[29F] With chronic body aches and recent exercise-related neck pain

Patient Description

A 29-year-old female has been experiencing sharp body aches for the past two years, rated as 6 out of 10 in severity. The aches worsen with sitting and movement. The patient reports pain on the right side of the lower back when sitting for extended periods, occurring 1-2 times daily and lasting the entire day. Despite trying various methods for relief, including Tylenol PM, creams, and ibuprofen, the pain persists. The patient recently began a daily exercise routine, including walking and gym exercises, which has led to worsening symptoms and new pain from the left shoulder blade to the neck, starting about 20 minutes post-exercise. Medical history includes PTSD, bipolar disorder, ADHD, schizophrenia, ADD, and depression, diagnosed since age 3. The patient is allergic to penicillin, which causes hives. Current medications are taken twice daily for behavior problems, thyroid issues, and an STD, though the specific medications are not listed. The patient notes the presence of white and pink pills among their medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Muscle Strain or Overuse: Given your routine of lifting weights and exercising for 1 to 2 hours daily, it's possible that your body aches and pain in your lower back and shoulder blade are due to muscle strain or overuse. This can occur when muscles are pushed beyond their limits, leading to soreness and discomfort.

    • Treatment typically involves rest, reducing the intensity or frequency of exercise, and using over-the-counter pain relievers. Physical therapy may also be beneficial.
  • Poor Posture or Ergonomics: Sitting for long periods, especially with poor posture, can lead to lower back pain. This might be exacerbated by your exercise routine if proper form isn't maintained.

    • Treatment includes ergonomic adjustments, posture correction exercises, and possibly consulting with a physical therapist.
  • Underlying Medical Conditions: Your history of thyroid problems and the medications you take for various conditions could also contribute to muscle pain and fatigue. It's important to consider how these factors might interact with your current symptoms.

    • Treatment would involve discussing these symptoms with your healthcare provider to adjust medications or explore other underlying causes.

What you can do

  1. Modify Your Exercise Routine: Consider reducing the intensity or duration of your workouts. Focus on exercises that promote flexibility and core strength, which can help alleviate back pain.
  2. Practice Good Posture: Be mindful of your posture when sitting and during exercises. Ergonomic chairs or cushions can help support your lower back.
  3. Rest and Recovery: Allow your muscles time to recover by incorporating rest days into your exercise routine. Gentle stretching and relaxation techniques can also be beneficial.
  4. Symptom Tracking: Use MDandMe to journal your symptoms, track your progress, and share insights with your healthcare provider. This can help identify patterns or triggers related to your pain.

What you should look out for

  • Seek Medical Attention: If your pain persists, worsens, or is accompanied by other concerning symptoms, it's important to consult a healthcare professional. They can provide a formal diagnosis and recommend appropriate treatment.
  • Watch for New Symptoms: Be alert for any new or worsening symptoms, such as numbness, tingling, or weakness, which may require immediate medical attention.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and personalized treatment plan.

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1 mo ago

People Also Ask


What could be causing persistent body aches that worsen with movement and sitting?

Persistent body aches that worsen with movement and sitting could be due to muscle strain or overuse, especially if you have an active exercise routine. Poor posture or ergonomics while sitting can also contribute to these symptoms.


How can exercise routines contribute to muscle pain and what adjustments can be made?

Exercise routines, especially those involving weight lifting or high intensity, can lead to muscle strain or overuse, causing pain. Adjustments such as reducing the intensity or duration of workouts, focusing on flexibility and core strength exercises, and ensuring proper form can help alleviate pain.


What role does posture play in back pain, and how can it be improved?

Poor posture, particularly when sitting for long periods, can lead to lower back pain. Improving posture involves using ergonomic chairs, practicing posture correction exercises, and being mindful of maintaining proper alignment during activities.


How might underlying medical conditions and medications affect muscle pain and fatigue?

Underlying medical conditions like thyroid issues and the medications taken for various health problems can contribute to muscle pain and fatigue. It's important to discuss these factors with a healthcare provider to adjust medications or explore other potential causes.


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