I am a 47 year old female who three years ago herniated a disc at the T1-T2 level which was deforming the spinal cord. I saw a neurosurgeon at the time who recommended physiotherapy but stated that I should contact a neurologist as he noticed that "Hoffman Sign", "Brisk Hyperreflexia" and Muscle twitching were present. I have been under the care of a neurologist for the past year who has stated that it is "Fibromyalgia" and has prescribed duloxetine to control the symptons. I understand that muscle twitching is a sympton of Fibromyalgia but is "Hoffman Sign" and "Hyperreflexia" also signs of this condition or is it due to another underlying condition. Also the neurologist has recently mentionned that I have "clonus". Is this also another sympton of fibromyalgia. The duloxetine works to a certain degree but I still have problems with spasticity in my when I walk downstairs (they start shaking) along with numbness and tingling in the left side of my face.
Hello Hoffman sign,clonus, hypereflexia are common symptoms of cervical mylepathy and exists in many patients of fibromyalgia. Tramadol is often used to relieve fibromyalgia pain. Local injections into tender points may also be helpful.
Apart from duloxetine you can discuss regarding drugs like gabapentin,neurontin,carbamezapine for the numbness and tingling.Lifestyle modifications including regular exercise, good sleep habits help manage fibromyalgia symptoms.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.