[55F] With severe neck pain, lump, headaches, and vertigo

What might be happening

Based on the information you've provided, possible diagnoses include:

• Cervical Spondylosis: This is a general term for age-related wear and tear affecting the spinal disks in your neck. It can cause chronic, severe pain and stiffness in the neck. The lump you're feeling could be related to changes in your spine.

  • Treatment typically involves physical therapy, pain medication, and possibly surgery in severe cases.

• Cervicogenic Headache: This is a type of headache that originates from disorders in the neck. It is often accompanied by neck pain and stiffness.

  • Treatment typically involves physical therapy, pain medication, and nerve blocks.

• Lipoma: This is a benign fatty lump that forms between the skin and the underlying muscle layer. It is usually not tender and can sometimes appear to change size.

  • Treatment is usually not necessary unless the lipoma is bothersome, in which case it can be removed surgically.

• Vertigo: This is a sensation of feeling off balance and can be associated with conditions affecting the inner ear or brain. It can cause headaches and problems with vision.

  • Treatment depends on the underlying cause and can include medications, physical therapy maneuvers, and surgery.

Please note that these are possibilities and not a definitive diagnosis. It's important to consult with a healthcare professional who can evaluate your symptoms and medical history in person.

What you can do

1. Schedule an appointment with your primary care doctor. They can evaluate your symptoms and possibly refer you to a specialist, such as a neurologist or an ear, nose, and throat (ENT) doctor.
2. Over-the-counter pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil, Motrin IB), might help with your neck pain and headaches.
3. Gentle neck stretches and physical therapy can be beneficial for neck pain and stiffness.
4. Try to identify and avoid triggers for your vertigo, such as certain movements or positions.

What you should look out for

Seek immediate medical attention if you experience:

• Sudden, severe headache or neck pain
• Trouble swallowing or breathing
• Sudden weakness or numbness in your arms or legs
• Sudden loss of vision or double vision
• Difficulty speaking or understanding speech
• Loss of balance or coordination, or a fall
• New or worsening symptoms

Please remember that 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.