Can tricyclic antidepressants and avoiding triggering factors help manage migraines?

Hello,

Welcome to icliniq.com.

I understand your concern. I would like to know some further details about your headache:

1. Since when did you start experiencing these headaches, and since when have you had neck pain? Did both of these issues start around 10 years ago?
2. In which part of your head do you feel the headaches, and in which part of your neck do you experience pain? (You can attach photos taken from a little distance with your hand over the area where you feel the headache and neck pain. Feel free to attach two to three photos from the front and sides if the affected area is large.)
3. What kind of headaches do you experience - heaviness, bursting, squeezing, stretching, throbbing, or some other type? Similarly, what kind of pain do you feel in your neck?
4. Are your headaches and neck pain intermittent or persistent? Do they occur simultaneously, or do they happen at different times?
5. If they are intermittent, how long does one episode of headache typically last (without taking a painkiller)?
6. Do you experience any nausea or vomiting during a headache episode?
7. Are the headaches associated with any redness in your eyes, watering from your eyes, or nasal blockage?
8. Have you noticed any specific trigger factors for these headaches? Is there any triggering factor for your neck pain, such as certain head movements or neck positions?
9. How often do you need to take analgesics (like diclofenac or paracetamol) in a month?
10. How is your vision for distant objects and near objects?

Other information:

1. How is your sleep in your daily routine? Do you become sleepy soon after lying in bed, or does it take a long time to fall asleep? Once you become sleepy, do you experience frequent awakenings during the night? Do you feel refreshed upon waking in the morning?
2. How is your usual mood in your day-to-day activities? Are you generally happy, somewhat sad (perhaps thinking about past events), more towards the worried side (possibly thinking about future concerns), irritable, or something else?

Please provide the information mentioned above for better understanding and further assessment.

Thank you.

Hello,

Welcome back to icliniq.com.

Based on your description, there may be a possibility of migraine headaches. It is important to rule out secondary causes of headaches.