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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Migraines And Occipital Pain

I suffer from migraines and occipital pain tight neck, I had anterior cervical discectomy, some mornings , no warnings,I have sweating, tingle in arms, nauseau watery stool,feeling faint I take Fiorinol for migraines and Promethegan for nausea. These episodes are very infrequent but most concerning I ve had occipital nerve block which helped but can find no one to give me another treatment I live in Florida
posted on Thu, 3 Jul 2014
Twitter Fri, 10 Apr 2015 Answered on
Twitter Mon, 13 Apr 2015 Last reviewed on
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Neurologist,  's  Response
Hello!
I read your question and understand your concern. On my opinion the pain you have may be related to the occipital neuralgia. It is very common after neck surgery , more frequent in the posterior discectomy. But the tingling in your arms are not a feature of this disorder. I recommend a new cervical spine CT scan , for a new displaced disc which can cause these symptoms.
A cervical collar would help.
An occipital nerve stimulation, a surgical procedure which puts a pacemaker under your skin would solve the problem if no new disk displacement found. I would recommend Indomethacine or Lamotrigine for pain management.
Hope to have been helpful!
Best wishes Dr. Abaz Quka
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Suggest Treatment For Migraines And Occipital Pain

Hello! I read your question and understand your concern. On my opinion the pain you have may be related to the occipital neuralgia. It is very common after neck surgery , more frequent in the posterior discectomy. But the tingling in your arms are not a feature of this disorder. I recommend a new cervical spine CT scan , for a new displaced disc which can cause these symptoms. A cervical collar would help. An occipital nerve stimulation, a surgical procedure which puts a pacemaker under your skin would solve the problem if no new disk displacement found. I would recommend Indomethacine or Lamotrigine for pain management. Hope to have been helpful! Best wishes Dr. Abaz Quka