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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Headache And Neck Pain

severe headache and neck pain occurs when get up in morning.went through an MRI- finding was-small disc osteophyte complex at C-4 and C5-6 levels are causing indentation over anterior subarachnoid space.there is no cord compression.evidence od disc dehydration is seen. kindly advice.
Mon, 19 Aug 2019
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Neurologist 's  Response
Hello,

You have radiographic signs of degenerative arthritic disease of the cervical column and though can certainly result in what would fall possibly into a category of a CERVICALGIA (neck pain) that could radiate up and trigger headaches, there are also other things to consider with morning headaches.

A headache specialist may distinguish these architectural findings as to the CAUSE of your headache against other possibilities for MORNING HEADACHES such as a mild or slow cerebrospinal fluid leak that could give similar symptoms.

The absence of MRI evidence of CORD COMPRESSION does not imply that nerve fibers are not somehow being affected since the spinal fluid space can be seen to be CONTRACTED on the MRI which means things are more CROWDED in an already rather small space.

The best treatment for such a condition is PHYSICAL THERAPY and exercises to strengthen neck muscles in order to mitigate collapsing force of the spinal canal as well as appropriate analgesic support that is not OVERUSED so as not to cause medication overuse headache.

Also, thermal modalities such as heat, ice, and even ACUPUNCTURE may be helpful other measures.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Dariush Saghafi, Neurologist
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Suggest Treatment For Headache And Neck Pain

Hello, You have radiographic signs of degenerative arthritic disease of the cervical column and though can certainly result in what would fall possibly into a category of a CERVICALGIA (neck pain) that could radiate up and trigger headaches, there are also other things to consider with morning headaches. A headache specialist may distinguish these architectural findings as to the CAUSE of your headache against other possibilities for MORNING HEADACHES such as a mild or slow cerebrospinal fluid leak that could give similar symptoms. The absence of MRI evidence of CORD COMPRESSION does not imply that nerve fibers are not somehow being affected since the spinal fluid space can be seen to be CONTRACTED on the MRI which means things are more CROWDED in an already rather small space. The best treatment for such a condition is PHYSICAL THERAPY and exercises to strengthen neck muscles in order to mitigate collapsing force of the spinal canal as well as appropriate analgesic support that is not OVERUSED so as not to cause medication overuse headache. Also, thermal modalities such as heat, ice, and even ACUPUNCTURE may be helpful other measures. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist