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My story of headache and migraine. Alternatives?

Headache & Migraine | Last Active: Apr 13 1:38pm | Replies (4)

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@giggles25

@dlydailyhope I hope I am replying correctly!
Thank you SO much for your reply! I think you have hit the jackpot. Just read this article on Cervical nerve root irritation. It states: "In all instances the symptoms are aggravated by certain motions and positions of the neck. Sewing, reading, driving a car, or any occupation or pleasure which necessitates holding the neck in flexion, hyperextension, rotation or lateral bending for any length of time increases the symptoms." And " In most instances the symptoms are worse at night and the patients have difficulty sleeping." It also says that people are often diagnosed with migraines. I have noticed that my headaches often occur after doing Pilates with weights (though low weight), knitting, bicycling, walking the dog on a leash, who pulls, and holding a folder with music in it, in front of me. I did have a MRI of the cervical spine in 2022 with diagnosis some degenerative disc disease, and also: "no impingement of the spinal cord, or evidence of impingement of the nerve roots." However, I have often wondered, if this MRI showed everything. I have had some tingling of the hands, but not a lot. I am extremely reluctant to get surgery for this. My neurologist will give me a nerve injection in the occipital nerve next month. I can ask for an EMG/nerve conduction study, but which specialist would be the most appropriate to see next? A nerve specialist?? Spine specialist?? Thank you!

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Replies to "@dlydailyhope I hope I am replying correctly! Thank you SO much for your reply! I think..."

@giggles25
It would be good to have your neurologist do an EMG/nerve conduction study of your upper limbs first to check for radiculpathy. This can help identify if there are compressed/pinched spinal nerve roots/nerves that control your arms. You could also ask them to do a MRI of your cervical spine with and without contrast since you haven’t had one since 2022. You may want an updated MRI of your brain if it has been more than a year.

You can then have your imaging/results sent by your neurologist to an orthopedic spine specialist for a consult to review your cervical MRI and EMG/nerve conduction study.

When was the last your neurologist did a full neuropathy bloodwork panel? If it has been a while, it would be good to check if anything is abnormal.

There is something called Neckgraine that my neurologist told me about. It's when a migraine settled in your neck. Interesting, huh?