Pain Concern

Pain management while on blood thinners


I'm just wondering if anyone has had a similar experience.

I've suffered with neck spasms a few times an usually get them sorted in a few days with diazepam, paracetamol and ibuprofen, along side gentle neck exercise and hot and cold compresses. The docs said that the idea was to trick the body into thinking its not in pain so that the muscles release the spasm.

This time i'm on clexane injections so can't take the ibuprofen therefore can't get the pain under control long enough for the muscles to relax. I've had the diazepam and co codamol, even tramadol but nothing I would usually do is working.

I saw an osteopath yesterday who said that its going to take a while as its been in spasm for 2 weeks and I can't afford to see him more than a couple of times.

I can't have acupuncture because of the blood thinners and chiropractors won't touch me either.

I know i'm impatient but i'm so used to getting this sorted quickly and it is just frustrating that I can't take any anti inflammatories. Has anyone had anything else that has worked? My doc seems to be at a bit of a loss.

3 Replies

Talk to your doctor about the possibility of the spasm being caused by an inflammatory reaction. Makes me wonder if thats the case when ibuprofen (a non steroidal antiinflammatory drug and relatively mild pain killer) works better than tramadol (a fairly strong painkiller) for you. If it is an inflammatory reaction, then its possible that a short course of steroids might work. Not sure if steroids are OK with the blood thinners though. I get a lot of muscle spasm and my arsenal includes diazepam, co-codomal and steroids (as I also can't take NSAIDs for other reasons), but I do know that my spasm does come from uncontrolled inflammatory arthritis (ankylosing spondylitis).

Other than that, heat packs and gentle stretching.



Thank you for your response.

I think you could be right as the tramadol along with paracetamol do little for the pain, they just space me out!

I'm due to see the doc again on Thursday so will ask about the steroids and see what she thinks.

Otherwise I suppose I'm just going to have to wait until I finish the injections so I can take NSAIDS again .


i have had muscle spasms in my shoulder blade for 3 years due to a bulging disk in my back the only way i can keep it controlled is to go to a massage thearpist , most insurances will cover this if you can find a massage thearapist that is in a doctors office, if not maybe you can find one that will give you a discount, it has to be a deep tissue massage because they need to get into the tissue. I go once a week but my cerconstances a extream i used to work construction (i am a female) It only matters because most women wouldn't do concrete work, anyway i had surgery for double herniated disk, then a few years later i had a horse rear up and fall on me crushing my pelvis and breaking my ankle so i have had severe pain since 2008 after being put back together and learning to walk again i live with a pain level of 4-5 normal everyday, sometimes higher depending on what i do. anyway i get through the pain by seeing the massage therapist once a week, the chiropractor 2 times a week for 6 weeks then once or twice a month for a maintance schdule for 1 to 2 months then 6 weeks again,I do take pain medications but i try not to because i am as active as i can be and if i take them now what will help me in 20 years, so i try not to use them now


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