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    horrible back pain after waking up
    mrguy123 posted:
    I've had this problem for a few weeks now and it seems pretty bizarre to me. I have very bad back (and often chest) pain when I first wake up. This is a very sharp, very intense pain that hurts when I 'clench' my muscles. It is difficult to breathe as that seems cause a stretching pain. The odd thing about this is that it will go away after an hour or so of being up. All evidence of me ever hurting has vanished. I feel fine throughout the day. I only worry about it because of the intensity of the pain while it's here. This kind of pain brings tears to my eyes and I struggle to even take breaths. I've tried several different sleeping surfaces, pillows, etc. I've even had people to check on me periodically throughout the night to be sure I don't sleep in weird, awkward positions. I really don't know what this could be. Thanks for the help
    freedom1960 responded:
    I would get this checked out because it may not be your back at all! It could be(and I'm not trying to scare you) your heart. I doubt it and it is probably your back, but I'd still get checked out. Since the pain is only there upon waking and you otherwise have NO pain, I would get that checked out, and sooner rather than later.

    Louise_WebMD_Staff responded:
    You should get this checked out by your doctor. It could be any number of things including allergies and asthma. Our Back Pain Support Group might have some experiences with morning back pain as well.
    revjulian responded:

    I hope you find out what the problem is too. For the last few days I have been waking up around 3AM or 5AM with sharp back pains that shoot through my upper back when I move or turn over. However, as soon as I wake up and am mobile, I have no problems the rest of the day. For three weeks now I have had a very bad cough that I feel may have pulled a muscle in my back or something. If this does not improve soon, I will be going to see my doctor.... I need my sleep. Unlike you, I haven't experienced any chest pain.
    Indie_CooperGuzmanRN responded:
    Hello and welcome. How are you doing now? Do you continue to have those sharp pains and trouble breathing when you first get up in the morning? If so, then definitely get this evaluated. You mention you have a bad back. How do you get up? Do you roll onto your side and push yourself using your arm, elbow, hand? or do you get up as if you were doing a sit-up? Do you ever feel a burning in your chest or abdomen? Do you hold your breath when you are in the process of getting up? I look forward to talking with you again soon! Indie
    Rainypm responded:
    Mrguy123 - I know exactly what you're talking about, and you've explained it better than I've ever been able to. I've been experiencing this exact thing for years. It hurts to breathe, to move, or just to lie there. I dread mornings. I have been to a few doctors and they blame it on weight or spinal issues but they're vague and nothing they've suggested has done anything to ease the pain. One doctor suggested fibromyalgia, but I still don't know if these symptoms really seem to fit that.

    I've only found a very few things that help, and those only minimally. One is if I change positions frequently during the night. Another is if I actually get up during the night and walk around for a bit. The worst pain follows nights where I slept in the same position all night. Sleeping partly upright in an easy chair seems to help too. The strangest thing to me is how fast the pain disappears. For me it's gone within about 10 minutes of getting up and moving around.

    Please let us know if you make any progress finding an answer to this problem, and I'll do the same!
    Upperbackpainafterwaking responded:
    Hi. I'm John. I?m 34. I also feel upper back pain when waking too. It?s awful!. It?s like this dull pain in my middle or upper back, right in the middle, so strong I feel like it sort of shrinking my back/lungs to breath. It hurts to breath, specially if I?m lying down. I have orthopnea (difficulty breathing when lying down) and sleep very poorly. I can also get it at other times different from when I wake up in the mornings, but specially then. I?ve had x-rays of my spinal cord, but nothing. Oh, I also have these asthma like episodes about 6 months ago, so it might be something else, but my doctors still don?t know. I?m up for an exploratory bronchoscopy this next week. I also wanna have an MRI of my spinal cord, but I haven?t been able to talk to a doctor into prescribing it to me. Most of them think I?m just anxious! I know that image test is definitive in finding something in the spinal cord/nervs/muscles in the back. I also feel weird pains in my neck, and left arm and ashoulder. This week I?ve been feeling this sort of electricity like little pain almost at the end of my left arm, just bofore my hand. Doesn?t this seem like something originating in my back, like a pinched nerve or something? I feel the pain also in my left side chest, like it was my heart, but heart tests have been negative. I push tmy left side breastbone, and I feel the exact pain in my left upper back I feel in the mornings. I just hope some of you know anything about these symptoms and can help me. I?ve ruled everything else but my back. I also hope all of you are well. Thanks. John Serrano.
    IrvinTang responded:
    Hi John, I'm Irvin and 27 yrs old. I too experience something quite similar to yours except less airway problems but more upper back and shoulder pain and tightness. The pain wakes me up 5-6 hours into sleep and I kinda sleep through it, but once I get up, it feels super tight right from back to front of the upper back and if I try to flex or reach both hands down in a shoulder shrug it has sharp pains. Usually gets better after 10-15 minutes but not completely and I still feel very stiff throughout the day, but morning is the worse. Mainly left hand symptoms too and involving the left side neck too. It causes a bit of irritation down the arm, but I can't quite describe it except that it is irritating and prevents me from doing certain stretches comfortably. I am seeing a chiro and he is working at it via a few angles, but I think the ribs are definately involved. Please let me know how you're doing and if you've made any progress, take care!
    InsuchPain responded:
    Please can someone find out what this is or anything to help!! I have been to Hospital and to my local doctor and all i get prescribed is tablets for my back and they do not help at all. I thought it might have been a pulled muscle at first but has lasted for 3 months now. It seems by the time you get to the doctors the pain is not there and they shug this kind of thing off but i am in such pain when waking up. Im finding its hurting really bad under my ribs now and the center of my back, the pain is lasting longer and longer and is getting more intense. i have only been given ibeprofen, Codene, some other one with a C and non of this is helping.
    cweinbl responded:
    Hello "insuchpain." Back pain lasting more than three months should be investigated via radiological imaging (MRI, CAT-scan or myelogram). Discuss this with your doctor. If you return here with the results, perhaps we can help. Unfortunately no diagnosis is possible based solely upon your anecdotal information.

