my baby!! My right leg is about 80%, left is about 20% on a good day. The feeling that is coming back in left leg is mostly along the Sciatic Path and it hurts like hell!! I sure hope that goes away!! Still have catheter and a bladder infection to go with it. Came home with Pic Line so I could continue to receive Vanco twice a day. I became allergic to it and was deathly ill!! It felt like I was being poisoned!! For two days I could not eat and slept almost constantly!! I refused any more of that stuff on the 14th and I am slowly feeling human again. Hopefully in a day or two I'll be able to really get into the PT and maybe start getting around more. As it is right now if I really push myself I can make it about 40 feet with the walker and left leg in brace. Only to collapse on the bed in exhaustion and then sleep for about 4 hours!! This is definitely not me!!
Meds: Oxycontin 40mg (x2), Percocet 5/325 (x4 as needed), Soma 350mg (3-4 as needed), Synthroid 100mcg (x1), Cymbalta (for nerve pain) 60mg (x1).
Meds before Surgery: Hydrocone 10/325 (x8!), Zanaflex 4mg (x2). Ironically, one of the reasons I agreed to surgery was that I didn't want to be on Narcotics forever (and oxy ever! but it's now the only thing that works!) Let's see how that works out for me! lol!

ButterflyPain's picture
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hi

delta_dawn67 wrote:
I am SUFFERING from the same symptoms that you describe only on the right side. And I am very sorry to hear that you share this pain because it is definitely something that I would not wish on anyone. The best relief that I have found is heat, heat and more heat. PT tried massage, heat and ultrasound which would help a little while they were doing it but it would come back with a vengeance by the time I made the 10 minute drive home! I hate my TENS unit so no help there. I finally gave in and let my PM do the cervical injections (I had horrible results with lumbar/caudal injections so I was very reluctant) and they brought instant relief after the very first injection! I had the complete series of 3 injections and went for a month without the awful headache! But gradually by the end of the second month I was right back where I started. I'm not a doctor and I would never think of telling anyone what to do, but for me personally it was well worth it and I will gladly do it again when the 6 months is up.

aw sorry to hear you are going through this too! and not finding much relief. What I wouldn't give for one month relief. My dad said no to the epidural now. I'm gonna try PT again, but omg I'm in so much pain. Now my muscles are pinching (or at least it feels like pinching) my shoulder muscles, scalp, and just below my shoulders on my back. It is so bad. Sometimes Soma plus tylenol with codiene 3 gives me one to two hrs pain free, but I feel all drugged which isn't good. I can't believe this, I feel like bawling.

Man, can you tell my dad that it helped you j/k:(

_____________

Findings:
There are no gross abnormalities at the upper three cervical interspaces or the cervical-thorasic junction. Disc desiccation without disc protrusion is noted at T1-2. The second and third thoracic interspaces are normal.
At C5-6, there is mild to moderate disc desiccation with a 2mm central disc protrusion with slight central stenosis.
At C6-7, there is more moderate disc desiccation with a 3mm central disc protrusion with mild central stenosis but no direct spinal cord compression.
There is no evidence of nerve root canal stenosis or nerve root impingement at any cervical level. All of the facet joints are normal. The cervical cord is normal. There is no fracture or dislocation. There are no intradural or paraspinous masses.

My Cervical X-ray said:
Findings
AP, both obliques, open mouth, and lateral views of the cervical spine revealed very minimal hypertrophic uncovertebral joints at C5-6. On oblique view there is a suggestion of minimal osteophyte formation and foraminal impingement at C5-C6, especially on the left side. No fracture is seen.
Lumbar Xray - L3 Mild Osteophyte formation, indicates : Lumbar disc disease.

Medications: Atenolol 25 mg, Soma 350mg, Lexapro 10mg, Klonopin .25 (when needed), Cymbalta 30mg, neurontin 300mg 1x a day, either tyl 3 or reg vicodin for pain.
Neck Pain on left side, on the back of neck, in between shoulder blade on spine, headaches, left arm and leg pain, sometimes numbness or burning, muscle spasms. Depression and Anxiety.

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Tell your dad that it did

Tell your dad that it did help me, and it wasn't just a month.

