What is the treatment for continuous deep pain and stiffness in the chest, upper back, shoulder, and neck?

Question

Hi doctor,

I am a 26-year-old with continuous deep pain and stiffness in my chest, upper back, shoulder, and neck. Further, I feel discomfort and tightness in the skull and forehead area. Likewise, I feel sensations in my brain also. I have visited many doctors, like an orthopedic, rheumatologist, neurologist, and even a psychiatrist.

Now I am in treatment with a psychiatrist. But I am not feeling progress. It has been more than a year. Some doctors say fibromyalgia, and others told me that I have anxiety, depression, with tension headache, and some also say somatoform disorder.

My blood test and all reports are normal. This suffering started just after the death of my beloved father. I want to be cured as soon as possible.

Please help me.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern.

I am sorry about your father, and you may have a tension-type of headache with somatization. There is non-pharmacological management for it, and you should try to follow the below guidelines to deal with it. It will help you.

It would be best if you exercised 30 to 45 minutes daily, like at least going for a walk.
You should do meditation for 20 minutes daily, sit at one place in a comfortable position, and try to concentrate on your normal breathing, do not stop or force yourself to control your thoughts. Just let it be. It will reduce your pain and relax you.
You should eat healthy home-cooked food and avoid junk food.
You must drink enough water and spend quality time with friends and family daily.
It would help if you spent time on creative hobbies like reading good books, writing journals, painting, drawing, and learning new skills or language or musical instruments.
You should take enough seven to eight hours of sleep daily and must avoid tobacco or alcohol, or any substance abuse.
Live your life, do not just spend it. Be bold and confident.

I suggest you take Amitriptyline 25 mg at night after dinner and must do the complete blood count and follow-up within one week. Consult your specialist doctor, discuss with them, and take medications with their consent.

I hope that you get your answer.

Thank you.