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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Pain In The Back Of The Head?

Pls I am having some pain de back of my head near to de left side of my ears. And some time it give me irritation in my left eyes and sometime water start coming out of my eyes. This is for long term me now. Wat is that doctor ? I am football academy coach.
Mon, 22 Jul 2019
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General Surgeon,  's  Response
Hi,

Regarding the treatment of occipital neuralgia, there are several options. Usually pharmacological treatment is tried first and if that fails or the drug is not well tolerated local nerve block (injection) is tried and lastly, if nothing works surgery.
Lyrica is one of the first-line drugs so I think it was correct to try it first. Since you say it isn't working perhaps it is time for the injection.
However 100 mg a day you have been taking is a low dose, so to be convinced it's not working you could try augmenting the dose first, at least 150 mg a day (50mg three times a day), can go to 300 mg a day maximum (that is if you don't have kidney impairment or some other contraindication or adverse effect).

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

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Pain In The Back Of The Head?

Hi, Regarding the treatment of occipital neuralgia, there are several options. Usually pharmacological treatment is tried first and if that fails or the drug is not well tolerated local nerve block (injection) is tried and lastly, if nothing works surgery. Lyrica is one of the first-line drugs so I think it was correct to try it first. Since you say it isn t working perhaps it is time for the injection. However 100 mg a day you have been taking is a low dose, so to be convinced it s not working you could try augmenting the dose first, at least 150 mg a day (50mg three times a day), can go to 300 mg a day maximum (that is if you don t have kidney impairment or some other contraindication or adverse effect). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon