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Neck and back pain
Unable to sleep due to pain in upper back and neck pain wakeup in midnight from 5 years consult neurologist they give gabapentin but no effect
Answers (11)
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Likely mechanical postural dysfunction or myofascial pain syndrome (very common in young males due to tech use, prolonged sitting, poor posture, lack of ergonomic awareness).
Possibility of cervicogenic headache, trigger points, or nerve entrapment not resolved by neuropathic medication alone.
Next Steps
Orthopedic Pillow & Sleep Posture Correction
Limit screen time before sleep, do light stretches
Stress management breathing, light activity
If no improvement in 4 weeks → Cervical X-ray/MRI needed
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Clear diagnosis & proper treatment given
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Hi Dear,
I would suggest consult physiotherapist for proper assessment of your neck & back with prescription and other medical documents.
As per their advice follow the precautions.
Next Steps
Do Exercise and modalities as per their suggestions, which includes strengthening & stretching exercises as well
Health Tips
Do not give stress to neck, shoulders & back.
Sit with cushion in support & take thin pillow while sleeping & do not lift heavy weight.
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You must be having bad posture due to prolonged sitting
Next Steps
Consult Online or visit nearby physiotherapist
Health Tips
Use table and Chair while working on laptop
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Consult back online, it's needs proper assessment to get proper treatment.
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Please consult online for better assessment and diagnosis
Next Steps
Use moist heat fermentation
Health Tips
Maintain posture
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Dr. Steephan John (PT)
Physiotherapist
6 yrs exp
Bangalore
kindly get an proper assessment and exercise programmed with near by physiotherapist
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Dr. Shivani Taywade
Physiotherapist
5 yrs exp
Bangalore
1. Gabapentin is not effective for chronic upper back and neck pain, especially if the pain is not neuropathic.
2. Sleeping position can significantly impact neck and upper back pain. Use a pillow that supports the natural curve of your neck.
3. Physical therapy is often effective for chronic neck and upper back pain.
Next Steps
Persistent pain for five years warrants a thorough evaluation.
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Dr. Avijit Das (PT)
Sports and Musculoskeletal Physiotherapist
4 yrs exp
Kolkata
Hi please take an online consultation for best diagnosis and treatment.
Next Steps
Maybe Postural issue.
Health Tips
Do you work in front of a laptop for a long time.
please let me know.
I need more information about your regular posture.
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Dr. Jacob Roshan Mathew (PT)
Physiotherapist
21 yrs exp
Bangalore
Take a second opinion (neurologist) Do MRI scan if recommended. As this would rule out any non musculoskeletal reasons for the pain.
Try physiotherapy once you have ruled out other causes
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Ms. Shefali Gandotra (PT)
Physiotherapist
20 yrs exp
Jammu
Please consult online. You may need some life style changes
Next Steps
Moist heat fomentations
Health Tips
Avoid forward, bending
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