Q. What could cause frequent numbness in the hand, pain in the shoulder, neck, and a cluster headache?

Hi, Welcome to icliniq.com.

As per your complaint and finding you have given, I need more information to comment on it. I suggest you to get a blood test and magnetic resonance imaging report.

The probable causes is headache and back ache under investigation.

I suggest to get a blood test includes complete blood count, electrolytes, thyroid profile, vitamin B12, vitamin D3, lipid profile, hemoglobin A1 C and blood sugar.

The differential diagnosis is headache and back ache under investigation

The probable diagnosis is headache and back ache under investigation.

I suggest you take the combination tablets of

Etoricoxib and Pregabalin once a night for five days, a tablet of Methylcobalamin three times daily for five days, a tablet of Pantoprazole once a night for five days, a tablet of Calcium Carbonate 500 milligrams once in the afternoon for five days, a capsule of Cholecalciferol every Sunday after dinner for four weeks.

Hi,

Welcome back to icliniq.com.

I have gone through your blood report (attachment removed to protect the patient's identity). Cholesterol levels and erythrocyte sedimentation rate levels are high. High cholesterol levels can cause headache and sometimes neck pain. Raised erythrocyte sedimentation rate seems like to be an infection some where, which could be sub-clinical or any type of physical stress on the body. Also I could not find out your vitamin reports. I would suggest that it would be better if we could discuss your problem on phone, so that I could get a proper history from you. Meanwhile, I would like to suggest you take the tablet of Atorvastatin 10 milligrams once daily for one month. Use soft cervical collar. Take a steam inhalation one or two times daily. Try to gargle warm salt water eight to ten times daily. Also try to choose a stress free regular lifestyle. Maintain regular eating habits and adequate hydration. Please follow up for further assistances.

Thank you.

The probable causes is headache and neck pain under investigation.

I suggest you to get the Vitamin B12 and D3.

The differential diagnosis is headache and neck pain under investigation

The probable diagnosis is headache and neck pain under investigation.

Hi,

Welcome back to iclinq.com.

I have gone through your magnetic resonance imaging reports. Whatever images I have, I could not see anything significant in it. However, I would request you to please share the report of the radiologist. Also I want to know, how are you responding to medicine? Please follow up for further assistances. Thank you.

Use soft cervical collar and also, avoid jerky movement to the neck.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Rahul Pramod Patil

Experience: 19 + Yrs

Neurosurgery

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