just wanting an opinion as to whether i should call my pm or not. my situation is progressively getting worse since my last visit pain tingling in the middle to lower back and arms inability to move at night lack of sleep headaches numbness and tingling in the back of my head and neck shoulders and hands. pain level hitting a 7-8 and worse some days. muscle spasms and tightness in the middle to lower back and a constant shaking of my head which i attribute to muscle weakness in the neck but very irritating. Pain gets so bad at times i get sick to my stomach and mean very very mean. i dont mean to i just cant stand people being around me talking to me or touching saying you okay. well no im not okay leave me alone is what i want to tell them but i dont. HELP!!! anyone else have this shaking. I know these responses are only opinions and wont take them as medical advice.