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Sir, Previously, I Had Sought Your Advice Regarding My Migrain
Question: Sir,
Previously, I had sought your advice regarding my migrain problem. As I have been having this problem for more than 10 years now, recently I underwent treatment for migrain under neurologist. But effect of medicines were very limited and and after about 2 months the problem was as usual, daily migrain ESPECIALLY AFTER JOGGING IN THE MORNING. It will be with stiff neck initially after jog and after about 2 hours it will lead to headache mainly (on about 75% occasions) on the left side, starting from back of the upper neck and radiating to top left corner of the head covering occipital area, jaw area, pressure on that side eye. Suspecting something wrong with the neck portion ( as I did not get effective remedy for migrain from neurologist even after continuous medication for about 8 months), I underwent treatment under Pain Management specialist who administered nerve numbing injections and temporal area on the left side in 2 weeks time. But, even after this, the left upper cervic
Previously, I had sought your advice regarding my migrain problem. As I have been having this problem for more than 10 years now, recently I underwent treatment for migrain under neurologist. But effect of medicines were very limited and and after about 2 months the problem was as usual, daily migrain ESPECIALLY AFTER JOGGING IN THE MORNING. It will be with stiff neck initially after jog and after about 2 hours it will lead to headache mainly (on about 75% occasions) on the left side, starting from back of the upper neck and radiating to top left corner of the head covering occipital area, jaw area, pressure on that side eye. Suspecting something wrong with the neck portion ( as I did not get effective remedy for migrain from neurologist even after continuous medication for about 8 months), I underwent treatment under Pain Management specialist who administered nerve numbing injections and temporal area on the left side in 2 weeks time. But, even after this, the left upper cervic
Brief Answer:
Get a CT scan of the neck!
Detailed Answer:
Hi and thanks so much for this query.
I have reviewed your information fully. Failure of migraines to regress significantly followed intensive care certainly brings to question the diagnosis and other possible causes of headache must be considered. I will like to see you get a CT scan of the neck to look at the bony structures and soft tissues fully. Muscle spasm in the neck can cause headaches and the description of your headaches seem to suggest this.
Results of neck CT scan would guide subsequent interventions. I will at least advocate on physical therapy of the neck to help relax the muscles and avoid provoking and aggravating headaches. Steroids would help is the cause is established as linked to arthritic changes.
I hope this helps. I wish you well. Feel free to follow up with me as you please.
Get a CT scan of the neck!
Detailed Answer:
Hi and thanks so much for this query.
I have reviewed your information fully. Failure of migraines to regress significantly followed intensive care certainly brings to question the diagnosis and other possible causes of headache must be considered. I will like to see you get a CT scan of the neck to look at the bony structures and soft tissues fully. Muscle spasm in the neck can cause headaches and the description of your headaches seem to suggest this.
Results of neck CT scan would guide subsequent interventions. I will at least advocate on physical therapy of the neck to help relax the muscles and avoid provoking and aggravating headaches. Steroids would help is the cause is established as linked to arthritic changes.
I hope this helps. I wish you well. Feel free to follow up with me as you please.
Above answer was peer-reviewed by :
Dr. Yogesh D
Thanks doctor for your advise. kindly let me know whom to contact, ORTHOPEDIST OR NUROLOGIST OR NEUROSURGEON for consultation.
Brief Answer:
Neurologist!
Detailed Answer:
Hi,
I will recommend you go with a neurologist at this time.
I wish you well.
Neurologist!
Detailed Answer:
Hi,
I will recommend you go with a neurologist at this time.
I wish you well.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by :
Dr. Yogesh D
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