    Good luck.
    HarrietCoh responded:
    I have the same thing! It is almost crippling feeling in the upper back b/t my shoulder blades. Then when I wake and shower within an hour is disappears, right? I can no longer get a good night sleep as I wake about 3 with the pain then struggle til 6-7 with the tightness in my right side of chest. Take deep breaths it hurts. I have been told that it is Fibromyalgia like and this has something to do with both the metabolic system and the lymphatic systems of my body. Go get a blood test called MTHFR, it is the enzyme defect which does not allow the body to methylate B vitamins and then causes haywire in the body biochemistry. Alot goes on with our bodies at night biochemically and this is a disturbance in the body. I am taking vitamin supplements at night which have helped it. Melatonin has worked for me as well. This is a difficult problem to diagnose, anything having to do with fibromyalgia or chronic pain management is finding that the methylated pathways of our body is being disturbed. Good luck.
    annette030 replied to HarrietCoh's response:
    Why not not get up and take a shower at 3 am when you wake up, then go back to sleep with in an hour when the pain goes away??? Beats staying awake and fighting it until 6-7 am.

    I used to get up and take a walk in the middle of the night, then take a hot bath, and go back to bed to sleep. I have RLS and there was a serious lack of medication to try for this malady back then. I tried melatonin and it didn't work for me.

    I have FMS and am not familiar with the blood test called MTHFR??? Where does one get it and is there any evidence based, peer reviewed literature about this? This is a theory I have never heard of regarding FMS. I have also never heard of "methylated pathways" before.

    Take care, Annette
    ctbeth replied to annette030's response:
    Hi Annette!!

    How interesting that someone would post about MTHFR, as I've recently read about it regarding testing methylenetetrahydrofolate reductase, as it relates to genetic testing in Spina Bifida and other neural tube defects.

    The MTHFR gene provides instructions for making an enzyme called methylenetetrahydrofolate reductase. This enzyme plays a role in processing amino acids.

    Genetic variation in the MTHFR gene are also associated with an increased risk of spina bifida, another common type of neural tube defect.

    In people with Spina Bifida, the bones of the spinal column do not close completely around the developing nerves of the spinal cord.

    As a result, part of the spinal cord may stick out through an opening in the spine, leading to permanent nerve damage.
    In pregnancy, it's now known that folic acid -> folate can cause neural tube defects in the fetus/ baby.
    Methylenetetrahydrofolate is involved in the processes involved with folic acid in pregnancy.
    I know that it can happen that someone have an occult (hidden) spina bifida and not be aware, but this is a benign condition.
    Believe me- if a baby is born with Spina Bifida that would cause a problem- it is clearly identified and must be corrected soon as possible.
    I do not know how this would be a factor in Fibromyalgia.
    If you read or hear of any further article about MTHFR, I'd be interested to read or hear of same.


    ctbeth replied to ctbeth's response:
    IDK how it happened that my post above is showing without the paragraphs and in different font forms.

    I almost always use short paragraphs for ease of reading.

    I am sorry that it was posted in the manner that it appears.

    Let's see how this one appears.

    festusclamrod replied to InsuchPain's response:
    I have these exact symptoms, have you had any luck figuring this out. Doctors are worthless nobody seems to be able to help. It is driving me crazy. Please respond if you have gotten a correct diagnosis

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