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I Am A 54 Year Old Male And For The

Posted on Wed, 8 May 2019

Question: I am a 54 year old male and for the last couple of weeks I have been experiencing head pain and a stiff neck. he head pain is located at the top of my head and it extends to the back. The neck is stiff and hurts to turn my head; the pain begins right at the base of my neck and it hurts to midway to my shoulders. I have no nausea, no head injury or trauma, and no other other injuries or symptoms.

Answered by Dr. Shyam B. Kale (2 hours later)

Brief Answer:
could be due to Occipital neuralgia.

Detailed Answer:
Hello,

I have gone through your query and here is my advice.

As per your history, it may be occipital neuralgia.

Please let me know do you have a history of sprain, fever, numbness or tingling sensation in upper limbs?

To confirm the diagnosis, I would suggest you do an MRI neck with whole spine screening, nerve conduction studies after a Neurologist consultation.

Till then continue with the tab. Ibuprofen 400 mg every 8 hourly. Apply Diclofenac gel or spray with heating pads. These medications should be available over the counter.

You may require tab. pregabalin 75mg and tab. Nortriptyline 10 mg after the Neurological consultation. Dosage may require titration as per response.

Let me know I can assist you further...

Regards
Dr Shyam Kale

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Shyam B. Kale (36 minutes later)

I occasionally feeling a tingling sensation down my right arm to my fingers.

Answered by Dr. Shyam B. Kale (42 minutes later)

Brief Answer:
could be due to nerve compression.

Detailed Answer:
Hello,

Thank you for your reply.

It could be due to nerve compression which causes occipital neuralgia.

Kindly follow all measures as advised in previous answer.

Let me know I can assist you further...

Regards
Dr Shyam Kale

Above answer was peer-reviewed by : Dr. Vaishalee Punj