I have muscle spasm in right shoulder with headache, vision problem, and hand tremors. Please help.

Question

Hi doctor,

I am 30 years old. About a month ago, I had a heavy bag on my right shoulder. A few days later, I noticed that the muscle started to spasm in my shoulder along with pain radiating into my head with tension headaches and at the top of my head. I have tried massages, heat, and cold therapy. Nothing seems to be working. Also, with this it seems to have impacted my vision since the onset of it. I have been experiencing some sensitivity to light and not being sble to focus in on things. A few days ago, I started taking Buspar anxiety medicine. I have been expeiriencing some tremors in my left hand in a resting state and sometimes feels as if the bed is shaken.

I am currently on Lisinoprol 10 mg, and I have done cervical spine and MRI along with CT scan.

Answer 1

Hello,

Welcome to icliniq.com.

Your symptoms are suggestive of local inflammation of occipital nerve. I recommend taking Indomethacin twice daily for a week. I do not think that the troubles with vision are related to shoulder pain, but the psychological stress could explain them.

Regarding the tremor, it could be related to anxiety or Buspar (Buspirone hydrochloride) adverse effects.

For this reason, I would recommend trying Gabapentin to help improve your situation and Propranolol 40 mg daily would be helpful for the tremor. But, first, I would recommend checking thyroid hormone levels, vitamin B12, and vitamin D plasma levels for the possible deficiency.

I hope this helps.