Hello, I have been having sharp throbbing pain and stiffness in my neck and shoulders. This pain has been going on for a few weeks. I also have bad pain all around the top of my head. The pain occurs at night and in the morning when I wake up and usually last all day long. It may go away for a couple hours throughout the day but it does come back. Other symptoms I am experiencing is nausea, occasional tenderness, I feel emotional and vulnerable, and there is pressure in my head and I do feel it when I move it or sit still. I do not feel any pressure in my eyes or any vision problems and I do not hear any swishing in my ears. I have tried over the counter medications such as Advil, Aleve, and Excedrin migraine. But none of them work. I have also been experiencing shortness of breath in the morning for the past few days, feeling very cold before going to bed and a sharp pain going across my upper abdomen. I have gone to the doctor and he wasn’t very much help, he only suggested for me to take the Motrin… but nothing works. I’m not sure what else to do or try. Any help is very much appreciated. Thank you, Vanessa.
We're sorry to read about the problems you're having. Let's take a look at the symptoms you listed:
- sharp throbbing pain and stiffness in my neck and shoulders
- bad pain all around the top of my head -occurs at night and in the morning when I wake up and usually last all day long. It may go away for a couple hours throughout the day but it does come back
- feeling emotional and vulnerable
- pressure in head
- sharp abdominal pain
- shortness of breath in the morning
All but the shortness of breath are known to be possible Migraine symptoms. Neck pain has been found to be even more common with Migraine than nausea. Feeling emotional and vulnerable can be frequent Migraine symptoms because of the fluctuations of neurotransmitters such as serotonin and norepinephrine that can occur as part of the Migraine process.
Shortness of breath is not a common Migraine symptom. It's possible that this comes from panic during a Migraine, BUT it's important that other possible causes for this are ruled out.
Waking with a Migraine or headache is often a sign of sleep issues...
- too much sleep,
- too little sleep,
- not following a regular sleep schedule,
- disrupted sleep,
- poor quality sleep.
Here are links to some information that you can read and share with your doctor:
- Migraines, Headaches, and Sleep
- Abdominal Migraine - The Basics
- Anatomy of a Migraine
- Neck Pain as a Migraine Symptom
Nobody can diagnose without examining you in person, reviewing your medical history, and discussing your symptoms with you. That means that we can't tell you if your headaches are Migraines, but we can offer you information.
Unfortunately, most doctors learn very little about Migraine and other headache disorders in medical school, and most don't do continuing medical education in this area. If your doctor isn’t able to help you, it may well be time to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check the Find a Health Care Specialist on the ACHE web site.
John Claude Krusz and Teri Robert
About Ask the Clinician:
Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.
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Published On: February 18, 2014