What are the potential causes of headache, nausea, fatigue, and neck pain. How can these symptoms be effectively treated. What preventive measures can be taken to avoid these symptoms. When should medical attention be sought for these symptoms.

Understanding Cervical Headaches: A Common Culprit

Cervical headaches, also known as cervicogenic headaches, are a frequent source of discomfort for many individuals. These headaches stem from structural issues within the cervical spine, which encompasses the neck region. The pain associated with cervical headaches can be persistent, lasting for days, or it may come and go intermittently.

Causes of cervical headaches include:

• Injuries from accidents or surgeries
• Compression fractures
• Herniated discs
• Spinal cord inflammation
• Neck strain due to poor posture

Accompanying symptoms often include:

• Neck stiffness
• Nausea
• Fatigue
• Limited neck mobility

Diagnosing and Treating Cervical Headaches

Diagnosis of cervical headaches typically involves a physical examination of the neck and spine, often complemented by medical imaging techniques. Treatment options vary based on the underlying cause and may include:

1. Pain relievers to alleviate neck pain and headaches
2. Physiotherapy to improve neck function and movement
3. Surgery to address cervical spine issues
4. Nerve blocks to target specific pain areas

Migraines: More Than Just a Headache

Migraines are characterized by moderate to severe throbbing headaches, typically affecting one side of the head. These debilitating headaches often come with additional symptoms that can significantly impact daily life.

Common migraine symptoms include:

• Increased sensitivity to light and sounds
• Dizziness
• Nausea
• Vomiting

While the exact cause of migraines remains elusive, several factors are believed to contribute:

• Changes in brain chemicals
• Alterations in nerves and blood vessels within the brain
• Genetic predisposition

Many individuals report specific triggers for their migraines, such as:

• Menstruation
• Stress
• Fatigue
• Certain foods and beverages

Managing Migraines: Treatment Approaches

Although there is no cure for migraines, several treatments can help alleviate symptoms:

1. Resting in a dark, quiet room during a migraine attack
2. Over-the-counter pain relievers like acetaminophen and ibuprofen
3. Triptans, which help reverse brain changes associated with migraines
4. Antiemetics to reduce nausea and vomiting

Viral Gastroenteritis: When Stomach Bugs Cause Headaches

Viral gastroenteritis (VG) is an inflammation of the gastrointestinal tract caused by viral infections. The most common culprit is norovirus, which can lead to a range of uncomfortable symptoms.

Symptoms of viral gastroenteritis include:

• Nausea and vomiting
• Stomach pain
• Diarrhea
• Headaches
• Body aches
• Fever

Persistent diarrhea and vomiting can result in dehydration, leading to additional symptoms such as:

• Dizziness upon standing
• Dry mouth and throat
• Reduced urination

Treating Viral Gastroenteritis

In most cases, viral gastroenteritis resolves on its own without medical intervention. However, there are steps you can take to manage symptoms and prevent complications:

1. Take over-the-counter medications like loperamide (Imodium) or bismuth subsalicylate (Pepto Bismol) to control diarrhea
2. Drink plenty of water and clear fluids to prevent dehydration
3. Consume low-sugar fruit juices or sports drinks to replenish lost electrolytes

If symptoms persist for more than a few days, it’s advisable to consult a healthcare professional.

Cerebral Aneurysms: A Serious Consideration

A cerebral aneurysm is an enlarged blood vessel within the brain, resulting from a weakness in the vessel wall. While small aneurysms may not cause noticeable symptoms, larger ones can put pressure on surrounding nerves or brain tissue, leading to various symptoms.

