[51F] Persistent headache and neck pain with vertigo

What might be happening

Based on the information provided, here are some possible explanations for your symptoms:

• Migraine: Given your history of migraines, it's possible that you're experiencing a particularly severe or prolonged migraine attack. Migraines can cause severe, throbbing headaches, often accompanied by sensitivity to light and difficulty concentrating. However, the continuous nature of your headache for 10 days is unusual for a typical migraine.

  • Treatment typically involves pain relievers, triptans, ergots, anti-nausea medications, and preventive medications.

• Tension-type headache: These are often described as a constant pressure or tightness, often like a band around the head or at the temples. They can be associated with neck pain and stiffness.

  • Treatment typically involves over-the-counter pain relievers, stress management, and preventive medications.

• Cervicogenic headache: This is a secondary headache, meaning 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. Your neck stiffness and vertigo when turning your head could potentially point to this.

  • Treatment typically involves physical therapy, nerve blocks, and preventive medications.

• Temporal Arteritis: This is an inflammation of the arteries in and around the scalp. This condition is more common in those over 50 and can cause a severe headache, scalp tenderness, jaw pain, and vision problems. However, it's less likely given the absence of other typical symptoms like jaw pain and fever.

  • Treatment typically involves high-dose corticosteroids.

It's important to note that these are just possibilities, and the actual cause of your symptoms could be something different.

What you can do

Given the severity and persistence of your symptoms, it's important to seek medical attention as soon as possible. Over-the-counter medications like Excedrin can provide temporary relief, but they're not a long-term solution and overuse can lead to rebound headaches.

In the meantime, try to rest in a quiet, dark room and stay hydrated. Avoid any known headache triggers, such as certain foods, drinks, or activities.

What you should look out for

Seek immediate medical attention if:

• Your headache suddenly becomes severe and is unlike any headache you've had before
• You have a high fever along with your headache
• You have sudden problems with speech, vision, movement, or balance
• You have a very stiff neck and a high temperature
• You're feeling confused or drowsy

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional who can evaluate your symptoms in person.