HomeAnswersNeurosurgeryheadacheI have shoulder and neck pain along with cluster headaches. Help.

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

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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

iCliniq medical review team

Published At May 18, 2023
Reviewed AtOctober 16, 2023

Patient's Query

Hi doctor,

I am suffering from pain in my neck and shoulder on my left side. I had an injury over a year ago, that has resulted in persistent, worsening pain. I have cluster headaches, a backache that radiates when I look down, trouble falling asleep, and frequent numbness in my left hand. Please help.

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

The probable causes is headache and back ache under investigation.

Investigations to be done

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.

Differential diagnosis

The differential diagnosis is headache and back ache under investigation

Probable diagnosis

The probable diagnosis is headache and back ache under investigation.

Treatment plan

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.

Patient's Query

Hi doctor,

Thank you for your reply,

I am not sure why my magnetic resonance imaging has not been uploaded. In the meantime, I am attaching my recent laboratory reports. They will update my files.

Thank you.

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

The probable causes is headache and neck pain under investigation.

Investigations to be done

I suggest you to get the Vitamin B12 and D3.

Differential diagnosis

The differential diagnosis is headache and neck pain under investigation

Probable diagnosis

The probable diagnosis is headache and neck pain under investigation.

Patient's Query

Hi doctor,

Thank you for your reply,

Could you please review my magnetic resonance imaging report?

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.

Preventive measures

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

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

Dr. Rahul Pramod Patil
Dr. Rahul Pramod Patil

Neurosurgery

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