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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should A Smoker In Stress Be Worried About Neck Tightness And Pain In The Upper Back In Between The Shoulders?

I have this tightness in my neck and a deep pain in my upper back between my shoulders blades I am a 47 year old female who smokes at least 3 or 4 cigarettes per day. Lately I have experienced a great deal of stress and rarely exercise. Should I be worried?
Mon, 3 Mar 2014
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General & Family Physician,  's  Response
Hello dear,

The tightness in neck & deep pain in upper back can be attributed to:
1. Stress induced Gastritis/ GERD
2. Musculoskeletal pain
3. Cardiovascular pathology
4. Upper respiratory tract infection

Investigations like X ray of chest & Electrocardiogram should be done to rule out any Respiratory & Cardiovascular etiology for the symptoms.

Symptomatic relief can be obtained with application of analgesic+ muscle relaxant gel, intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals).

And it is also needed that you take certain precautions regarding your diet & lifestyle, such as:
1. Take soft, plain, non-spicy foods
2. Drink lots of water to maintain adequate hydration
3. Avoid fast foods & gas producing food products like cabbage, etc.
4. Avoid smoking & alcohol.
5. Keep away stress, think positive.

Wishing a good health.
Take care.
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Should A Smoker In Stress Be Worried About Neck Tightness And Pain In The Upper Back In Between The Shoulders?

Hello dear, The tightness in neck & deep pain in upper back can be attributed to: 1. Stress induced Gastritis/ GERD 2. Musculoskeletal pain 3. Cardiovascular pathology 4. Upper respiratory tract infection Investigations like X ray of chest & Electrocardiogram should be done to rule out any Respiratory & Cardiovascular etiology for the symptoms. Symptomatic relief can be obtained with application of analgesic+ muscle relaxant gel, intake of Pantoprazole preparation (to be taken twice a day before meals) & antacid gel (to be taken after meals). And it is also needed that you take certain precautions regarding your diet & lifestyle, such as: 1. Take soft, plain, non-spicy foods 2. Drink lots of water to maintain adequate hydration 3. Avoid fast foods & gas producing food products like cabbage, etc. 4. Avoid smoking & alcohol. 5. Keep away stress, think positive. Wishing a good health. Take care.