What could be causing extreme lymph node pain in the neck?

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• The first possibility of meningitis is unlikely. It would cause fever, severe headache and patient will be very sick.

• I do not think this to be a lymph node pain because lymph nodes will hurt only when they enlarge in a short duration of maximum one or two weeks and will not persist this long. There should have been neck swelling along with this.

• Now, the possibilities are, since you are having associated tingling in the head, this is a pain due to nerve irritation or compression between the spine.

• The possibility is of cervical spondylosis, or this pain may be due to dental issues. A deep seated abscess is also a possible cause. This abscess can cause spasm of neck muscles, irritation of nerves, etc. We need to run some investigations for this. It is better to see the doctor in person for examination and interactive questions.

• Is there any history of similar problems in the past, neck trauma, tingling or numbness in the shoulder, arm or hands and increase in pain with neck movements?

• You should get an x-ray of the jaw, neck anteroposterior and lateral view and ultrasound of the neck. It will direct us to the likely cause. You may need CECT neck later if these are not adequately informative. You can get these investigations done and upload the reports or show it to the local doctor.

• At this moment, I suggest you tablet Neurobion forte once a day, which is a nerve vitamin. Also, you can get prescribed from local doctor tablet Pregabalin 75 mg at bedtime to see the response. It is a nerve stabilizer.

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