Symptoms of a larger cerebral aneurysm may include:

• Pain above and behind the eye
• Visual changes
• Dilated pupil
• Facial paralysis on one side
• Numbness
• Weakness

Recognizing a Ruptured Aneurysm

A ruptured aneurysm is a medical emergency requiring immediate attention. Symptoms to watch for include:

• Sudden, severe, and intense headache
• Blurred or double vision
• Light sensitivity
• Stiff neck
• Nausea and vomiting
• Seizures
• Loss of consciousness
• Cardiac arrest

Treatment and Management of Cerebral Aneurysms

According to the National Institute of Neurological Diseases and Stroke (NINDS), not all aneurysms require immediate treatment. In some cases, monitoring for signs of growth may be recommended. To reduce the risk of aneurysm rupture, NINDS suggests:

• Controlling high blood pressure
• Stopping smoking
• Avoiding excessive alcohol consumption
• Abstaining from illicit drug use

Dehydration: An Often Overlooked Cause

Dehydration occurs when the body loses more fluids than it takes in, disrupting normal bodily functions. This common condition can lead to a range of symptoms, including headaches, nausea, fatigue, and neck pain.

Causes of dehydration include:

• Inadequate fluid intake
• Excessive sweating
• Diarrhea and vomiting
• Certain medications
• Medical conditions such as diabetes

Recognizing and Treating Dehydration

Symptoms of dehydration may include:

• Thirst
• Dark-colored urine
• Dry mouth and lips
• Fatigue
• Dizziness
• Headache
• Decreased urine output

Treatment for dehydration primarily involves replenishing lost fluids and electrolytes. This can be achieved through:

1. Drinking water and other clear fluids
2. Consuming oral rehydration solutions
3. Eating foods with high water content
4. In severe cases, intravenous fluids may be necessary

Tension Headaches: When Stress Takes Its Toll

Tension headaches are the most common type of headache, often described as a feeling of pressure or tightness around the head. These headaches can be accompanied by neck pain, fatigue, and sometimes nausea.

Factors contributing to tension headaches include:

• Stress
• Poor posture
• Lack of sleep
• Skipping meals
• Eyestrain
• Hormonal changes

Managing Tension Headaches

Treatment options for tension headaches may include:

1. Over-the-counter pain relievers such as acetaminophen or ibuprofen
2. Stress management techniques like meditation or yoga
3. Improving sleep habits
4. Regular exercise
5. Massage or physical therapy
6. Application of heat or cold to the affected areas

When to Seek Medical Attention

While many cases of headaches accompanied by nausea, fatigue, and neck pain can be managed at home, certain situations warrant immediate medical attention.

Seek emergency care if you experience:

• Sudden, severe headache unlike any you’ve had before
• Headache accompanied by fever, stiff neck, confusion, or seizures
• Headache following a head injury
• Persistent vomiting or visual disturbances
• Sudden onset of symptoms in individuals over 50 years old

Additionally, consult a healthcare provider if:

• Your headaches are becoming more frequent or severe
• Over-the-counter medications no longer provide relief
• Headaches interfere with daily activities
• You experience new or unusual symptoms alongside your headaches

Preventive Measures and Lifestyle Modifications

While not all instances of headaches, nausea, fatigue, and neck pain can be prevented, certain lifestyle modifications may help reduce their frequency and severity.

Consider implementing the following strategies:

1. Maintain a regular sleep schedule
2. Stay hydrated by drinking adequate amounts of water throughout the day
3. Practice good posture, especially if you spend long hours at a desk
4. Engage in regular physical activity
5. Manage stress through relaxation techniques or counseling
6. Avoid known triggers, such as certain foods or environmental factors
7. Limit alcohol and caffeine intake
8. Take regular breaks from screens to reduce eye strain

By adopting these habits, you may be able to minimize the occurrence of these uncomfortable symptoms and improve your overall quality of life.

Exploring Alternative Therapies

In addition to conventional treatments, some individuals find relief from headaches, nausea, fatigue, and neck pain through alternative therapies. While scientific evidence for these approaches varies, many people report positive outcomes.

Some alternative therapies to consider include:

• Acupuncture
• Chiropractic care
• Herbal supplements (consult with a healthcare provider before use)
• Biofeedback
• Aromatherapy
• Cognitive-behavioral therapy

It’s important to note that these therapies should be used in conjunction with, not as a replacement for, conventional medical care. Always consult with a healthcare professional before starting any new treatment regimen.

