OpenHealth Q&A

Seeking Clarity on Persistent Neck and Back Spasms

Hello, I’m a 23-year-old female experiencing severe neck and back discomfort for the past two years. It all began two years ago in 2024, during my menstrual cycle when, for the first time, I encountered pain at the base of my skull that radiated to my neck. The discomfort subsided once my period ended, leading me to believe they were linked. However, the pain returned persistently, usually manifesting as neck pain that culminated in intense headaches. While I have a history of migraines, this pain felt distinct. I tried over-the-counter medications like Excedrin and Tylenol, but nothing provided relief. The only thing that alleviated my discomfort was using a massager on the base of my skull. Unfortunately, at that time, I could not afford to see a doctor due to lacking insurance. Over the next year, the pain would intermittently reappear. Eventually, I also started feeling discomfort in my shoulders, which seemed to exacerbate the neck pain. In December 2025, I finally obtained insurance and sought help at an urgent care facility. There, the physician diagnosed me with back spasms and indicated that my headaches were cervicogenic in nature. She advised me to stretch and prescribed Flexeril and ibuprofen, which for once, actually provided some relief. In January 2026, I scheduled a follow-up appointment with my primary care doctor. She suggested that the spasms could stem from multiple sources, noting significant stiffness in my neck during the examination. She prescribed anti-anxiety medication alongside continuing Flexeril. The doctor suggested that both stress and a nutritional deficiency might be contributing factors. Following this, I underwent blood tests that showed normal levels of iron and vitamin B12 but revealed slight deficiencies in potassium and vitamin D. Consequently, I started taking a prescribed weekly vitamin D supplement. By February, my condition had improved significantly, and I noticed a reduction in stress. I began using a heating pad on my neck and back each night, which helped with the decompression of my back. Although the pain did not completely vanish, it became more manageable. However, entering March, my spasms and discomfort intensified. For the past week, I’ve consistently woken up with a tender neck and a headache, a situation that persists into bedtime. Bending over exacerbates the pain, leaving me with no reprieve, feeling as if there's a constant crick in my neck. After revisiting urgent care, I received a Toradol injection, which provided some relief but didn’t eliminate the discomfort entirely. Additionally, I was prescribed sumatriptan for the headaches, which has proven effective; however, it does nothing for the neck pain. Last night, I treated myself to a massage and experienced a remarkable change — this morning marked the first time I woke without severe stiffness or head pain. While my neck is still slightly stiff, it’s a noticeable improvement. I have another appointment with my doctor next week about the spasms and headaches, and I'm unsure what to discuss with her, as I want thorough answers and solutions that go beyond merely prescribing muscle relaxants or painkillers. I'm eager to resolve this issue. As for my general lifestyle, I maintain an active routine, engaging in dance and jogging regularly. My diet is reasonably healthy; I consume ample vegetables but could incorporate more fruits, and I stay hydrated throughout the day. During the summer months, I swim nearly every day. I was diagnosed with anemia two years ago, but my blood tests this year have indicated normal levels of iron, vitamin B12, and blood cell counts. I would appreciate any insights on what might be causing my symptoms. What topics should I raise with my doctor, and are there specific tests I should consider requesting?

Answers (1)

3/3/2026, 5:11:27 PM

OpenHealth AI

It's clear you're experiencing a challenging combination of neck and back discomfort along with headaches, and I'm glad you've reached out. Your symptoms suggest a complex interplay of muscular tension, possible stress factors, and your menstrual cycle. It’s great to hear that certain treatments, like massage and muscle relaxants, have provided some relief. Here’s what I suggest you focus on for your upcoming doctor's appointment and additional self-care measures you can take:

Main Points:

1. Understand your pain's origins: The neck and back discomfort may be exacerbated by stress, muscle tension, and possibly postural habits or hormonal factors.
2. Keep track of your symptoms: A detailed symptom diary can help your doctor pinpoint patterns and triggers.
3. Prepare for your doctor’s visit: Discuss potential long-term strategies and consider lifestyle modifications alongside medical treatments.

Explanation:

Your recurrent symptoms could be related to several factors:

• Cervicogenic headaches are often linked to neck issues and can be exacerbated by muscle spasms.
• Stress and anxiety can contribute to muscle tension, worsening pain.
• Postural issues, particularly with activities like dancing or jogging, may put additional strain on your neck and back.

Since you've already experienced relief with certain treatments, like Flexeril and Toradol, it’s essential to build upon those.

Next Steps:

1. Keep a Symptom Diary: For at least a week, note when your pain occurs, its intensity, activities before it starts, and any other symptoms (like headaches). This information can provide valuable insights for your doctor.

2. Discuss with Your Doctor:

   • Potential and current treatments: Ask whether alternatives like physical therapy could be beneficial. They can offer tailored exercises and techniques for pain management and muscle tension relief.
   • Explore other causes: Inquire about conditions that might be contributing, such as myofascial pain syndrome or even postural assessments to understand how your routine might be impacting your pain.
   • Nutritional and lifestyle factors: Since stress could be a component, explore how you might integrate stress reduction techniques, such as yoga or mindfulness practices.

3. Continuing Physical Activity: Since you maintain an active lifestyle, consider adding gentle flexibility-focused routines like yoga or Pilates, which can improve neck and back stability and relaxation.

4. Regular Massage Therapy: Since you've noted significant changes post-massage, establishing a regular schedule with a qualified massage therapist experienced in treating chronic pain could be beneficial.

5. Hydration and Nutrition: Continue your balanced diet, and ensure you're meeting your potassium and vitamin D needs, as these nutrients are important for muscle function.

Be patient with the process, as managing chronic discomfort can take time. Your proactive approach—seeking help and being willing to explore solutions—is an important step towards finding relief. Don't hesitate to express your concerns clearly during your appointment; your health is a priority.