[39F] Experiencing severe headaches and widespread pain

Patient Description

A 39-year-old female presents with a history of severe headaches localized to the back of the head, with numbness in the same area, exacerbated by sound and movement. These headaches have been a chronic issue for 6 years but have intensified significantly over the past two days. The patient also reports sharp shoulder pain radiating to the arm, severe neck pain that impedes mobile and laptop use, and sharp lower back pain. The back pain has been ongoing for 4 years and was previously diagnosed as a disc bulge with deviation. Leg pain described as throbbing has been present for 4 years, with a recent increase in severity over the past week. The patient experiences sharp pain in the left foot, particularly after resting and upon initial movement, which has been an issue for 1 month. Hand pain, specifically in the fingers, is sharp and has been occurring intermittently over the past 2 days. Additionally, the patient reports weakness in the leg but no changes in bowel or bladder control. There is no known family history of similar symptoms or spine-related conditions. The patient is not currently on any medications and has not reported any recent injuries or accidents that could account for the symptoms.

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Arora's Assessment

What might be happening

Based on the information you've provided, you're experiencing a range of symptoms that could be related to several conditions:

  • Cervicogenic Headache: This is a type of headache that originates from the neck and is often associated with neck pain and stiffness. It can be caused by various conditions such as disc disorders or tension in the neck muscles. The pain is usually felt at the back of the head, and can be worsened by neck movement or certain neck positions.

    • Treatment typically involves physical therapy, pain management, and sometimes surgical intervention.
  • Disc Bulge and Disc Desiccation: These are conditions related to the spine where the discs between the vertebrae bulge out of their normal position (disc bulge) or lose their water content and become dehydrated (disc desiccation). These conditions can cause pain in the back, neck, and other parts of the body due to nerve compression.

    • Treatment usually involves physical therapy, pain management, and sometimes surgical intervention.
  • Peripheral Neuropathy: This condition results from damage to the peripheral nerves, which can cause pain, numbness, and weakness in the hands and feet. It can be due to various causes such as diabetes, vitamin deficiencies, or certain medications.

    • Treatment usually involves managing the underlying condition, pain management, and physical therapy.

What you can do

It's important to consult a healthcare professional for a formal diagnosis and treatment plan. In the meantime, you can try the following:

  1. Over-the-counter pain relievers: Non-prescription medicines like acetaminophen (Tylenol) or ibuprofen (Advil, Motrin) may help reduce pain.
  2. Physical therapy: A physical therapist can provide exercises and stretches that can help relieve pain and improve function.
  3. Rest and avoid activities that worsen your symptoms: This can help prevent further injury and allow your body to heal.
  4. Stay hydrated and maintain a balanced diet: This can help maintain overall health and support recovery.

What you should look out for

You should seek immediate medical attention if you experience:

  • Sudden, severe headache or a headache that is accompanied by a stiff neck, fever, confusion, seizure, double vision, weakness, numbness, or speaking difficulties
  • Severe back or neck pain that does not improve with rest
  • Loss of bladder or bowel control
  • Sudden weakness or numbness in the face, arms, or legs, especially on one side of the body
  • Difficulty walking, dizziness, loss of balance or coordination

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

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10 mo ago

People Also Ask


What are cervicogenic headaches and how are they treated?

Cervicogenic headaches are headaches that originate from the neck, often due to neck disorders or tension. They are typically felt at the back of the head and can worsen with neck movement. Treatment may include physical therapy, pain management, and sometimes surgery.


What is a disc bulge and how can it affect the body?

A disc bulge occurs when the discs between the vertebrae protrude out of their normal position, potentially compressing nearby nerves. This can cause pain in the back, neck, and other areas. Treatment often involves physical therapy, pain management, and occasionally surgery.


What causes peripheral neuropathy and what are its symptoms?

Peripheral neuropathy is caused by damage to the peripheral nerves and can result from conditions like diabetes, vitamin deficiencies, or certain medications. Symptoms include pain, numbness, and weakness in the hands and feet. Treatment focuses on managing the underlying condition and alleviating symptoms.


When should I seek immediate medical attention for my symptoms?

You should seek immediate medical attention if you experience sudden, severe headaches, severe back or neck pain that doesn't improve with rest, loss of bladder or bowel control, sudden weakness or numbness, or difficulty walking, dizziness, or loss of coordination.


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