Steroids used to work best on me in the first few years. The first line was the medrol dosepak (prednisone) which you take for only 6 days. That gave me totally PAIN FREE relief for a year and a half. Once the pain crept back we did it again, and I got another PAIN FREE year out of it. But it didn't work the third time, I hear that it's like that. I don't know why but it does become less effective over time. Anyway, if you haven't tried that yet, ask your doctor if you would be a good candidate.

Then we moved on to the epidurals. I also got a little over a year pain free with that, we tried it again, not pain free anymore, but the pain went down several notches to manageable for more than a year. It's only the last two years that my pain has been like a roller coaster and the past six months where it's totally out of control.

ButterflyPain's picture
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Thanks!

DonnaJay wrote:
Tell your dad that it did help me, and it wasn't just a month.

Steroids used to work best on me in the first few years. The first line was the medrol dosepak (prednisone) which you take for only 6 days. That gave me totally PAIN FREE relief for a year and a half. Once the pain crept back we did it again, and I got another PAIN FREE year out of it. But it didn't work the third time, I hear that it's like that. I don't know why but it does become less effective over time. Anyway, if you haven't tried that yet, ask your doctor if you would be a good candidate.

Then we moved on to the epidurals. I also got a little over a year pain free with that, we tried it again, not pain free anymore, but the pain went down several notches to manageable for more than a year. It's only the last two years that my pain has been like a roller coaster and the past six months where it's totally out of control.

Thanks so much for the info! I think he may let me do it, depending on how much it cost now.
I am rather nervous about it, but if it is the only thing they can do , I think it could be good for me.
I'm going to talk to my neurologist this week and make sure he thinks it totally will help.
For some odd reason now my right shoulder feels pinched and started hurting three weeks ago and is now getting worse, and the pain is settling where the neck and shoulder meet, and up the right side. I can't lay on my left side without my shoulder feeling pinched. I wonder what this could be now. Sad

_____________

Findings:
There are no gross abnormalities at the upper three cervical interspaces or the cervical-thorasic junction. Disc desiccation without disc protrusion is noted at T1-2. The second and third thoracic interspaces are normal.
At C5-6, there is mild to moderate disc desiccation with a 2mm central disc protrusion with slight central stenosis.
At C6-7, there is more moderate disc desiccation with a 3mm central disc protrusion with mild central stenosis but no direct spinal cord compression.
There is no evidence of nerve root canal stenosis or nerve root impingement at any cervical level. All of the facet joints are normal. The cervical cord is normal. There is no fracture or dislocation. There are no intradural or paraspinous masses.

My Cervical X-ray said:
Findings
AP, both obliques, open mouth, and lateral views of the cervical spine revealed very minimal hypertrophic uncovertebral joints at C5-6. On oblique view there is a suggestion of minimal osteophyte formation and foraminal impingement at C5-C6, especially on the left side. No fracture is seen.
Lumbar Xray - L3 Mild Osteophyte formation, indicates : Lumbar disc disease.

Medications: Atenolol 25 mg, Soma 350mg, Lexapro 10mg, Klonopin .25 (when needed), Cymbalta 30mg, neurontin 300mg 1x a day, either tyl 3 or reg vicodin for pain.
Neck Pain on left side, on the back of neck, in between shoulder blade on spine, headaches, left arm and leg pain, sometimes numbness or burning, muscle spasms. Depression and Anxiety.

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here...this might help

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muscle pain, ugh!

learning about trigger point therapy has really helped me reduce my pain. I have tennis balls everywhere now and won't leave home without one! As they say, it hurts so good!!

_____________

Sandita

-1999 Fibromyalgia
-3/30/09 Diagnosed with Cervical HNP C5-C6
-4/6/09 ACDF--INFUSE Bone Graft/PEEK Interbody Spacer/Anterior Cervical Plate Study

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Hi Butterflypain,

It's normal to have really tight muscles esp after herniating a disc. My therapist told me long ago that my hamstring muscles in my right leg which has permanent nerve damage is super tight. I also have trigger points in my lower back but I won't let anyone mess with them because they will bring on more pain and muscle spasms. I used to take Soma but I was switched to Zanaflex, and I can take up to 8mg 3x's daily for severe muscle spasms.

