[43F] Experiencing heightened anxiety with muscle pain and lightheadedness

What might be happening

Based on your symptoms, you may be experiencing:

• Muscle Tension: This is a common symptom of anxiety and stress. When you're anxious or stressed, your muscles may tense up, which can lead to aches and pains. This could explain the aching in your shoulders, neck, and upper back.

• Anxiety Disorder: Given your long history of anxiety and recent increase in symptoms, it's possible that you're dealing with an anxiety disorder. Anxiety disorders are characterized by excessive and persistent worry and fear about everyday situations. Physical symptoms such as fast heart rate, rapid breathing, sweating, and feeling tired may occur.

• Temporomandibular Joint (TMJ) Disorder: This condition affects the joint that connects your jaw to the side of your head. It can cause pain in your jaw, as well as clicking or popping sounds when you move your jaw. Stress and anxiety can make TMJ symptoms worse.

• Side Effects of Medication: Anastrozole and Gabapentin, the medications you're taking, can sometimes cause side effects like muscle and joint pain, as well as feelings of anxiety or unease.

Please note that this is not a definitive diagnosis. It's important to consult with a healthcare provider for a formal evaluation.

What you can do

Here are some suggestions that may help manage your symptoms:

1. Stress Management: Techniques such as deep breathing, meditation, and yoga may help reduce your stress levels and, in turn, your muscle tension.

2. Physical Therapy: This can help address muscle tension and pain. A physical therapist can provide exercises and stretches that target your neck and upper back.

3. Regular Exercise: Regular physical activity can help reduce anxiety and improve mood. Aim for at least 30 minutes of moderate-intensity exercise most days of the week.

4. Speak with your doctor: If your symptoms persist or worsen, it's important to speak with your doctor. They may suggest changes to your medication or refer you to a mental health professional for further evaluation and treatment.

What you should look out for

Seek immediate medical attention if you experience:

• Severe pain that doesn't improve with rest
• Difficulty moving your neck or shoulders
• Difficulty swallowing or opening your mouth
• Severe anxiety or panic attacks
• Thoughts of harming yourself or others

Remember, it's important to consult with a healthcare provider for a formal evaluation and treatment.