What you are describing is an airway reaction. The pain you feel in your back is due to involuntary and voluntary muscles going into a constricted mode. This is much the same as an asthma attack. You are introducing an antigen that is irrating your tissue.

The neck pain is actually some nerve roots and you probably feel it more at the base of your skull, probably a crushing sensation. They are inflammed at that time. Yes it goes along with the sinus problem.

Things you can try. Rinse ( not spray ) your sinus cavity twice a day with a product like "NeilMed". You will find this probably will help you with airborne allergies. This wont prevent the problem as much as it will fix what is already there.

If you have trouble swollowing or get a raspy voice or can only talk in low tones and can get air in, one must consider an allergic reaction. One of the safest drugs to try is Benedryl. Use 1 mg per kg loading dose. I.V. would be what we would use but orally you should see results with 30 to 60 minutes.

Another thought is Angioedema but we usually dont see that in the chest area.

This is based on what I read here. We always exam a patient and develop a minimum of three differential diagnosis.

Smoking and Asthma dont mix. Sorry but that is the bottom line. If you want to keep smoking, you can cheat by using a drug called Advair. I would prescribe 50/500 twice a day. Also use your inhaler. The inhaler is most likely going to jack you up but the goal here is to open your airway.

Also patients have told us the pure indica causes problems whereas sativa tends not to be as irratating for whatever reason. I have nothing to back that up in studies.

We have used steroid therapies as a way to control chronic problems.

And the folks who talk about anexity are correct. Lots of times we see patients and the anexity of doing something new or being in the doctors office can trigger an asthma response.

And the drugs that effect your respiratory. Number one is narcotics. That is probably that biggest and best. When you have a naggy cough, codine is a good example of a class of narcotic that works well on the breathing center. Unfortunately, I have had to deal with lots of people who just forgot to breath after shooting herion. We brought back a few but most were gone. As far as cannabis, no known receptors that we know of.

In terms of cannabis, the only emergency brought in was a guy "overdosing" on cannabis. Our treatment was to watch him for a few hours until he mellowed out. Nothing wrong in our test results so we conclude anexity was the cause.

But the docs in our practice will pretty much tell you to quit smoking period. Even the vapor and its oil deposit may be irrating to sensitive tissue. They do not have a problem with edibles. In fact they do write recommendations.

My disclaimer. This is not medical advice. Seek medical attention anytime you have an asthma attack that can not be controlled by your own medication. Seek medical attention whenever you feel you can not breath. If you feel you have a life threatening emergency call 9-1-1