[28M] Experiencing severe head and neck pain

What might be happening

Based on the information you provided, possible diagnoses include:

• Tension Headache: This is a common type of headache characterized by a dull, aching sensation all over the head. It is often described as a feeling of a tight band or "vice" around the head or behind the eyes. These headaches usually respond well to simple therapies such as paracetamol.

  • Treatment typically involves over-the-counter pain relievers, stress management, and physical therapy.

• Cervicogenic Headache: This is a secondary headache, which means that it’s caused by another illness or physical issue. In the case of cervicogenic headache, the cause is a disorder of the cervical spine and its component bone, disc, and/or soft tissue elements.

  • Treatment typically involves physical therapy, medications, and in some cases nerve blocks or surgery.

• Migraine: Given your history of migraines, it is possible that this could be a variant of a migraine attack. Migraines are usually characterized by severe headache, nausea and light sensitivity.

  • Treatment typically involves medications to relieve symptoms and prevent future attacks.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

1. Rest and avoid any known headache triggers (such as certain foods, lack of sleep, stress).
2. Over-the-counter pain relievers such as acetaminophen or ibuprofen can be helpful. Please follow the instructions on the package for use.
3. Applying a warm compress to your neck or a cold compress to your forehead can help alleviate symptoms.
4. Maintain good posture, especially if you are working at a desk or frequently use a smartphone or computer. Regular breaks to stretch can be beneficial.

What you should look out for

Reasons to seek immediate medical attention:

• If your headache is sudden and severe
• If your headache is accompanied by a fever, stiff neck, mental confusion, seizures, double vision, weakness, numbness or speaking difficulties
• If your headache gets worse after a head injury
• If your headache is persistent and does not improve with rest or over-the-counter pain relievers.

Remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare provider for a formal diagnosis and treatment.