_____________

Past history: L4-5 central disc herniation, left lateral HNP L5-S1, L4-5 recurrent post op herniation, L4-5 Grade II retrolisthesis,
Current history: Post laminectomy syndrome, scar tissue, permanent nerve damage, severe DDD, facet arthropathy, DJD, OA, chronic degenerative endplate changes

Back Surgeries: Microdiscectomy/ laminectomy,
2 level TLIF/Laminectomy w/ instrumentation
Meds: Methadone 30mg, Oxycodone 15mg, Dilaudid, Cymbalta, Zanaflex, motrin.

Spineys Rule!

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I have the same issues. I

I have the same issues. I have congenital cervical stenosis w/3 bulging discs. At least that was what my MRI said over a yr ago. Since then things have gotten progressively worse for me. Anyway, I have constant muscle tightness. I'm on Soma, but they only help so much. I want to look into deep tissue massage or remedial massage here soon. I tried traction and had to stop cause I started getting TMJ. I can't do the ESI's cause I had a bad reaction to the Medrol pack. They won't do surgery on me cause I'm only 29 and they want to do a fushion, so my choices in treatment are extremely limited. The muscles are just overcompensating for a weak neck. I'd look into massage if you can.

_____________

4-4-08
There is straightening of the normal cervical lordosis.

There is congenital central canal stenosis, due to short pedicles. The average AP diameter of the central canals c. 11mm. Spondylitic changes contribute to the narrowing.

C4-C5: There is a moderate central protrusion. It is slightly eccentric to the left. It indents the anterior aspect of the thecal sac and gives the spinal cord anterior concavity. The AP/transverse spinal cord compression is appr. 0.4.
C5-C6: Thre is a small central protrusion.
C6-C7: There is a relatively small but broad based central disc protrusion.

Follow Up MRI of Thoracic and Lumbar areas 6-26-08

No disc issues in thoracic area.

Spondylosis found in two lumbar vertebra.

Fibromyalgia suspected.

Reason for no surgery....my age.

Meds: Tramadol, Hydrocodone 5/500, Soma, 600mg Ibuprophen, 60 mg Cymbalta, Lidoderm patches...seeking better pain relief.

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Yes...

I experience daily what you described, Butterfly. It's not just sitting for me but standing, as well. Though, sitting is worse.

I've been cranking up my abdominal core strengthening exercises - because it honestly feels like I'm holding myself erect with my neck and shoulders. Neck & shoulders just can't take the stress from being upright!

I quit neck PT strengthening exercises because of the left sided head and facial pain it caused. I deal with enough of THAT already. I stretch the muscles out but won't do more than that.

Let me know if you figure it out.

regards,
jas

_____________

(2004) Fibromyalgia - disabling.

(2009 Cervical MRI):
C3-C4 disc protusion w/mild indentation on thecal sac.
C5-C6 moderately severe foraminal narrowing; disc bulge w/mild indentation on thecal sac; reversal of lordosis (aka Kyphosis).

(2009 Lumbar MRI):
Mild Levoscoliosis.
L3-L4 mild hypertrophy of facet & lig. flavum.
L4-L5 moderate hypertrophy of facet & lig. flavum; disc bulge.
L5-S1 partial tear of annulus; disc bulge in contact w/L5 nerve root; prominent facet & lig. flavum hypertrophy; moderate foraminal narrowing; lumbar canal stenosis.
Misalignment & displacement of sac joints.
2 sacral perineural cysts.
S1-S2 dehydration of nucleus.

Meds: Cymbalta, Ibuprofen (daily), Vicodin (as needed), Valium

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muscle tightness

I am almost a year post-cervical/lumbar fusion and I am in pain from muscle tightness which gets so bad that my arms and legs get numb. I exercise and stretch regularly and nothing seems to help. Yes, massage helps but by the next day I am hurting again. I wish I could afford to get a 20 minute massage daily. With this economy, I can't afford any massages!!!

