[38F] Experiencing severe back spasms and arm numbness

Patient Description

A 38-year-old female reports severe muscle spasms in the back when standing or walking, which have been ongoing for a week. The spasms are relieved by sitting down or leaning over a table. The patient recently engaged in heavy lifting, which may have contributed to the symptoms. Additionally, she experiences constant numbness and tingling in both arms, accompanied by shooting pains that wake her at night. These symptoms also occur when sitting or walking. The patient reports weakness in the arms and difficulty gripping objects, changes in walking and balance, headaches, changes in vision, dizziness, and loss of coordination. She has a history of a herniated disk and arthritis in the lower back and hips. The patient has not had recent imaging tests. She has been using tobacco for 20 years, about a pack a day. Chronic conditions include fibromyalgia, acid reflux disease, trouble swallowing, a mass in the right kidney, and arthritis. No current medications reported.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

  1. Lumbar Radiculopathy: The severe muscle spasms in your lower back and the numbness and tingling in your arms could be related to nerve compression or irritation, possibly due to a herniated disc or arthritis in your spine. This condition can cause shooting pains, weakness, and changes in sensation.

  2. Cervical Radiculopathy: The numbness, tingling, and shooting pains in your arms, especially when lying down, could be due to nerve compression in your neck. This can occur if there are degenerative changes or a herniated disc in the cervical spine.

  3. Fibromyalgia: Given your history, fibromyalgia could be contributing to your overall pain and fatigue. This condition is known for causing widespread pain and can exacerbate other musculoskeletal issues.

  4. Muscle Strain or Spasm: The recent heavy lifting could have caused a muscle strain or spasm in your back, leading to the severe pain you're experiencing.

Typical treatments for these conditions may include physical therapy, pain management strategies, and possibly imaging tests like an MRI to better understand the underlying cause.

What you can do

For Back Spasms and Arm Numbness:

  • Seek Medical Attention: It's important to consult with a healthcare provider to evaluate your symptoms further. They may recommend imaging tests or refer you to a specialist.
  • Rest and Modify Activities: Avoid activities that exacerbate your symptoms, such as heavy lifting or prolonged standing.
  • Pain Relief: Over-the-counter pain medications like ibuprofen or acetaminophen may help alleviate some discomfort. Be sure to follow dosing instructions.
  • Physical Therapy: A physical therapist can provide exercises to strengthen your back and improve flexibility, which may help reduce symptoms.

For Fatigue:

  • Sleep Hygiene: Try to maintain a regular sleep schedule and create a comfortable sleep environment to improve the quality of your rest.
  • Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share insights with your healthcare provider.

What you should look out for

  • Worsening Symptoms: If you experience increased weakness, loss of coordination, or changes in bowel or bladder function, seek medical attention promptly.
  • Severe Pain: If your pain becomes unmanageable or significantly impacts your daily activities, consult a healthcare provider.
  • Breathing Difficulties: Given your tobacco use and changes in breathing, monitor for any worsening respiratory symptoms and seek care if needed.

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

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1 mo ago

People Also Ask


What could be causing severe muscle spasms in the back when standing or walking?

Severe muscle spasms in the back when standing or walking could be caused by nerve compression or irritation, possibly due to a herniated disc or arthritis in the spine. Muscle strain or spasm from recent heavy lifting could also be a factor.


Why might someone experience numbness and tingling in their arms, especially at night?

Numbness and tingling in the arms, especially at night, could be due to cervical radiculopathy, where nerve compression in the neck leads to these symptoms. It can also be related to poor posture or pressure on nerves during sleep.


How can heavy lifting contribute to back pain and muscle spasms?

Heavy lifting can strain the muscles and ligaments in the back, potentially leading to muscle spasms and pain. It can also exacerbate existing conditions like herniated discs or arthritis, increasing the risk of nerve compression.


What are some potential treatments for lumbar and cervical radiculopathy?

Treatments for lumbar and cervical radiculopathy may include physical therapy to strengthen muscles and improve flexibility, pain management with medications, and possibly imaging tests like an MRI to assess the extent of nerve compression. In some cases, surgical intervention may be necessary.


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