HomeAnswersNeurologyoccipital neuralgiaWhat could cause a constant neck pain following neck stiffness and headache?

I have constant neck pain and stiffness on the left side following headache. What could this be?

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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

Dr. Vinodhini J.

Published At March 1, 2020
Reviewed AtMarch 1, 2020

Patient's Query

Hello doctor,

A couple of weeks ago, I woke up with a bad headache and a very stiff neck. It was so painful that I could not make it through a regular day without crying and intense pain. Since this time, I have been to the doctor four times and each time, they gave me more medicines. I have also been to a chiropractor four times because one of the doctors recommended it after he took an x-ray. The headaches have gone away. I suffer from headaches and this pain is so different. Now, I have constant pain in the back of my lower neck and only on the left side. The stiff neck has improved and I can manage a day but I am still in intense pain. The only medicines I am taking at this time are over the counter medicines. What do I need to do?

Answered by Dr. Aida Abaz Quka

Hello,

Welcome to icliniq.com.

Your symptoms may be related to occipital neuralgia, which is an irritation of the occipital nerve, which lies in the back of your head. I would like to know what were the results of your neck x-ray. This neuralgia can be exacerbated by cervical spondyloarthritis. I recommend starting Indomethacin twice daily if you have no contraindications to it (stomach problems or high blood pressure).

I recommend consulting with a neurologist for a careful physical examination. An antiepileptic drug (like Valproate or Lamotrigine) may be necessary to relieve your pain.

I hope this helps.

The Probable causes

Cervical spondyloarthritis or intracranial cause.

Investigations to be done

Neck x-ray, brain CT (computed tomography) scan.

Treatment plan

Indomethacin. Anti-epileptics (Valproate, Topiramate or Lamotrigine).

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

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka

Neurology

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