Doc says my pain is from poor posture. I can't even get my shoulders to go into correct posture with such tight muscles. I am in daily pain with no medication. I can't take anything but over the counter meds because I have to drive my kids all over town every day.

I thought by now I would be feeling totally normal. I am getting very frustrated with my life style. I cannot make it through a whole day without having to lay down to get the pressure off my spine.

We can no longer go anywhere more that an hour away as a family because it creates too much pain for me. So forget family vacation of any sort!!! I have not been able to join my family for vacation since this accident years ago!

I am so frustrated!!!!!

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Massage

CRASH21, it's a bit of a puzzle, isn't it?
You need to do something to alleviate something else, but doing it causes other problems.
As they say, as one door closes another slams in your face!
I've had great success with massage, feeling so much better for a few days and my pain med usage drops by 70-80%.
From 8 or so a day to 2 or 3.
Of course I feel so good i immediately over do it and cancel out the massage benefits.
I've been doing light stretches and exercises for general toning and to strengthen my shoulder muscles, the ones that give me awful headaches.
But I've found that some of these, the ones I need the most, are causing new problems with my arm and shoulder.
I'll have to leave off for a few days.
So annoying when you get so unfit from avoiding pain, that the recovery treatment causes other problems.
How do you to get on top of it all?
Where do you start?
So very frustrating.
Everyone has a different opinion and advice to offer. You have to make an appointment so far ahead that you are in a different condition when you get there.
You really need a personal trainer.
As if.
I think I'm probably going in a bit too soon, and should let the massage treatment have time to work. It seems that my muscles in the back are such a mess that any exercising is going to have a poor result.
At least I have the massage, which I know works for me. Recovery will be a much slower and lengthy period that I and the medicos thought. They said 2-3 months. Looks like 6-12 to me.

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

User offline. Last seen 2 weeks 6 hours ago. Offline
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underlying problems

Apparently, chronic neck pain due to increased muscle tension and spasm is only part of the problem. Usually a muscle issue will settle down in a short period of time. So if the problem continues over 3 + months --more likely the primary problem is due to a disc(s) facet joint etc problem or other underlying structural problem deeper within and past the muscle issue. Unfortunately even most doctors don't understand this. So a massage and meds will only take us so far.Our muscles are in pain because they are working too hard to support our heads and protect the underlying structures that are injured.

If we have a structural problem in one area of the vertebra (disc, face t joint) due to poor posture for example often eventually the integrity of other parts of the vertebra will breakdown because we continue our poor posture and overuse say at a computer. So if we continue to use poor posture etc the various passive therapies we use will either need to be increased or we decide they are not working any longer. Dr Schoffereman uses the analogy of a three legged chair where one of the legs becomes broken and the other legs eventually give out and all along we wobble off centered --that is if we continue to use the chair! So the massage therapy is ikely not going to make up for the damages in the long haul unless it allows us to strengthen appropriately.

reference: "What to do about a pain in the neck: The Complete Program for NEck Pain Relief" by Jerome Schofferman, MD

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Underlying problems

bridgie wrote:
Apparently, chronic neck pain due to increased muscle tension and spasm is only part of the problem. Usually a muscle issue will settle down in a short period of time. So if the problem continues over 3 + months --more likely the primary problem is due to a disc(s) facet joint etc problem or other underlying structural problem deeper within and past the muscle issue. Unfortunately even most doctors don't understand this. So a massage and meds will only take us so far.Our muscles are in pain because they are working too hard to support our heads and protect the underlying structures that are injured.

If we have a structural problem in one area of the vertebra (disc, face t joint) due to poor posture for example often eventually the integrity of other parts of the vertebra So the massage therapy is not going to make up for the damages in the long haul unless it allows us to strengthen appropriately.


Well, funny you should say that, as I am in that exact situation, although I feel that there can be many instances when muscles alone are the problem.
While massage has been easing the muscle knots, the stretching and exercise routine seems to have aggravated them.
In my case this leads to my neck muscles then being drawn down, resulting in awful headaches.
Stretches, exercise and massage were prescribed to cure me.

I found a hard swelling in my left shoulder, so had it looked at by ultra sound today. Just the scapula, but it is a different shape to the other and the shoulder is a bit higher. Took x-rays to see if there is a bony growth.

