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What causes persistent neck and shoulder pain and headaches?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am suffering from pain in my neck and shoulder on my left side. I had an injury over a year ago, that has resulted in persistent, worsening pain. I have cluster headaches, a backache that radiates when I look down, trouble falling asleep, and frequent numbness in my left hand. Please help.

Hi,

Welcome to icliniq.com.

As per your complaint and findings, I need more information to comment on it. I suggest you get a blood test and a magnetic resonance imaging report.

I suggest getting a comprehensive blood test that includes a complete blood count, electrolytes, thyroid profile, vitamin B12, vitamin D3, lipid profile, hemoglobin A1C, and blood sugar levels.

I suggest you take the combination tablets of Etoricoxib and Pregabalin once a night for five days, a tablet of Methylcobalamin three times daily for five days, a tablet of Pantoprazole once a night for five days, a tablet of Calcium Carbonate 500 milligrams once in the afternoon for five days, and a capsule of Cholecalciferol every Sunday after dinner for four weeks.

I hope this helps you.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply,

I am not sure why my magnetic resonance imaging has not been uploaded. In the meantime, I am attaching my recent laboratory reports. They will update my files.

Thank you.

Hi,

Welcome back to icliniq.com.

I have gone through your blood report (attachment removed to protect the patient's identity). Cholesterol levels and erythrocyte sedimentation rate levels are high. High cholesterol levels can cause headaches and sometimes neck pain. Raised erythrocyte sedimentation rate seems to be an infection somewhere, which could be sub-clinical or any type of physical stress on the body.

Also, I could not find your vitamin reports. I suggest that it would be better if we could discuss your problem over the phone so that I can get a proper history from you. Meanwhile, I would like to suggest you take the tablet of Atorvastatin 10 milligrams once daily for one month. Use a soft cervical collar. Take a steam inhalation one or two times daily. Try to gargle warm salt water eight to ten times daily. Also, try to choose a stress-free, regular lifestyle. Maintain regular eating habits and adequate hydration. Please follow up for further assistance.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply,

Could you please review my magnetic resonance imaging report?

Hi,

Welcome back to iclinq.com.

I have gone through your magnetic resonance imaging reports. Whatever images I have, I could not see anything significant in it. However, I would request you to please share the report of the radiologist. Also, I want to know how you are responding to medicine? Please follow up for further assistance.

Thank you.

Medically reviewed byiCliniq medical review team

Published At May 18, 2023
Reviewed AtDecember 11, 2025

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