It sounds like you have experienced a muscle strain from the twisting motion of bowling and gym workouts. For temporary relief, over-the-counter medications like ibuprofen or paracetamol can help reduce pain and inflammation. If you are experiencing muscle spasms, a doctor may prescribe a muscle relaxant such as cyclobenzaprine. Applying an ice pack for the first 48 hours, followed by gentle heat, can also ease the discomfort. Try sleeping on your back with a pillow under your knees for support. Please consult a doctor for a proper evaluation, especially if you notice any numbness, tingling, or weakness.

For managing fibromyalgia accompanied by anxiety, fatigue, and pain, several medications can help. Dual-action antidepressants, like duloxetine, are highly beneficial as they target pain pathways while simultaneously improving mood and anxiety. For muscle pain and sleep issues, gabapentinoids such as pregabalin can be very effective. Additionally, low-dose tricyclic antidepressants like amitriptyline can improve sleep quality and reduce widespread pain, while muscle relaxants like cyclobenzaprine may relieve tension in your neck and shoulders. Please consult your doctor to find the safest and most effective treatment plan tailored to your needs.