The Role of Diet in Symptom Management

Diet can play a significant role in managing headaches, nausea, fatigue, and neck pain. Some dietary modifications that may help include:

1. Identifying and avoiding food triggers (common culprits include processed foods, artificial sweeteners, and certain preservatives)
2. Eating regular, balanced meals to maintain stable blood sugar levels
3. Increasing intake of anti-inflammatory foods such as fruits, vegetables, and omega-3 fatty acids
4. Limiting caffeine and alcohol consumption
5. Staying hydrated with water and herbal teas

Keeping a food diary can help identify potential dietary triggers and inform more effective symptom management strategies.

The Importance of Proper Diagnosis

Given the wide range of potential causes for headaches, nausea, fatigue, and neck pain, obtaining an accurate diagnosis is crucial for effective treatment. A healthcare provider may use various diagnostic tools and techniques to determine the underlying cause of your symptoms.

Diagnostic procedures may include:

• Physical examination
• Neurological tests
• Blood tests
• Imaging studies (CT scans, MRI)
• Lumbar puncture (in rare cases)

By pinpointing the exact cause of your symptoms, your healthcare provider can develop a tailored treatment plan that addresses your specific needs and concerns.

The Role of Genetics in Headache Disorders

Research suggests that genetics may play a significant role in certain headache disorders, particularly migraines. Understanding your family history of headaches can provide valuable insights into your own condition and help guide treatment decisions.

Genetic factors may influence:

• Susceptibility to certain types of headaches
• Frequency and severity of headache episodes
• Response to specific treatments

If you have a family history of headache disorders, discussing this information with your healthcare provider can contribute to a more comprehensive understanding of your condition and inform more effective management strategies.

Headache, dizziness, fatigue, and neck pain: Causes and treatment

A headache, along with neck pain, dizziness, and fatigue, can be debilitating. Numerous conditions can cause these symptoms, including migraines, tumors, or even dehydration. Some are relatively benign, while others can be serious or life threatening.

This article explores the potential triggers of headaches with dizziness, fatigue, and neck pain, along with their treatment options. We also outline tips for preventing these symptoms and offer advice on when to see a doctor.

There can be several reasons for a headache with neck pain, dizziness, and fatigue.

Cervical headache

A cervical headache, or cervicogenic headache, is a type of long-term or chronic headache due to structural issues with parts of the cervical spine, including the vertebrae, disc, muscle, or spinal cord. The cervical spine is the section of the spine that includes the neck.

Cervical spine damage can occur due to:

• injury resulting from accidents or surgery
• compression fractures
• a herniated disk
• inflammation of the spinal cord
• general neck strain due to posture issues

A cervical headache may cause pain that persists for several days, or the discomfort can come and go. Other possible symptoms include:

• neck stiffness
• nausea
• fatigue
• limited neck movement

Treatment

A doctor can usually diagnose cervical headaches by examining the neck and assessing the spine using medical imaging techniques.

The treatment will depend on the underlying cause, with options that include:

• pain relievers to ease neck pain and headaches
• physiotherapy to restore function and improve neck movement
• surgery to correct issues with the cervical spine
• nerve blocks to treat specific areas of pain

Migraine

A migraine is a moderate or severe throbbing headache that occurs on one side of the head. They may also cause additional symptoms, such as:

• increased sensitivity to light or sounds
• dizziness
• nausea
• vomiting

The exact cause of migraines remains unknown. However, experts believe that the following factors may play a role:

• changes in brain chemicals
• changes to the nerves and blood vessels inside the brain
• genetic factors

Some people report that certain factors can trigger their migraines, which commonly include:

• menstruation
• stress
• tiredness
• certain foods and drinks

Treatment

Although there is no cure for migraines, certain treatments can help reduce the symptoms, including:

• sleeping or lying in a dark room during a migraine
• taking over-the-counter pain relievers, such as acetaminophen and ibuprofen
• taking triptans, which help reverse brain-changes that can trigger migraines
• taking antiemetics to help reduce nausea and vomiting

Viral gastroenteritis

Gastroenteritis is the medical term for inflammation and irritation of the gastrointestinal tract. Viral gastroenteritis (VG) is gastroenteritis that occurs as a result of a viral infection.