Something is upsetting these shoulder muscles, as you suggest, and massage will not cure it.
Another instance of where you have to take charge of your medical process, not just leave it to others.

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

ButterflyPain's picture
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Joined: 08/09/2008
Posts: 225
Points: 450
Thanks guys!

I read all the comments.

I'm sorry we all have to go through this.
I can't decide if my problems stem from poor posture or if they are just in a never ending cycle because of poor posture or whatever.

All I know is that it hurts chronically and that isn't fun at all.

_____________

Findings:
There are no gross abnormalities at the upper three cervical interspaces or the cervical-thorasic junction. Disc desiccation without disc protrusion is noted at T1-2. The second and third thoracic interspaces are normal.
At C5-6, there is mild to moderate disc desiccation with a 2mm central disc protrusion with slight central stenosis.
At C6-7, there is more moderate disc desiccation with a 3mm central disc protrusion with mild central stenosis but no direct spinal cord compression.
There is no evidence of nerve root canal stenosis or nerve root impingement at any cervical level. All of the facet joints are normal. The cervical cord is normal. There is no fracture or dislocation. There are no intradural or paraspinous masses.

My Cervical X-ray said:
Findings
AP, both obliques, open mouth, and lateral views of the cervical spine revealed very minimal hypertrophic uncovertebral joints at C5-6. On oblique view there is a suggestion of minimal osteophyte formation and foraminal impingement at C5-C6, especially on the left side. No fracture is seen.
Lumbar Xray - L3 Mild Osteophyte formation, indicates : Lumbar disc disease.

Medications: Atenolol 25 mg, Soma 350mg, Lexapro 10mg, Klonopin .25 (when needed), Cymbalta 30mg, neurontin 300mg 1x a day, either tyl 3 or reg vicodin for pain.
Neck Pain on left side, on the back of neck, in between shoulder blade on spine, headaches, left arm and leg pain, sometimes numbness or burning, muscle spasms. Depression and Anxiety.

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Hi

Some people age better than others. 7 out of 10 people suffer from degenerative disks. Some young, some old. Some earlier, some later, in life. Then there are some that have suffered due to an injury. This is not uncommon & not any fun indeed, but find a doctor that you like & feel comfortable with. There are tons out there.

_____________

MsJulie

ButterflyPain's picture
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Posts: 225
Points: 450
aw

Zack wrote:
Some people age better than others. 7 out of 10 people suffer from degenerative disks. Some young, some old. Some earlier, some later, in life. Then there are some that have suffered due to an injury. This is not uncommon & not any fun indeed, but find a doctor that you like & feel comfortable with. There are tons out there.

Those are sad stats. I hope most people don't get pain from it.

_____________

Findings:
There are no gross abnormalities at the upper three cervical interspaces or the cervical-thorasic junction. Disc desiccation without disc protrusion is noted at T1-2. The second and third thoracic interspaces are normal.
At C5-6, there is mild to moderate disc desiccation with a 2mm central disc protrusion with slight central stenosis.
At C6-7, there is more moderate disc desiccation with a 3mm central disc protrusion with mild central stenosis but no direct spinal cord compression.
There is no evidence of nerve root canal stenosis or nerve root impingement at any cervical level. All of the facet joints are normal. The cervical cord is normal. There is no fracture or dislocation. There are no intradural or paraspinous masses.

My Cervical X-ray said:
Findings
AP, both obliques, open mouth, and lateral views of the cervical spine revealed very minimal hypertrophic uncovertebral joints at C5-6. On oblique view there is a suggestion of minimal osteophyte formation and foraminal impingement at C5-C6, especially on the left side. No fracture is seen.
Lumbar Xray - L3 Mild Osteophyte formation, indicates : Lumbar disc disease.

Medications: Atenolol 25 mg, Soma 350mg, Lexapro 10mg, Klonopin .25 (when needed), Cymbalta 30mg, neurontin 300mg 1x a day, either tyl 3 or reg vicodin for pain.
Neck Pain on left side, on the back of neck, in between shoulder blade on spine, headaches, left arm and leg pain, sometimes numbness or burning, muscle spasms. Depression and Anxiety.

