Brief Answer:
Please start the management and go for some blood work.

Detailed Answer:
Dr. Hanif warmly Welcomes you to my virtual clinic HCM!
I have carefully worked through your case, and can realize your health worries. Being your physician, I will take care all of your medical concerns.


Probable Reasons:-
Muscular spasm.
Anemia.
Tension headache.
Nutrients deficiency.
Fluid and electrolyte imbalance.
Vit. D; Vit. B 12 deficiency.
Cardiac disease like Left heart problems.
Visual problems (Have you been recently to your Ophthalmologist for eye evaluation?)


Blood work necessary:-
CBC with ESR and differentials.
Fasting lipid profile.
Serum electrolytes and proteins.
Vit D levels.
Vit B12 levels.
Thyroid function tests.


Management:-
If I was your treating physician I would have prescribed you with Fioricet with codeine orally to relieve pain in an effective manner.
Apply ThermaCare HeatWraps on back of the neck and shoulders. It is very effective remedy. It produces heat and penetrates comfort deep inside the structures that are aching.

Apply Voltaren Gel and massage gently on the painful areas twice daily.

Physical therapy is very effective for this kind of pain and I highly suggest it for you too.

Take Surbex-Z for supplementing the nutrients necessary for you.

Try meditation and Yoga to relieve stress. Sauna and hot tub bath are also effective techniques. Take a XXXXXXX warm shower before going to sleep and keep a good night's sleep for felling better and energetic during the day.


Take more water , vegetables , fruits and salads and less proteins in diet. No caffeinated drinks and alcohol, cigarettes and fried/junk foods. No added salts and sugars.


Next time when you go to the primary care physician, ask him to screen you for high blood pressure.


If you feel these are not working good for you, consult a cardiologist for heart evaluation and get in-person diagnosis of the heart issues if any.



Have a wonderful time ahead. Hope I answered all of your questions. Let me know if you have any further clinical concerns or doubts. I will be more than happy to get back to you in no time. If satisfied here, please give a generous five star rating and don't forget to close the discussion.
For any disease you have, a timely follow-up after sometime regarding the treatment efficacy and to see any need to change the treatment options is very necessary. Keep a follow up some days after this visit session ends.


Regards!
DR. XXXXXXX HANIF
USA

Click the link to open my profile. Click 'Ask Me a Question' anytime for super fast expert medical help!!!
https://www.healthcaremagic.com/doctors/dr-muhammad-hanif/70199

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