[18F] Experiencing widespread nerve pain and muscle spasms

Patient Description

An 18-year-old female reports experiencing widespread and quick bursts of nerve pain throughout her body since October 2022, with an increase in frequency and severity over the past four months. The pain is described as shooting and migratory, leaving an achy sensation. Additionally, she has been having muscle spasms in her torso and legs for the past two weeks, described as a rippling sensation, and periodic painful back spasms that started about a year ago, which are severe enough to restrict movement and breathing for a few seconds. The patient also experiences occasional severe, short-lived headaches and episodes of numbness in the legs and feet, with occasional leg locking and limping after sitting. She takes D-Evail daily for a vitamin D deficiency, started one month ago, and has no known medication allergies. There is no family history of neurological disorders, no recent injuries, and no recreational or non-prescribed drug use reported.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Fibromyalgia: This is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It is often considered when there are multiple areas of the body with pain and no other clear cause. The pain is often described as a constant dull ache, typically arising from muscles.

    • Treatment for fibromyalgia often involves a combination of medications, exercise, stress-management measures, and healthy lifestyle habits.
  • Neuropathy: This is a condition that affects the nerves in your body, causing pain, numbness, and weakness. It can be caused by a variety of factors, including vitamin deficiencies, diabetes, and certain medications.

    • Treatment for neuropathy often involves managing the underlying cause and relieving symptoms with medications.
  • Myofascial Pain Syndrome: This is a chronic pain disorder that affects the muscles and the sheath of the tissue — called the fascia — that surround the muscles. Symptoms can include deep, aching muscle pain that persists or worsens, and a tender knot in a muscle.

    • Treatment typically involves medications, physical therapy, and trigger point injections.

Remember, these are just possibilities and not a definitive diagnosis.

What you can do

Here are some general suggestions that might help you manage your symptoms:

  1. Regular exercise: Regular physical activity can help reduce pain and improve your overall health. Start slow and gradually increase your activity level.
  2. Healthy diet: Eating a balanced diet can help ensure you get all the nutrients your body needs to function properly.
  3. Stress management: Techniques such as deep breathing, meditation, yoga, and tai chi may help reduce your symptoms.
  4. Over-the-counter pain relievers: Non-prescription medications like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB) might help with your pain. Always follow the instructions on the label and ask your pharmacist if you have any questions.

What you should look out for

You should seek immediate medical attention if:

  • Your symptoms significantly worsen
  • You experience sudden, severe pain
  • You have difficulty walking or moving
  • You experience loss of bladder or bowel control

Please remember that while I strive to provide accurate and helpful health information, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examinations, treatment, testing, and care recommendations.

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9 mo ago


People Also Ask


What are the common symptoms of fibromyalgia?

Common symptoms of fibromyalgia include widespread musculoskeletal pain, fatigue, sleep disturbances, and cognitive difficulties. Patients often describe the pain as a constant dull ache that affects multiple areas of the body.


How can vitamin D deficiency affect nerve pain?

Vitamin D deficiency can contribute to nerve pain by affecting nerve health and function. Adequate levels of vitamin D are important for maintaining nerve health, and deficiency may exacerbate symptoms of neuropathy or other nerve-related conditions.


What are the treatment options for neuropathy?

Treatment options for neuropathy typically focus on managing the underlying cause and relieving symptoms. This can include medications such as pain relievers, antidepressants, or anticonvulsants, as well as lifestyle changes, physical therapy, and addressing any vitamin deficiencies.


How can stress management techniques help with muscle spasms?

Stress management techniques such as deep breathing, meditation, yoga, and tai chi can help reduce muscle tension and spasms by promoting relaxation and reducing the body's stress response, which can contribute to muscle pain and spasms.


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