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Dear Ask The Doctor: I've been having extreme aching pains in my back and neck, and chest. It started with a stabbing pain in my lung roughly 3 weeks ago and has progressed and only gotten worse. I've been to the hospital 3 times, and got different diagnosis's each time. If i apply pressure to my back, or specific points on my body it hurts quite a lot, and i get quiet bad muscle spasms. If I touch my skin, it feels kind of like it's burnt. I have a headache to go along with it, and I cant seem to get any sleep. The pain in my back and chest and back never goes away, but it differs in severity.Although lately, I've been waking up and it's just worse than it was the previous morning, and the pain has spread over the last week and a half, it used to only be my left side that hurt.
Dear Tarranrae:
Fibromyalgia is more common in adults, but approximately 1%-7% of children and teenagers may be affected. It is difficult to diagnose it because there are no tests to do so, then you have to pay attention to symptoms like: sore spots in the muscles (tender points), aches and pains for at least three months, fatigue, sleeping problems, anxiety and depression, dizziness, memory problems. I recommend you to get a consultation with a Pediatric Rheumatologist; also a psychologist and a Physical therapist are very useful. The treatment options include: medication (like “Cymbalta”) may be used and there is no established age limit to take it, the problem is that the effects (safety and effectiveness)of those medications (most of them are anti depressants)in children and teenagers are not well studied and on the other hand fibromyalgia is more common in women over 18 years old. You will benefit of Cognitive Behavioral Therapy which helps you to learn what triggers the pain so you can cope with it, also muscle relaxation and stress management techniques like meditation. The exercise may help you too, because the more active you are the less pain and depression you have, to learn an exercise routine you can use a Physical Therapist to teach you. So, in summary try to get enough rest, practice a consistent exercise routine, keep yourself active and learn techniques that relieve your stress. You may consult another doctor for a second opinion, that’s up to you. |