[24F] Experiencing left-sided head and neck pain with eye focusing difficulty

Patient Description

A 24-year-old female presents with a dull ache in the left eye and temple, radiating into the jaw, the back of the neck, and the left shoulder blade muscle. The pain has been persistent for 4 days and is rated as a 7 out of 10 in severity. The patient also reports difficulty focusing her eyes. There is no history of recent injury that could account for these symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are a few possibilities:

  • Migraine: This is a type of headache characterized by a throbbing pain, usually on one side of the head. It can be accompanied by visual disturbances, such as difficulty focusing.

    • Treatment typically involves over-the-counter or prescription medications to relieve the symptoms and prevent future attacks.
  • Temporomandibular joint disorders (TMJ): These conditions affect the joint that connects your jaw to the side of your head. They can cause pain in the jaw, ear, and temples.

    • Treatment often involves pain relievers, muscle relaxants, or physical therapy.
  • Tension headache: This is a common type of headache that can cause a dull, aching sensation all over your head. It can also lead to tenderness in your scalp, neck and shoulder muscles.

    • Over-the-counter pain relievers such as ibuprofen or aspirin can be effective. Lifestyle modifications like stress management and improved posture can also help.
  • Cluster headache: These are severe headaches that occur on one side of the head and can cause pain around the eye. They can also cause teary eyes and nasal congestion.

    • Treatment involves medications to decrease the severity of the headache, as well as preventive medications.

Please note that these are just possibilities and not a definitive diagnosis.

What you can do

You should definitely seek medical attention given the severity and duration of your symptoms. In the meantime, here are some things you can do:

  1. Try over-the-counter pain relievers, such as ibuprofen or acetaminophen, to manage the pain.
  2. Rest in a quiet, dark room. This can often help with migraines and headaches.
  3. Apply a warm compress to the painful areas to help relax tense muscles.

What you should look out for

You should seek immediate medical attention if:

  • The pain becomes severe or unbearable
  • You experience sudden, sharp, or shooting pain
  • You have difficulty speaking, seeing, or moving
  • You have a high fever, stiff neck, or confusion

Remember, it's important to consult with a healthcare professional who can evaluate your symptoms and condition properly.

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11 mo ago

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People Also Ask


What are the common symptoms of a migraine?

Common symptoms of a migraine include a throbbing or pulsing headache, usually on one side of the head, sensitivity to light and sound, nausea, and sometimes visual disturbances like seeing flashes of light or blind spots.


How can temporomandibular joint disorders (TMJ) cause pain in areas other than the jaw?

TMJ disorders can cause pain in areas other than the jaw because the temporomandibular joint is connected to muscles and nerves that extend to the head, neck, and shoulders. Dysfunction in this joint can lead to referred pain in these areas.


What lifestyle changes can help prevent tension headaches?

Lifestyle changes that can help prevent tension headaches include managing stress through relaxation techniques, maintaining good posture, ensuring adequate sleep, staying hydrated, and taking regular breaks from screens.


What are the distinguishing features of a cluster headache compared to other types of headaches?

Cluster headaches are characterized by severe, piercing pain on one side of the head, often around the eye, and can be accompanied by symptoms like teary eyes and nasal congestion. They occur in cyclical patterns or clusters, distinguishing them from other types of headaches.


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