[30F] With persistent throbbing headaches and neck pain post-surgery

What might be happening

Based on the symptoms you've described, there are a few potential diagnoses and conditions that could be contributing to your headaches, neck pain, and other symptoms:

1. Migraines:

   • Migraines are a type of headache that can cause severe throbbing pain, usually on one side of the head. They are often accompanied by nausea, sensitivity to light and sound, and sometimes visual disturbances. Your description of throbbing headaches that turn into migraines with nausea and sensitivity to light and sound fits this pattern.
   • Typical treatments include prescription medications like triptans, over-the-counter pain relievers, and preventive medications. Lifestyle changes, such as stress management and avoiding known triggers, can also help.

2. Tension Headaches:

   • These are often described as a dull, aching sensation all over the head, and can be accompanied by neck pain and stiffness. Stress is a common trigger for tension headaches.
   • Treatment usually involves over-the-counter pain relievers, stress management techniques, and sometimes physical therapy to address neck pain.

3. Cervicogenic Headaches:

   • These headaches originate from issues in the cervical spine (neck) and can cause pain that radiates to the head. The dull ache and stiffness in your neck, along with the headache at the base of your head, suggest this could be a contributing factor.
   • Treatment may include physical therapy, medications, and sometimes interventions like nerve blocks.

4. Post-Surgical Fatigue and Pain:

   • It's possible that your recent breast reduction surgery has contributed to your overall fatigue, body aches, and possibly even your headaches. Post-surgical recovery can sometimes be prolonged and complicated by stress and other factors.
   • Ensuring proper post-operative care, rest, and following up with your surgeon can help manage these symptoms.

What you can do

Migraines and Headaches:

• See a doctor: Given the severity and duration of your headaches, it's important to consult a healthcare provider. They may recommend imaging studies or refer you to a neurologist.
• Medication: Continue taking prescribed medications and discuss with your doctor if they are not effective. They may adjust your treatment plan.
• Lifestyle changes: Try to identify and avoid potential triggers, maintain a regular sleep schedule, stay hydrated, and manage stress through relaxation techniques or therapy.

Neck Pain:

• Physical Therapy: Consider seeing a physical therapist who can provide exercises and treatments to alleviate neck pain and improve mobility.
• Home care: Apply heat or cold packs to your neck, practice good posture, and avoid activities that strain your neck.

Post-Surgical Recovery:

• Rest: Ensure you are getting adequate rest and not overexerting yourself.
• Follow-up: Keep in touch with your surgeon to discuss any ongoing symptoms and ensure proper healing.

General Health:

• Stress Management: Given your history of anxiety and depression, consider speaking with a mental health professional to help manage stress, which can exacerbate physical symptoms.
• Symptom Tracking: Use MDandMe to journal your symptoms, track progress, and share longitudinal medical notes with your provider. This can help in identifying patterns and triggers.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Sudden, severe headache unlike any you've had before
• Changes in vision, speech, or coordination
• Numbness or weakness in your limbs
• Persistent or worsening symptoms despite treatment

Remember, while I can provide information and suggestions, it's crucial to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.