HomeAnswersNeurologyanxiety disorderWhat is the cause of dizziness with head, neck, and shoulder pain?

I have head, neck, and shoulder pain and always feeling dizzy. Please advise.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Preetha. J

Published At September 20, 2020
Reviewed AtSeptember 25, 2020

Patient's Query

Hi doctor,

I have a discomfort in the neck and shoulder for the past year. However, sometimes there is a headache and mild pain in the neck. I have taken physiotherapist's help for quite some time, but the problem is still persistent. I feel it may be a neuro problem. I am not able to control my neck movement and feeling dizzy. There always a sudden increase in my heartbeat. Shaking and shivering may be related to anxiety, but I still think I do not have an anxiety problem; it only happens when I speak. It does not happen if I do not speak. However, symptoms are reducing at a very slow rate from the last few months. But there is an improvement in the shaking of the neck. Please advise further for headache, neck, and shoulder pain.

Hi,

Welcome to icliniq.com.

I feel sorry for your problems. Headache and neck pain with shivering is not a very common problem. Is the neck pain more on folding your neck? And has the headache increases recently, and is there any vomiting? It could be an anxiety disorder. An anxiolytics should be taken, which can be prescribed by a practitioner in person.

We need to discuss this in detail now.

1. Please tell me the exact duration of the headache.

2. Is the headache and neck pain one-sided?

3. Whenever a headache starts, does it begin mildly and increases in time over three to four hours?

4. How about vomiting and nausea?

5. Do you also feel that you should rest when the headache is there?

Patient's Query

Thank you, doctor, for your reply.

Usually, headache and neck pain are one-sided, but this after sometimes spreads to both sides. Headache happens once or twice in a month. Discomfort in the neck is always present. I feel like neck and shoulder muscles have become very weak that I have lost control over movements. When a headache occurs, I take Disprin, and it provides me immediate relief in a couple of hours. There is no feeling of vomiting, and just a little dizziness is present. I lost concentration in any work overtime due to constant discomfort in the neck, shoulder, and heaviness in the head. There is more discomfort when I wake up in the morning, and over the day, it decreases. I am waiting for your response.

Hello,

Welcome back to icliniq.com

I think that is a good detail that you have given. I suggest taking Beta-blockers (Propranolol) 20 mg once daily. And Tablet Naxdom (Naproxen) 500 mg have whenever more headache is there. But do not take Naxdom more than twice a week. It would be best if you also made a note of what triggers your headache. Common triggers are sunlight exposure, alteration in sleep hours, staying hungry for a while, and bus traveling.

Patient's Query

Thank you so much doctor.

You are most welcome.

Patient's Query

If I need any help in future, will ping you doctor. Thanks for the consultation.

Hi,

Welcome back to icliniq.com.

I am happy to help you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Gursimran Singh
Dr. Gursimran Singh

Neurology

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