Patient's Query
Hello doctor,
I am a 29 year old married female. I delivered my baby a year ago. I had post-spinal headache for three days in the hospital. Again, for the last eight months, I have been suffering with severe upper shoulder pain, neck pain and one-sided headache. It started with severe giddiness and nausea. I have consulted many neuro physicians and they prescribed me medicines for migraine along with antidepressants. But, I did not get any relief. A neurosurgeon told me to take Dolo for three weeks and Stalopam 10 mg. That too, did not help me. I got my MRI scan done and was diagnosed to have a small cyst (subependymoma) in my head, which doctors said as non-cancerous and not related to these headaches. I lifted heavy weights in my fourth month after my delivery and I had upper shoulder pain. Later, my neck and head pain started. I guess, pain in my upper shoulder muscle leads to neck pain and headache. Doctors say it as a migraine, but I am not sensitive to light. I started taking Vasograin since five days and feeling good for about 80 percent. Please help to come out of this terrible headache and muscle pain.
Hi,
Welcome to icliniq.com.
We are here to help you. You seem to be suffering from fibromyalgia (muscle pain and fatigue) Fibromyalgia can be associated with migraine headache that presents with one-sided headache. Also, following delivery, females do get these kind of pains and headache due to breastfeeding has led to vitamin D and calcium deficiency causing such pains. Now, I would recommend in such case a test for vitamin D and iron profile. Treatment recommendations would be Amitriptyline and Duloxetine for pain. Vitamin D and iron can be added later based on the reports. I hope this helps. Thank you and take care.
Patient's Query
Thank you doctor,
I would continue the medicines. Please explain the dosage and timing of medicine. To be frank, I met many neuro physicians. But, I did not follow the medication as I am scared of side effects. Now, I would strictly follow.
Hi,
Welcome back to icliniq.com.
I would recommend both the medicines to be taken at night. I suggest Duloxetine should be started at 20 mg dose Amitriptyline at 10 mg dose. However, these are prescription medicines and you should seek your doctor for a prescription to start the medicines. Thank you and please feel free to revert back.
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Answered byDr. Anshul Varshney
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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