[20M] Experiencing left arm spasms and neck pain

Patient Description

A 20-year-old male is reporting involuntary spasms in the left arm, described as similar to those experienced from chills, occurring four times a day and lasting 20-40 minutes each. The spasms are primarily located in the shoulder and are accompanied by tingling sensations. There is no reported muscle weakness or difficulty in arm movement. The patient also experiences neck pain and stiffness, often cracking the neck. The patient has a history of Ehler-Danlos Syndrome, diagnosed at age 5, and is allergic to Aspirin. Current medications include Adderall (5 mg, three times daily), Zoloft (50 mg, once daily, started three weeks ago), and Buspirone (10 mg, twice daily). The patient uses weed daily and has recently consumed an energy drink containing caffeine. No recent changes in medication or new medications have been reported, except for the recent initiation of Zoloft.

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Arora's Assessment

What might be happening

Based on your symptoms and medical history, there are several possible explanations:

  • Muscle Spasms due to Ehlers-Danlos Syndrome (EDS): EDS is a group of inherited disorders that affect your connective tissues — primarily your skin, joints and blood vessel walls. People with EDS often experience muscle spasms and joint pain.

    • Treatment typically involves managing symptoms and preventing further complications. Physical therapy can often help to strengthen muscles and improve joint stability. Pain relief medications can also be used to manage symptoms.
  • Side Effects of Medications: Both Adderall and Zoloft can cause muscle spasms as a side effect. Adderall is a stimulant, and stimulants can cause muscle twitching or spasms. Zoloft, an antidepressant, can also cause muscle spasms as a side effect.

    • If you suspect your symptoms are due to your medications, it's important to discuss this with your doctor. Do not stop taking your medications without consulting your doctor first.
  • Cervical Radiculopathy: This is a condition where nerve roots near the cervical vertebrae compress or become inflamed, leading to symptoms like pain, numbness, or weakness in the shoulder, arm, or hand. Your neck pain and the fact that you often crack your neck could be related to this condition.

    • Treatment options include physical therapy, medications to reduce pain and inflammation, and in some cases, surgery.
  • Substance Use: Regular use of substances like weed, caffeine, and Adderall can affect your nervous system and potentially lead to muscle spasms.

    • If you suspect your symptoms are related to substance use, it may be helpful to reduce or eliminate use of these substances. However, it's important to discuss this with a healthcare provider, as withdrawal from certain substances can also cause health problems.

What you can do

  1. Consult your doctor: Given your medical history and current symptoms, it's important to discuss these symptoms with your doctor. They can provide a formal assessment and order relevant tests if necessary.

  2. Monitor your symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be helpful for your doctor.

  3. Stay hydrated and maintain a balanced diet: Proper nutrition and hydration can help prevent muscle spasms.

  4. Gentle exercise and stretching: Regular, gentle exercise can help to strengthen your muscles and reduce spasms. However, it's important to discuss any new exercise regimen with your doctor first, especially given your diagnosis of EDS.

What you should look out for

Seek immediate medical attention if you experience:

  • Severe pain
  • Muscle weakness
  • Difficulty moving your arm
  • Symptoms that are rapidly getting worse
  • Any other severe or concerning symptoms

Remember, while I strive to provide accurate and helpful information, I'm an AI and not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.

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9 mo ago


People Also Ask


Can Ehlers-Danlos Syndrome cause muscle spasms and joint pain?

Yes, Ehlers-Danlos Syndrome can cause muscle spasms and joint pain due to its effects on connective tissues. Management typically involves symptom relief and physical therapy to improve joint stability.


What are the potential side effects of taking Adderall and Zoloft together?

Both Adderall and Zoloft can cause muscle spasms as side effects. Adderall is a stimulant that can lead to muscle twitching, while Zoloft, an antidepressant, can also cause spasms. It's important to discuss any side effects with your doctor.


How can cervical radiculopathy be treated?

Cervical radiculopathy can be treated with physical therapy, medications to reduce pain and inflammation, and in some cases, surgery. A healthcare provider can recommend the best treatment based on individual symptoms.


Could daily use of weed and caffeine contribute to muscle spasms?

Yes, regular use of substances like weed and caffeine can affect the nervous system and potentially lead to muscle spasms. Reducing or eliminating these substances may help, but it's important to consult a healthcare provider to avoid withdrawal issues.

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