[58F] With persistent upper middle back pain post-car accident

What might be happening

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

• Muscle Strain or Sprain: Given that the pain started after sleeping and worsens with certain movements, it is possible that you have strained or sprained a muscle in your upper back. This can happen from awkward sleeping positions or sudden movements.

  • Treatment: Muscle strains or sprains typically improve with rest, ice or heat application, over-the-counter pain relievers, and gentle stretching exercises.

• Referred Pain from Previous Injury: Since you have a history of back issues from a previous car accident in 2019, it is possible that the current pain is related to that injury. Sometimes, old injuries can flare up due to changes in activity or posture.

  • Treatment: Similar to muscle strain, rest, ice or heat, and pain relievers can help. Physical therapy may also be beneficial to strengthen the muscles around the injured area.

• Medication Side Effects: Some medications, including those you are taking, can cause muscle pain or discomfort as a side effect. However, this is less likely given the specific nature of your pain.

  • Treatment: If you suspect medication side effects, consult your doctor before making any changes to your medication regimen.

What you can do

While it is important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some steps you can take to alleviate your symptoms:

1. Rest and Avoid Strain: Try to avoid activities that exacerbate the pain. Resting the affected area can help reduce inflammation and promote healing.
2. Apply Heat or Ice: Use a heating pad or ice pack on the painful area for 15-20 minutes several times a day. Heat can help relax muscles, while ice can reduce inflammation.
3. Over-the-Counter Pain Relievers: Medications like Tylenol (acetaminophen) or NSAIDs (e.g., ibuprofen) can help manage pain and reduce inflammation.
4. Gentle Stretching: Engage in gentle stretching exercises to maintain flexibility and prevent stiffness. Avoid any movements that cause pain.
5. Maintain Good Posture: Ensure that you maintain good posture, especially while sitting or sleeping, to avoid further strain on your back.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Severe or Worsening Pain: If the pain becomes severe or continues to worsen despite self-care measures.
• Numbness or Tingling: If you develop numbness, tingling, or weakness in your arms or legs.
• Difficulty Moving: If you have difficulty moving or performing daily activities.
• Fever or Chills: If you develop a fever (temperature over 100.4°F) or chills, which could indicate an infection.
• Unexplained Symptoms: If you notice any other unexplained symptoms or changes in your health.

Remember, while these suggestions can help manage your symptoms, it is important to consult a healthcare professional for a formal diagnosis and appropriate treatment.