I Can't Be the Only Person With This Issue

Posted by marcd2k @marcd2k, May 31 1:12pm

This summer will be 3 years from when my chronic pain started. I have had spinal fusion surgery (November of 2025) in the Lumbar area, however, the Paraspinal muscles along the right side of the Thoracic area, and my Right Side Oblique muscles, are permanently locked/spasmed.

I have been to multiple hospitals, I have seen 30+ medical professionals, and I have tried Chiropractic, Acupuncture, Physical Therapy, Trigger Point Injections, Dysport Injections (similar to Botox), Cupping, and my latest endeavor has been working with PT's that specialize in Scoliosis treatment.

None of these muscles have ever released over the past 3 years, and after an Epidural back in February, my Oblique Muscles actually got tighter than they had been. No one I have seen, from all of the top hospitals in the city, has any idea why my muscles are locked, and no one has any idea how to unlock them.

This brings me to my subject title, I can't be the only person in the world with this issue. Someone has had to have seen, or even experienced this, and has an idea of the treatment needed to unlock my muscles.

Thank you for reading!

Interested in more discussions like this? Go to the Bones, Joints & Muscles Support Group.

Profile picture for bealillie @bealillie

Hello all I'm a fellow sufferer with chronic pain. I know I have tight muscles and muscle tension, which makes everything worse. There are some reasons why I might have pain but not to this extent. Although not, everyone is open to this however, if nothing else has worked. I would highly recommend delving into the mind body world, a.k.a. Neuroplastic syndromes
Most chronic pain is actually reversible and often not related to the structural abnormalities we all have. I believe strongly in this however for me, it's much more of an autonomic nervous system issue I believe and I'm have an atypical CRPS, which has made my pain increase. I would recommend going back to basics Reid John, Saryn,
Healing back pain.
Also ATNS association for the treatment of neuroplastic syndromes, symptomatic.me

No harm in looking up practitioners there are all the resources and there's plenty on YouTube
Dan Buglio, who was crooked from pain for 13 years has many videos on this
Dan Ratner pain psychologist also history of chronic pain he has cured
Howard Schubiner MD just wrote a new addition of his book unlearn your pain so there's lots to look at and it really can't hurt only the edge to potential healing
IMHO

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@bealillie Thank you for replying. I have been to all of the major hospitals in my city, and I have seen 25 to 30 doctors, all with no measurable results. I am ready to start looking into other areas that i have not tried, and your suggestion is one way to go. I'll be researching the gentlemen you referenced to see what I can find in my area.

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Profile picture for artemis1886 @artemis1886

@marcd2k I gave up looking. I started feeling more like a guinea pig than anything. The emg/ nerve conduction on me showed nothing wrong with my spine but just the muscle being permanently contracted. It’s an interesting sound listening to the machine and the noise it makes in the contracted muscle. Have you had a nerve rhiztomy where they cut the nerve to that muscle. The spasm is still there but it releases the nerve. They can’t do that to the one in my neck shoulder area. They do it in the piriformis muscle the sciatic nerve runs through that muscle so it being contracted it affects the nerve. It hurts to sit. I am ready for they to do another si rhizotomy.

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@artemis1886 Thank you for replying, I will be looking into different areas that I have not tried yet, and I'll look into the nerve procedure you mentioned.

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Profile picture for heyjoe415 @heyjoe415

Sorry for what you're going through Marc. I'm a candidate for fusing S1 through L5, but have put that off by maintaining a strong core. Even so, I wake up with a very stiff lower back everyday.

When you say the muscles have "locked up" - I take that to mean they are tight to the point of pain, and massage and dry needling have not worked.

I get dry needled in my upper and lower back every two weeks. The results have been v good but have taken time. One session isn't going to help much, it takes regular needling.

I hope you find an answer Marc. Have you gotten another surgeon's opinion on how well the fusion was done/is doing?

Joe

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@heyjoe415 Hi Joe, thank you for replying. Yes, you are correct regarding my locked muscles. They are tight to the point I am in pain all day, every day, as soon as I get out of bed. Nothing I have tried over the past 3 years has done anything to release them. Laying on my back is the only way to get relief, and I am starting to have to lay down more every day. And now that is causing other pain issues, so I just can't catch a break.

I'm not sure what dry needling is, so I will be looking that up today. I have run out of ideas for myself, and I'm glad there are people like you out there to ask questions of.

