HomeAnswersNeurologyburning sensationI am experiencing a burning sensation from behind my head to my spine. Why does this happen?

Can anxiety cause a burning sensation from head to spine?

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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.

Answered by

Dr. Hitesh Kumar

Medically reviewed by

iCliniq medical review team

Published At August 5, 2022
Reviewed AtJuly 14, 2023

Patient's Query

Hi doctor,

I am experiencing a burning sensation from behind my head to my spine. And I am currently taking tablet Cipralex 10mg.

Answered by Dr. Hitesh Kumar

Hello,

Welcome to icliniq.com.

I understand your concern.

I would like to know a few details about your symptoms. When did you first notice this burning sensation behind your head and up your spine? Did it begin four days later? Or did it happen occasionally before?

Is it continuous? If it is intermittent, how long does one episode lasts? What about the intensity of the burning sensation? Is it mild, moderate, or severe?

Have you been able to judge the trigger factors or situations in which this burning gets more? For example, does this sensation get worse by touching, combing, or doing shampoo in that area locally? Have you noticed any color change in the scalp, head, or neck skin? Do you feel any palpitations, feeling of imbalance, or restlessness during the burning sensation? Finally, I would like to know when you started taking the tablet Cipralex and why? Do you have any other significant past medical history? If yes, please mention it.

Besides this information, I also want to know about your sleep routine and mood. Such as do you get sleepy soon after laying in bed or does it take time? When you are sleepy, do you often wake up during the night? Do you feel fresh when you wake up from sleep in the morning? How is your usual mood in day-to-day activities?

Investigations to be done

T3 (Triiodothyronine), T4 (thyroxine), TSH (thyroid-stimulating hormone), ECG (echocardiogram), and Serum Vitamin B12.

Regarding follow up

Revert with above mentioned information for better understanding and further judgement.

Patient's Query

Hi doctor,

Thank you for the reply.

I have had this burning sensation for four days now, which worsens when lying down on my back or with my head bent forward. However, it gets better when standing. The burning sensation happens most of the day. The burning intensity is mild. However, sometimes it feels like an electric shock and will last for a few seconds.

I have not figured out the trigger, but it does not get worse when touching. There are no skin color changes, imbalances, weakness, restlessness, or no palpitations. Also, I have been taking tablet Cipralex for a month for anxiety and depression. I took an MRI scan last year, and something showed up in the results. However, the radiologists were not exactly sure what it was and perhaps thought that it was a natural thing. My sleep routine has been off and on lately because of stress and anxiety, and it usually takes me a long time to fall asleep. Sometimes I wake up in the middle of the night, and I am always tired after waking up in the morning. I am really concerned about my health, which stresses me out.

Answered by Dr. Hitesh Kumar

Hello,

Welcome back to icliniq.com.

I understand your concern.

As per your details, I feel the anxiety component is significantly high, causing sleep disturbances too. And such burning sensations can also be due to anxiety. Also, it may take a few weeks to show some antianxiety effects as you have just started taking Cipralex. I would like to know the symptoms you had to undergo an MRI brain the previous year and the report (As you mentioned, something was there, it would be better if you could send that report and mention your symptoms at that time). You can also consider getting an MRI to rule out the cause of your symptom related to the cervical spine. For the time being you can do jogging daily for 20 to 30 minutes in the morning.

Investigations to be done

MRI (Magnetic resonance imaging) cervical spine, T3, T4, TSH, Serum Vitamin B12, and ECG.

Differential diagnosis

Somatic symptoms of Anxiety and cervical radiculopathy.

Treatment plan

Your symptoms of burning sensation can be related to anxiety, and you should look for other possible reasons associated with the cervical spine. Along with Cipralex (Escitalopram), we can consider adding benzodiazepines (Etizolam or Clonazepam and Beta-blocker (Propranolol) for anxiety control. For that, it would be better to meet your psychiatrist and discuss

Preventive measures

Daily jogging for 20 to30 minutes in the morning.

Regarding follow up

Review with previous MRI (Magnetic resonance imaging) brain reports and reports of suggested investigations along with psychiatrist's opinion.

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

Dr. Hitesh Kumar
Dr. Hitesh Kumar

Neurology

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