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Abdominal muscles and body muscles in general are constantly tense.

Dear Sir or Madam,

I have an appointment with a chiropractor and orthopedist soon, but due to a somewhat peculiar condition that is bothering me, I would like to seek an expert opinion beforehand. I have a general problem with constant muscle tension, my general practitioner once referred to it as "muscle tension disorder" - which was more of a suspicion than a confirmed diagnosis, as there has been no thorough examination so far. My main issue (literally) is my neck and back. About a year ago, during a spinal examination using an MRI, it was casually mentioned that my back muscles seemed somewhat atrophied.

The fact is, I currently have about 35 kilograms of excess weight that I have not been able to lose despite intensive efforts due to taking Cymbalta for diffuse pain and mild depression. I have the biggest problems, for example, when walking uphill - even slight inclines cause tension quite quickly. However, climbing stairs is not a problem. Particularly peculiar is the fact that when I do slightly bent-over tasks, such as tying shoes or vacuuming, I sweat quite quickly.

However, when I walk on a straight path with my dogs (even in high outside temperatures), I do not sweat.

A new symptom that has appeared about 5 days ago is a severe pulling sensation in my abdomen - I do not feel like it is coming from the stomach or intestines, but rather from the entire abdominal muscles. When I sit, my stomach is relatively soft, even when lying on my back. As soon as I stand up, everything is rock hard, tense. As if my abdominal muscles were shortened and constantly trying to contract. I experience the same with my shoulder-neck muscles.

Stretching exercises or leaning on a windowsill with the elbows (as if casually looking out the window) provide temporary relief - probably because I am relieving the muscles? I spend a lot of time at the computer (work-related), but I take hourly breaks for stretches and walks with the dogs (I work from home). These tensions sometimes have annoying consequences: difficulty swallowing, food doesn't go down properly, sometimes heartburn when bending over (and only when I bend over, as if the pressure causes acid to shoot up). Heat: Does not help. I have even dislocated two thoracic vertebrae several times.

When I exert myself greatly (lifting heavy loads), this pulling sensation momentarily disappears - maybe because the muscles had some work to do? The problem is, I don't know what sport or exercises to do. No matter what I have tried so far: it initially feels better, but one to two days later it is even worse than before - which then restricts me from doing sports or exercising. Strangely enough, the muscle pain or pulling is strongly dependent on the weather - if it is wet and cold: worse. If it is rather warmer and dry: better. However, direct heat application (e.g. infrared light) only makes it worse.

Is it possible to have distorted the abdominal muscles in such a way, or through prolonged sitting, that the entire area is almost constantly tense and one feels the sensation of stomach and intestinal pain? This is new to me... I exclude stomach and intestines themselves, because why does it immediately disappear when sitting or lying down? It feels a bit like constantly wanting to suck in the stomach - just without active effort.

What should I pay attention to during an examination, what can I possibly do?

Dr. med. Kathrin Hamann

Good morning, yes, it is possible that you have stretched one of your abdominal muscles (straight or oblique) in a way that causes persistent pain. You may even have a muscle tear. However, a hernia is also possible.

It is important to have an ultrasound done in this case. Please have this further examined.

Avoid heavy lifting, straining, or any other increase in pressure in the abdominal area.

Relax. Applying heat to the abdomen is also very helpful and good. But please have it examined promptly.

Do you have any questions about this? I am happy to help you further.

All the best and speedy recovery!

Kind regards,

Dr. K. Hamann

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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