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Profile picture for mmata @mmata

I am so sorry that you are experiencing this. Have you ever researched the diagnosis "Arachnoiditis" or "Adhesive Arachnoiditis " ?
I unfortunately have this condition after 9 back surgeries. You may want to research it and possibly talk with your doctors about it too.

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@mmata Thank you for writing. No, I had not heard of Arachnoiditis before your message. I will look into this this week, as I have received multiple suggestions to try here on the Mayo board, and I will be looking at them all.

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Profile picture for sherryposadasrn @sherryposadasrn

@artemis1886
Have you ever tried dry needleing?
This was amazing. My PT did it and it helped the 1st day it was done. I had so much pain, I could not even lay my head/neck on pillow.

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@sherryposadasrn Hi Sherry, thank you for writing. I have not tried Dry Needling, but I will look this up this week as I start on a new path going after treatment that is considered "out there" by many. 3 years of daily pain from when you get up until you go to bed will have you looking everywhere.

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Profile picture for marcd2k @marcd2k

@bealillie Thank you for replying. I have been to all of the major hospitals in my city, and I have seen 25 to 30 doctors, all with no measurable results. I am ready to start looking into other areas that i have not tried, and your suggestion is one way to go. I'll be researching the gentlemen you referenced to see what I can find in my area.

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@marcd2k also there are so many free resources online to search through

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Profile picture for marcd2k @marcd2k

@mmata Thank you for writing. No, I had not heard of Arachnoiditis before your message. I will look into this this week, as I have received multiple suggestions to try here on the Mayo board, and I will be looking at them all.

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@marcd2k
I don't want you to be discouraged when you research Arachnoiditis and Adhesive Arachnoiditis, but both of these are extremely rare in not only the US, but also throughout the World too. Since it is si rare, there have not been many or frequent clinical trials, plus there have not been any medications that have been known to be of help with the pain. Since Arachnoiditis and Adhesive Arachnoiditis is caused by actual clumps of nerves that form in various areas by the spine, it can be a progressive condition that starts in one level of the spine, such as the Lumbar area - and then can progress to the Thoracic spine and possibly may progress even even further to the cervical spine with each level developing these "nerve clumps". With this condition injections to try to help the pain are not advised, as an injection "may" compromise one of the nerve clumps and could cause more damage. In addition, at this time, surgery is not advised either for the same reason. I just didn't want you to be surprised as you do your research. You are in my prayers. I hope that you can find help for your personal situation.
mmata

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Profile picture for mmata @mmata

@marcd2k
I don't want you to be discouraged when you research Arachnoiditis and Adhesive Arachnoiditis, but both of these are extremely rare in not only the US, but also throughout the World too. Since it is si rare, there have not been many or frequent clinical trials, plus there have not been any medications that have been known to be of help with the pain. Since Arachnoiditis and Adhesive Arachnoiditis is caused by actual clumps of nerves that form in various areas by the spine, it can be a progressive condition that starts in one level of the spine, such as the Lumbar area - and then can progress to the Thoracic spine and possibly may progress even even further to the cervical spine with each level developing these "nerve clumps". With this condition injections to try to help the pain are not advised, as an injection "may" compromise one of the nerve clumps and could cause more damage. In addition, at this time, surgery is not advised either for the same reason. I just didn't want you to be surprised as you do your research. You are in my prayers. I hope that you can find help for your personal situation.
mmata

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@mmata Hello again, and thank you for the updated information. I have read some information, and unfortunately, it is what you are saying in this message. But you also mentioned something about the nerve clumps that have me thinking.

About three to four weeks ago, my surgeon suspected a Neuroma in my abdominal wall on the right side. And from what I've read about Neuromas, they are a clump of nerve endings that have been injured or damaged. My pain doctor tried nerve block injections in my side back in the first week of May. So, just over three weeks later and there has been no change in my condition.

The part of your message that got me thinking is when you stated injections are not advised, as they may cause more damage. So, this same pain doctor has now done injections twice. The first time was back in February, he performed an epidural at T11-T12, and 48 hours after I was in more pain than before the epidural.

My right obliques were then very sensitive to strain/stress, so it didn't take much weight to cause them to lock up. It's like having a calf cramp in your side. At least with a calf cramp you can massage it out and start walking on it to keep it loose. Nothing I can do when my side locks up, I have to ride it out.

