Suggest Treatment For Persistent Neck Pain And Stiffness In Back

Posted on Tue, 29 Sep 2015

Question: hello sir
my age is 28 and i am suffering from anxiety disorder from last 6 years with permanent neck pain. I am taking homeopathy treatment from last two years some of my symptoms of GAD has already been minimized like Shortness of breath and Urge to urine again and again and etc but from last 6-8 month i have noticed that my back and neck pain is getting worse day by day. As i have consult to orthopedic but not getting relief.
Sir i have noticed whenever i am very tensed and stressed i felt start pain and stiffness all over my back and neck. i also feel inflammation also in my middle back and side muscles. My neck and back is always stiffed
i am always worried about future and for my health. Please tell me treatment which i can easily start from my city XXXXXXX UP XXXXXXX
please help

Answered by Dr. Seikhoo Bishnoi (21 minutes later)

Brief Answer:
Somatic symptoms of anxiety

Detailed Answer:
Hello thanks for asking from HCM for your XXXXXXX related queries

I can understand your concern. A lot of individuals with anxiety disorders and depressive symptoms have bodily symptoms also called as somatic symptoms. The rigidity and pain over back you are having are probably occurring due to persistent anxiety symptoms only.

In various studies on individuals with anxiety disorders low vitamin B12 levels are found in more thant 50% of individuals. So supplements containing vitamin B12 help to improve symptoms in most of individuals. You can start with Methylcobalamine tablets daily.

Apart from this some medicines like Gabapentin or Pregabalin can also help you. These medicines help to improve the symptoms of anxiety and will relieve pain also. Various combinations of Pregabalin with Methylcobalamine are available. So please visit a doctor and take proper prescription of these medicines. These medicines will help to reduce your symptoms.

Thanks, Take care. If you have more doubts please ask again.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Seikhoo Bishnoi (1 hour later)

hello doctor thanks for the reply, I need your help in controlling my anxiety symptoms as its getting worst day by day. I also feel drowsiness all day long even after getting good night sleep. it will be very kind of you if you prescribe medicine to me to control all these things if they have no side effects. this disease is ruining my life.
please help and guide.

Answered by Dr. Seikhoo Bishnoi (2 hours later)

Brief Answer:
Medicines and relaxation exercises will help to reduce anxiety.

Detailed Answer:
Hello again and thanks for asking a follow up

For relief of persistent anxiety symptoms you have to take anti anxiety drugs. Medicines like SSRIs as Escitalopram, Citalopram, Fluoxetine etc can be used. These medicines if used regularly will help to reduce the anxiety symptoms and will reduce the frequency of anxiety attacks. In most of individuals Escitalopram in 5-10 mg doses in morning help to relieve the symptoms. To supplement the actions of the drug start taking multivitamin and Pregabalin, I have mentioned in last answer.

You can take help of a doctor to get prescription of these drugs. Online prescriptions are not accepted by chemists in XXXXXXX so it would be difficult to us to prescribe you medicines.

Apart from this relaxation exercise, yoga, progressive muscle relaxation exercises etc also help to reduce the persistent anxiety. Daily exercise helps to keep anxiety away.

Thanks, Hope this helps. Take care

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Seikhoo Bishnoi (1 hour later)

thanks again doctor last but not the least I want to ask how long I can take Escitalopram and Pregablin and Methylcobalamine medicines to control my anxiety problem as my friend have medical shop I do not have problem to get these mesicines.
I will also start involving myself in other activities also like excercise, yoga swimming etc.
but for now I really need some immediate effect so please advice me for the same

Answered by Dr. Seikhoo Bishnoi (3 minutes later)

Brief Answer:
Drugs should be continued for about 3-6 months.

Detailed Answer:
Hello again and thanks for asking a follow up

Pregabalin will help in quick relief of anxiety. Use the drug for about 4 weeks and then taper the drug gradually.

Escitalopram will take time to show its effects. Start with low doses and then increase the dose after about 2 weeks. In most of the patients after remission of symptoms the drug should be taken for at least about 3-6 months. This will reduce the chances of relapse.

Thanks, Take care

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar