Neck Pain: When to Seek Further Medical Advice - Neurology

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Neck pain can be a complex issue, often requiring a thorough evaluation to determine the underlying cause. Based on your description, it seems you have been experiencing significant discomfort that has shifted from your shoulder to the back of your head. This kind of pain can arise from various sources, including muscular strain, nerve compression, or even referred pain from other areas.

Given that you have already undergone an MRI that showed no nerve issues, it is essential to consider other potential causes of your symptoms. Muscle tension, poor posture, and stress can contribute to neck and shoulder pain, leading to referred pain in the head. Additionally, conditions such as tension headaches or cervicogenic headaches (pain originating from the cervical spine) could be responsible for the pain you are experiencing at the hairline at the back of your head.

Since you mentioned that the pain has improved in your shoulder but has now manifested in a different area, it may be beneficial to explore physical therapy. A physical therapist can provide targeted exercises to strengthen the muscles around your neck and shoulders, improve your posture, and teach you techniques to manage pain. They can also assess your movement patterns and identify any contributing factors that may not have been addressed in your previous consultations.

If you continue to experience pain despite these interventions, or if the pain worsens or is accompanied by other symptoms (such as numbness, tingling, or weakness in your arms), it may be prudent to seek further evaluation from a neurologist or a pain specialist. These specialists can conduct more comprehensive assessments, including nerve conduction studies or additional imaging, to rule out any underlying neurological issues.

Regarding the medications you are taking, it is crucial to discuss any concerns about their effects on pregnancy with your healthcare provider. The medications you mentioned, such as Ankejian (likely a muscle relaxant) and Jing'an (possibly an anti-inflammatory or pain reliever), may have different implications for pregnancy. Some medications can affect fertility or have implications during pregnancy, so it is essential to have an open dialogue with your doctor about your plans and any potential risks.

In summary, while your current treatment has provided some relief, it may be beneficial to explore physical therapy and consider a referral to a specialist if your symptoms persist. Additionally, ensure that you discuss your medication concerns with your healthcare provider to make informed decisions regarding your health and future plans. Remember, managing neck pain often requires a multifaceted approach, including physical therapy, medication, and lifestyle modifications.