TeenHealthFX - Answers - Back Problems

Aches & Pains / Question
Published: December 10, 2001

Dear TeenHealthFX,

I have horrible upper back pain. For the last three years, my shoulders and neck have been incredibly tense causing a lot of pain. I've tried traditional drugs such as Tylenol, and Ibuprofen, but nothing has helped. My physician also prescribed some muscle relaxant, but that didn't seem to help either. I've been told it's stress, but even when I'm not stressed, I'm still tense! Please help me!

Signed: Back Problems

Dear Back Problems,

TeenHealthFX is glad that you have consulted your doctor about this. Back and neck pain is not only painful physically, but can become emotionally painful and stressful too. It may be time for you to get a second opinion, preferably from a doctor who specializes in back pain like an orthopedist or physiatrist (a doctor specializing in physical medicine and rehabilitation). It is always important to try and determine exactly what is causing your pain. A specific diagnosis leads to a specific treatment plan and the best outcome. If there is no structural problem involving your spine or muscles, it may be that stress is a major factor contributing to your symptoms. It is important that you be under the care of a doctor even if you do find out that your problem is stress related. Usually, a balanced program of strengthening, stretching and aerobic exercise as well as paying attention to proper posture and body mechanics will reduce or eliminate chronic neck and back problems. Sometimes physical therapy, manual therapy like chiropractic or osteopathic treatment, or acupuncture can provide relief even if medications don't help.

As far as being stressed goes...everyone's life is filled with many day to day stresses. Not know what's wrong with your back could be stressing you out. Stress can make your muscles tense and your back and shoulder pain worse and it can cause or increase many other undesirable physical symptoms. Being stressed out constantly is not a good condition for your body to be in. Too much stress, or stress not managed correctly, can overload our bodies in different ways - for you it may build up in your back and should muscles. Unfortunately, common pain reliever do not cure stress - stress will always be present and is something that needs ongoing management. Fortunately, there are ways to reduce your negative stress levels. Check out TeenHealthFX's answer to I.M. Stressed. It has information on positive ways to change your lifestyle in order to help manage stress.

Again, TeenHealthFX feels that it is very important for you to see a doctor about this. If you need a doctor specializing in back pain, please call you local hospital. If you live in northern New Jersey, please call the Adolescent/Young Adult Center for Health at 973.971.6475.

Signed: TeenHealthFX