Dexmethylphenidate has a 4â6 hour duration of effect (a long-acting formulation, Focalin XR, which spans 12 hours is also available and has been shown to be as effective as DL (dextro-, levo-)-TMP (threo-methylphenidate) XR (extended release) (Concerta, Ritalin LA), with flexible dosing and good tolerability.
1 Degenerative disc disease in the neck (cervical spondylosis) can cause local neck pain or radiating pain from disc herniation, causing pinching of nerves (cervical radiculopathy). 2  Abnormal conditions involving the spinal cord, heart, lungs, and some abdominal organs also can cause neck and shoulder pain. This can also cause muscle spasms in the neck and shoulder areas. 2  Tendonitis: The tendons connect the muscles to the bones. 3  With strain, the tendons can become swollen and cause pain. 4  This is also referred to as tendinitis. 5  Gallbladder disease: This can cause a pain referred to the right shoulder.
NECK PAIN OVERVIEW. Neck pain can be caused by a number of factors, including muscle strain, ligament sprains, arthritis, or a pinched nerve. Approximately 10 percent of adults have neck pain at any one time. The majority of patients, regardless of the cause of pain, recover with conservative therapy.