I'm thinking something happened with the epidural. I have had two previous epidurals at T12-L1, and neither of them caused any pain. Neither of them improved anything either, not worse, but not better. This epidural at T11-T12 was painful during the procedure, to the point I was yelling while lying on the table and a needle in my spine. And then 48 hours later I was in more pain than ever. To this day, my obliques are constantly locked once I'm out of bed.

Laying on my back is the only way to get relief, but that causes other problems staying in bed most of the day. My heels still hurt, ever since my surgery in November of 2025, until today. I'm still using pillows under my calves to keep my heels from touching. It's never-ending.

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Profile picture for marcd2k @marcd2k

@mmata Hello again, and thank you for the updated information. I have read some information, and unfortunately, it is what you are saying in this message. But you also mentioned something about the nerve clumps that have me thinking.

About three to four weeks ago, my surgeon suspected a Neuroma in my abdominal wall on the right side. And from what I've read about Neuromas, they are a clump of nerve endings that have been injured or damaged. My pain doctor tried nerve block injections in my side back in the first week of May. So, just over three weeks later and there has been no change in my condition.

The part of your message that got me thinking is when you stated injections are not advised, as they may cause more damage. So, this same pain doctor has now done injections twice. The first time was back in February, he performed an epidural at T11-T12, and 48 hours after I was in more pain than before the epidural.

My right obliques were then very sensitive to strain/stress, so it didn't take much weight to cause them to lock up. It's like having a calf cramp in your side. At least with a calf cramp you can massage it out and start walking on it to keep it loose. Nothing I can do when my side locks up, I have to ride it out.

I'm thinking something happened with the epidural. I have had two previous epidurals at T12-L1, and neither of them caused any pain. Neither of them improved anything either, not worse, but not better. This epidural at T11-T12 was painful during the procedure, to the point I was yelling while lying on the table and a needle in my spine. And then 48 hours later I was in more pain than ever. To this day, my obliques are constantly locked once I'm out of bed.

Laying on my back is the only way to get relief, but that causes other problems staying in bed most of the day. My heels still hurt, ever since my surgery in November of 2025, until today. I'm still using pillows under my calves to keep my heels from touching. It's never-ending.

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@marcd2k
I am so sorry that you are experiencing this. I pray that you will find help. Just keep taking one day at a time and seeking ways to help yourself stay centered. I find that $or me , practicing "Creative Visualization" several times a day is very helpful to me. It helps me calm my mind, and spirit and in doing so, also helps me deal with my 24/7 heavy pain level. I also start and end each day with an "attitude of gratitude." There is always so much to be grateful for in each and every day. Plus, finding gratitude helps me move out of pains control of my life, and it helps me seek ways to be present to family and friends each day. We don't know what others are dealing with, on any given day, While I can't remove my 24/7 pain level, I refuse to let it consume me. Ultimately, moving my attention from just myself, to also being present to others, helps in several different ways.. I hope that you will be able to find your own ways to cope with your pain each day and find positive things in your life too. You will be in my prayers each day.
mmata

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Profile picture for marcd2k @marcd2k

@heyjoe415 Hi Joe, thank you for replying. Yes, you are correct regarding my locked muscles. They are tight to the point I am in pain all day, every day, as soon as I get out of bed. Nothing I have tried over the past 3 years has done anything to release them. Laying on my back is the only way to get relief, and I am starting to have to lay down more every day. And now that is causing other pain issues, so I just can't catch a break.

I'm not sure what dry needling is, so I will be looking that up today. I have run out of ideas for myself, and I'm glad there are people like you out there to ask questions of.

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You are very welcome Marc. Dry Needling uses a single-use, hair thin needle. The specialist (licensed to do this), inserts the needle into a tight muscle. This causes the muscle to contract/spasm, resulting in an increase of blood flow and a relief from the tightness.

Dry needling also softens the muscle fascia. These fascia surround all of our muscle fibers. They tend to dry out and lose their flexibility as we age. Dry needling targets these fascia and through the muscle contractions, releases them a bit. That's why regular use of dry needling is necessary. (I have this done every two weeks.)

It certainly sounds like your situation is a result/complication of your back surgery. That said, I have no idea how the surgery and your tight muscles are related. I would ask your Dr (although I'm sure you've done this) - or find the best physical therapists you can and discuss with them.

I'm sorry I don't have better answers for you Marc. Do get more information on dry needling. The needles are ultra-thin and usually don't sting like a blood draw. Occasionally the therapist hits something sensitive and there is brief pain. It's a worthwhile tradeoff for me.

And please don't give up! I admire your determination!

Joe

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