User offline. Last seen 2 weeks 6 hours ago. Offline
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Posts: 67
Points: 134
neck first aide

Peter from what I've read and what I've experienced (exercise flaring up muscles we are trying to strengthen) we have to keep trying to strengthen the muscles that support our neck and head. Probably work with someone like a trainer or PT that recogizes the exercises that seem to flare us and then modify these exercises. But before we can start back up or try the modified exercises, we need to deal w/the flare. According to Dr Schofferman, ("What To Do With a Pain in the Neck: The Complete Program for Neck Pain Relief") we can perform his "neck first aide" which is very simple stretches, good posture, ice, lying on the floor every two hours w/a towel under the neck so the neck is in a neutralizing position, and other maneuvers and therapies. The whole idea behind "neck first aide" is to neutralize the neck. Anyway, I believe once the "flare" has been neutralized, its once again time to work towards strengthening. He has his own exercise suggestions in this book as well. So its not necessary to go to an expensive gym or be in PT to try to strengthen and work on better posture.I found his suggestion to keep the chin parallel to the floor, turn the whole body if possible when looking around, and use the upper part of the neck to look down---like a hinge, very helpful reminders.

I very much appreciate how difficult this delicate balance is between managing a flare and working on posture and strengthening whether we have surgry or not. It does seem sometimes either ourselves or the various professionals we're working with try to overly simplify the problem. For example, I recenty began attempting to work out at a Pilates studio. The trainer has convinced himself spine problems are related to muscles most the time. His logic being we have 600 some muscles and only 200 some bones in our bodies. Personally I think he's over simplified to benefit his business model. He's a so-called naturalpathic doctor so I guess I'm suppose to trust him! Anyway, we have to recognize ourselves that if we have a chronic problem its likely going to improve with a combination of passive and active therapies. I feel our job is to figure out which combination works for ourselves. Plus we have to recognize the cognitive errors in logic that run rampant and then question the logic or the overly simplification of the truth behind our pain problems.

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neck first aid

bridgie-WOW.
Nicely expressed and I fully agree.
With a flare, NOTHING gets done!

I think my physio has 'dumbed down' my treatment so I won't be discouraged from following it.
That may be a technique that works with most patients-who knows?
He was very excited about his ability to cure me but spoke so much he didn't leave enough time to show me all of the stretches and exercises.
They are all quite simple and I've done most before, but even so it should have been done.
Having been on it for 3 months now I have enough ammo to be able to see him and discuss it all in much more detail.

I know that I have to get muscle tone and strength back or the battle is lost.

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

KARMAGIRL's picture
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Posts: 29
Points: 58
tight muscles forever

well, I just wanted to say I have had tight muscles since about 1996, when i noticed that anyone who massaged me gave me relief, and that would last for a good 3 days or more. in 1999 a car accident, I also worked in retail all my life. in 2002 things got real bad, massages lasted only a couple hours, tried everything you all listed above. had surgery in 2008, 7 months ago. c4-6 fused, acdf, pain was horrible when i woke up. Had spasms all over my back. everyone had to press on my back in the recovery room. I cannot take pain killers or muscle relaxers, as the pain killers make me hyper, and muscle relaxers give me headaches believe it or not. anyway, I am back to severe headaches, muscles knots severe, that spread to the back of my shoulders where the armpits meet, it is so bad. botox injections work if the hit the correct spots. i love trigger point injections, if they hit the correct spots also, but they don't want to give me them hardly anymore because I have had so much cortisone put in my body. and I am addicted to those needles to break those stupid little worm like knots, that is all that works for me. If i did not have a man in my life who presses these knots daily for me I could not survive, before he came into my life, I was hospitalized for severe depression from this, because I could not take the pain or live, because I was unable to press on the knots myself, it has been horrible. I know I am stuck with this for life now. surgery did not work, and that was my last hope

