As the title says, I have a small quarter sized spot on my upper back next to the spine and right under the curve of the should blade. This is on my right side.

This spot is painful, and radiates pain up my back to my neck, across my shoulder, and down my right arm all the way to my finger tips. My back and arm will hurt so bad my fingers go numb, and I lose all strength in my arm not even able to pick up something that ways .2 ounces.

History

started at 17 when I got my first job and had my first taste of standing for 8 hours with only a 30 minute break, and about 2 to 4 of the hours were standing in place. Back then the pain hurt but always went away after a few hours of relaxing. I only worked there until i was 21.

From 21 to 24 I did not work.

Then I started working again, mostly part time, then eventually I got a job in retail, we lifted heavy stuff but it wasn't to intensive, never had pain.

After that I started working in food, eventually becoming manager, and I would occasionally feel that pain again, then it started getting more painful and I would take a day off work and feel better. Then over the last year and a half, it started happening more often, then I was out of work for a few days at a time, then it would last a week, finally it got so bad that it started radiating down my arm and causing even more pain.

I went and got medical attention, I did 4 months of Physical therapy, did not improve at all. Then the Neurologist, they did EKG, and ordered a MRI of my neck/spine the EKG and the MRI showed nothing.

Now I am at pain management, they did trigger injections, no help. Then I got an epidural steroid, I felt okay for about a week, and then it came right back.

Now they want to try another Epidural Steroid but at a stronger dose.

I have zero confidence in the Epidural. Plus even if it lasts one or two weeks or even one month, due to insurance I can only get 1 shot per 3 months. So won't really help me if it does not last.

My other medical issues

I am a type 2 diabetic, I take insulin, and Jardiance.

I developed sleep apnea January of 2024 with no obvious cause.

I suffer from major depression, although I have been doing well, and medicated.

ADHD, also medicated and fine.

None of these have affected me when I was younger aside from ADHD. They all came in my mid twenties or later.

I also kick extremely hard in my sleep and very often. I sometimes wake up and im sore from ass to toes. This is so bad my IT bands are hard as rock and my knees always hurt. I have to stretch often or I can't really walk much.

But most concerning is that I get muscle spasms all over, head to toes. I have had this for a very long time, if I had to guess I would say maybe 12 or 13. But it has gotten worse as I have gotten older, it happens more frequently. The last few years especially, I do it during the day but whenever I try to relax, sleep or take edibles I feel the spasms non-stop, to the point I couldn't sleep anymore and I am now on a sleep aid.

The worst offender for the spasms are my shoulders/arms, I am a side sleeper and whatever side is upward it will spasm quite often.

I tell all my doctors, and none of them seem to think that has anything to do with my back issue. But could it all be connected to a neurological issue? The spasms causing the muscle in my back to not heal properly? Or is it something else. Again I am losing confidence in the treatments my care team has been doing for me.