[30F] With severe neck pain and dizziness

What might be happening

Based on the symptoms you've described, here are some possible explanations:

1. Cervical Radiculopathy: This condition occurs when a nerve in the neck is compressed or irritated where it branches away from the spinal cord. This can cause pain that radiates into the shoulder and arm, as well as muscle weakness. The burning and throbbing pain localized to your neck and upper shoulders, along with dizziness when moving your neck, could be related to this condition.

   • Treatment typically involves physical therapy, medications to reduce pain and inflammation, and sometimes corticosteroid injections. In severe cases, surgery may be considered.

2. Cervical Myelopathy: This is a condition where the spinal cord becomes compressed, often due to degenerative changes in the spine. Symptoms can include neck pain, weakness, and coordination problems. The dizziness and vision changes you experience when moving your neck could be related to this.

   • Treatment may involve physical therapy, medications, and possibly surgery to relieve pressure on the spinal cord.

3. Postural Orthostatic Tachycardia Syndrome (POTS): This condition is characterized by an excessive increase in heart rate when standing up, which can cause dizziness and fatigue. Your elevated heart rate when standing and dizziness could be related to this condition.

   • Management often includes lifestyle changes, such as increasing fluid and salt intake, wearing compression garments, and medications to help regulate heart rate and blood pressure.

4. Herpes-Related Neuralgia: Given your recent diagnosis of rectal herpes, it's possible that the virus could be affecting nerves in your body, leading to pain and discomfort in your neck and shoulders.

   • Antiviral medications and pain management strategies are typically used to treat herpes-related neuralgia.

What you can do

1. Consult a Healthcare Professional: It's important to follow up with your doctor to discuss your MRI results and symptoms. They can provide a formal diagnosis and recommend appropriate treatment options.

2. Symptom Management: Continue using warm compresses and gentle neck exercises to help alleviate muscle tension. Avoid activities that exacerbate your symptoms.

3. Track Your Symptoms: Use MDandMe to journal your symptoms, track your heart rate, and note any changes in your condition. This information can be valuable for your healthcare provider.

4. Lifestyle Adjustments: Stay hydrated, maintain a balanced diet, and consider reducing your caffeine intake, as it may contribute to increased heart rate and anxiety.

What you should look out for

• Seek Immediate Medical Attention: If you experience severe neck pain, weakness in your arms or legs, loss of coordination, or any new or worsening symptoms, seek medical attention promptly.
• Monitor Your Heart Rate: If your heart rate continues to be excessively high or you experience chest pain, shortness of breath, or fainting, contact a healthcare professional.

Remember, while this information can provide some guidance, it's essential to consult with a healthcare professional for a comprehensive evaluation and personalized treatment plan.