_____________

PAULA, 3 C-SECTIONS 84-86-90, TORN CARTILIDGE KNEE, ARTHROSCOPIC SURGERY 2002, LEFT SHOULDER PAIN FOR 3 YEARS, SURGERY FOR BURSITIS, AND BONE SPURS,FOR THAT IN DEC 2004, NECK AND UPPER BACK PAIN FOR OVER 12 YEARS, CAR ACCIDENT 1999, FALL 2004, WORK, CONSTANT REPETITION, LIFTING, ECT. ACDF 10/22/08 C4-6 USED BONE BANK, TRIED ALL THERAPY BEFORE THIS SURGERY, NOTHING WORKED (ONLY TEMPORARILY) (chiro, accupuncture, pt, massage, cervical neck blocks, trigger point injections, botox injections, for neck and shoulder blades, ( muscle relaxers, pain meds, all made me sick,) always got headaches from those things,) god i wish i could take something, antidepressants, mood stabilizers, tens unit, ice, heat, neck traction unit at home, currently have tendenitis left elbow 4 yrs, bursitis, both shoulders now, and ddd, stenosis, and just had the acdf c4-6!! let's see what happens!!

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Muscle Knots

Another member here recommended a Theracane to me a couple of years ago. I ordered one and have used it regularly on my muscle knots. It allows you to get at those hard to reach spots yourself and still relax while using it. It's been a lifesaver for me.

I still do get regular massage when my pain allows it. There are days when I simply can't be touched- I'm sure many of you know the feeling. My opinion is that most anything is worth trying and whatever works, go for it!

Griff

_____________

1/07 ACDF C5-T1 with hardware, ended up with more spinal cord compression causing myelopathy which affects both my legs and arms
5/07 ACDF Revision All Hardware removed and partial corpectomies done on C5-T1, about 75% of each vertebrae removed and hardware replaced. Further spinal cord damage halted.
2/08 Thoracic Outlet Syndrome surgery- Both Anterior and Median Scalene Muscles removed as well as the first rib. Scar tissue removed as well and nerves wrapped to prevent more scar tissue from forming. Lost most of the use of my right arm. Still hoping for function to return.
All this caused by a battle with a semi. Apparently the semi won.
No use dwelling on it, right?

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tight muscles

Karmagirl, that sounds really bad, but don't give up. I think you have not yet found the right person to help you.
I wish you could be treated by my massage lady.
In her 4 years (and growing) of qualified training she did 6 months just on how muscles work and the problems they can have.
We always discuss muscle problems during my treatments, and I pick up a bit more knowledge each time.
The last 2 times she found my pectoral muscles were very tight and needed to be stretched. When they are tight they pull the shoulder forward, putting strain on the back and shoulder muscles. This then leads to my neck pain.
I did a bit of research aftewards and found an article titled:"Imbalanced shoulder muscle groups can lead to back and neck pain."
The comment below was : People who work long ours at a a computer are prone to to this this imbalance."
That's me, and probably everyone on this forum!
We discussed how many people expect to get cured from chronic muscle pain in just a few visits, and when this doesn't happen they class massage as a temporary benefit but nothing more.
In my case I've had this chronic pain problem for over 20 years, and THAT will not be cleared up in just a few treatments. I expect it to be many months.

So what I'm getting to is that you should find a really good, knowledgeable, trained, experienced, qualified and sympathetic remedial masseuse, and undergo a long series of treatments on a weekly basis.
No surgery or drugs, but you must give it time to unravel the knots and gently stretch the muscles.
Muscles have a memory and will revert back to what they were, so you have to keep up the stretching to re-educate them.
I hope you are able to do this as I'm sure it will be the right path for you.
May cost a bit, but what price a pain free life???

_____________

Peter
Cervical and lower spine arthritis, DDD; chronic neck and shoulder pain; sacroiliac joints lock up.
Facet joint injections; remedial massage.

Peter's Mosaics
http://picasaweb.google.com.au/mosaicman2004/Mosaics1@N08/

User offline. Last seen 15 weeks 1 day ago. Offline
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Points: 6
Tight shoulder muscles

Weekly very deep tissue massage helps me feel human. Stretching helps too. This stretch helps a lot:

Sit up straight in a straight back chair or on a bench.
Grasp the chair seat with both hands between your knees. Lean back with your head and eyes level and hold the stretch for 30 seconds.

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