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My dad was having bad chronic headaches that were ...


Sent to Health Experts November 29, 2006 3:20 a.m.

My dad was having bad chronic headaches that were oftentimes on one side of his head, but would move around. He did not have nausea or sensitivity to light or sound other symptoms of migranes. Ibuprofin helps manage the pain.

Recently, the headaches have been subsiding, but he has been having a weird pain that feels like behind his eyes, and today his eyes themselves were hurting. His scalp is also extremely sensitive.

The headaches and other syptoms came all of a sudden about 3 weeks ago. He plays the violin avidly (at least an hour a day) and lately has been playing with a different posture. A while ago he had problems with his arm going numb while playing his violin, but that went away. He has been avoiding watching TV while laying in bed and has adjusted his pillow size for sleep, but continues to play his violin in the same manner where he supports the weight of the instument by pinching it between his chin and shoulder. Do these symptoms sound neck-related or ?

Optional Information:
Male , Age: 48

Already Tried:
Ibuprofin for pain, adjustment of pillow size and not reading or watching TV in bed
Customer (name blocked for privacy)
Status: Closed   Value: $30   
Answer
November 29, 2006 3:53 a.m. (32 minutes and 57 seconds later)
ACCEPTED Check Mark

The problem of your father's arm going numb is most likely caused by thoracic outlet syndrome. Conservative treatment of thoracic outlet syndrome usually includes local heat and a program which addresses postural re-training, shoulder strengthening, and stretching exercises. Here is a good web site that explains thoracic outlet syndrome and includes specific exercises that can be very helpful to relieve your father's symptoms. http://www.nismat.org/ptcor/thoracic_outlet/

Your father's headaches are due to occipital neuralgia. Occipital neuralgia symptoms include headache, eye pain that begins in the occipital region and extend over the scalp to the eyes, scalp pain, tenderness, paresthesia in the distribution of the second cervical dermatome, loss of normal cervical lordosis, and neurologic signs that are often mild. http://www.backpainguide.com/Chapter_Fig_folders/Ch06_Path_Folder/4Radiculopathy.html

Some causes of occipital neuralgia include inflammation, injury, pressure on the occipital nerves, upper cervical spinal roots, dorsal horns, or root ganglia, and instability of the joint space between the first and second cervical segments which can cause intermittent subluxation or nerve root compression and referred pain to the occiput, neck, and retrobulbar area behind the eyes.

Correct diagnosis of occipital neuralgia requires a CT scan and/or X-ray examination of the cervical spine with lateral views in extreme extension, flexion, and neutral position, and open-mouthed and lateral views of the odontoid in extreme flexion and extension.

Treatment is symptomatic and includes massage, rest, antidepressants, local nerve blocks, and injections of steroids directly into the affected area.

I recommend that your father be examined by a neurologist who is familiar with treating patients who have occipital neuralgia. Before choosing a doctor ask questions about the patients he treats and the success of his treatments.



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