I need to know whether u r a diabetic, alcoholic or a vegetarian. These symptoms suggest a neuropathy. If all the above conditions r ruled out, we ve to investigate for cervical spondylosis
or multiple sclerosis [CT cervical spine
, MRI brain with spine].
Take a combination methylcobalamine and gabapentin/pregabalin
, twice daily and then titrate as needed. Analgesics can be taken when u feel the pressure in the head. Amitriptyline
25mg can also be taken at night. Have a 1week course and review