[27M] Experiencing upper back pain, neck stiffness, and insomnia

What might be happening

Based on the information you provided, here are a few possibilities:

• Musculoskeletal Pain: This is a common cause of upper back pain and can be due to poor posture, overuse, or strain of the muscles and ligaments in the back. This would be consistent with your description of the pain worsening with pressure and improving with running.

  • Treatment typically involves physical therapy, pain relievers, and exercises to improve posture and strengthen the back and neck muscles.

• Anxiety Disorder: You mentioned health anxiety and insomnia, which could be signs of an anxiety disorder. Anxiety can also cause muscle tension, which might contribute to your back and neck pain.

  • Treatment often involves a combination of therapy and medication. Cognitive-behavioral therapy (CBT) is particularly effective for health anxiety. Medications such as selective serotonin reuptake inhibitors (SSRIs) and benzodiazepines can also be helpful.

• Insomnia: Difficulty falling asleep and staying asleep can be a symptom of insomnia. This can be caused by a variety of factors, including stress, anxiety, and certain medical conditions.

  • Treatment typically involves improving sleep habits and addressing any underlying issues that may be causing the insomnia.

What you can do

1. For your back and neck pain, consider seeing a physical therapist who can provide exercises and stretches to relieve your pain and improve your posture. Over-the-counter pain relievers may also be helpful.

2. For your anxiety and insomnia, consider seeing a mental health professional. They can provide therapy and possibly medication to help manage your symptoms. In the meantime, try to maintain a regular sleep schedule, avoid caffeine and alcohol, and engage in relaxing activities before bed.

3. Try to stay active. Regular physical activity can help reduce anxiety and improve sleep.

What you should look out for

• If your pain becomes severe or is accompanied by other symptoms such as fever, weight loss, or numbness/weakness in your arms or legs, seek medical attention immediately.
• If your anxiety or insomnia worsens or begins to interfere with your daily life, seek help from a mental health professional.

Remember, I'm an AI and this advice is based on the information you provided. It's always a good idea to consult with a healthcare professional for an accurate diagnosis and treatment.