[41F] Experiencing chronic headaches, neck and back pain

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

• Tension Headache: This is a common type of headache characterized by a dull, aching sensation all around your head coupled with tenderness on your scalp, neck and shoulder muscles. It's often described as a tight band around the forehead or at the back of the head. It can be related to stress, depression, anxiety, a head injury or holding your head in one position for a long time (like when using a computer).

  • Treatment typically involves over-the-counter pain relievers and rest. Prescription medications, including some antidepressants, may be recommended by your doctor in severe cases.

• 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, nerve blocks, and in some cases, surgery.

• Migraine: Migraines are a type of headache characterized by throbbing pain, usually confined to one side of the head, that tends to get worse with movement. They typically last hours to days, and can be so severe that the pain is disabling.

  • Treatment: Migraines are often managed with medications. Lifestyle changes, such as managing stress and avoiding certain foods, can help reduce the frequency of migraines.

• Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. It can cause headaches, stuffy nose, and facial pain.

  • Treatment typically involves antibiotics, pain relievers, and decongestants.

What you can do

1. Over-the-counter pain relievers: Nonprescription medications such as acetaminophen (Tylenol, others) often help mild to moderate headaches. Be cautious, as overuse can cause rebound headaches, headaches that keep coming back.
2. Rest and relaxation: A short period of rest or relaxation can often help relieve a headache.
3. Heat or cold: Applying heat or cold to the affected area can help.
4. Regular exercise and sleep: Regular physical activity and getting a good night's sleep can help prevent headaches.
5. Avoid triggers: If certain foods or odors seem to have triggered your headaches in the past, avoid them.

What you should look out for

You should seek immediate medical attention if your headache:

• Is sudden and severe
• Accompanies a fever, stiff neck, confusion, seizure, double vision, weakness, numbness or difficulty speaking
• Follows a head injury
• Gets worse despite rest and pain medication

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, diagnosis, and treatment.