Many viruses can trigger VG. The most common is norovirus, which can cause a range of symptoms, including:

• nausea
• vomiting
• stomach pain
• diarrhea
• headaches
• body aches
• fever

Persistent diarrhea and vomiting can also lead to dehydration. This may lead to additional symptoms, such as:

• dizziness when standing up
• dry mouth and throat
• reduced urine

Treatment

Viral gastroenteritis usually goes away on its own without medical treatment. Until then, people can take medications to control their diarrhea. Examples include loperamide (Imodium) or bismuth subsalicylate (Pepto Bismol).

People can help prevent dehydration by:

• drinking plenty of water and other clear fluids
• drinking low-sugar fruit juices or sports drinks to help replace lost electrolytes

Contact a doctor if symptoms do not improve within a few days.

Cerebral aneurysm

An aneurysm refers to an enlarged blood vessel. This occurs due to a weakness in the blood vessel wall. An aneurysm that occurs within a blood vessel in the brain is known as a cerebral aneurysm.

A small cerebral aneurysm that does not increase in size might not come with any symptoms. However, larger aneurysms may put pressure on the surrounding nerves or brain tissue, which can trigger the following symptoms:

• pain above and behind the eye
• changes in vision
• a dilated pupil in the eye
• paralysis on one side of the face
• numbness
• weakness

In some cases, an aneurysm may leak or rupture, which requires emergency medical attention. Symptoms to look out for include:

• a sudden, severe, and intense headache
• blurred or double vision
• sensitivity to light
• stiff neck
• nausea
• vomiting
• seizures
• brief or prolonged loss of consciousness
• cardiac arrest

Treatment

According to the National Institute of Neurological Diseases and Stroke (NINDS), not all aneurysms require treatment. In some cases, a doctor may recommend monitoring them for signs of growth.

NINDS recommend people take the following steps to help reduce the risk of a ruptured aneurysm:

• monitoring and controlling blood pressure
• quitting smoking
• avoiding the use of stimulant drugs

Some people may require surgery to reduce or cut off blood supply to the aneurysm.

Stroke

A stroke is a potentially life threatening condition where the blood supply to part of the brain becomes cut off, which can result in brain cell death. A stroke can occur for the following reasons:

• an artery that supplies blood to the brain becomes blocked
• blood vessel within the brain ruptures

A sudden and severe headache can sometimes be a warning sign of stroke, though it is not a common symptom. In a 2015 study, only 49 out of 263 people who experienced a stroke reported a simultaneous headache.

Besides a headache, other possible stroke symptoms include:

• sudden numbness or weakness in a limb, or on one side of the face
• vision problems in one or both eyes
• difficulty speaking or understanding speech
• confusion
• dizziness
• loss of balance
• lack of coordination
• difficulty walking

Treatment

A stroke is a medical emergency. Without rapid treatment, it may result in severe brain damage or death. A person who shows signs of a stroke should phone for an ambulance immediately if possible. People should also look out for these symptoms in others and seek emergency medical care if they suspect a stroke.

Stroke treatments depend on the underlying cause. Some possible options include:

• Thrombolytics: Medications can help break up blood clots.
• Endovascular procedure: A procedure where a surgeon guides surgical instruments through a tube inserted into a limb to repair a broken blood vessel.
• Surgical treatment: Involves placing a metal clip around a ruptured blood vessel to reduce further bleeding.

Brain tumor

A brain tumor is when a collection of cells within the brain multiply abnormally and uncontrollably.

Doctors classify brain tumors into grades, depending on how fast they grow and how likely they are to grow back after treatment.

Grade 1 and 2 brain tumors are non-cancerous or benign, and slow-growing. Grade 3 and 4 brain tumors are cancerous or malignant. These tumors may originate in the brain or may spread from elsewhere in the body. They are fast-growing and more likely to re-occur following treatment.

Brain tumor symptoms depend partly on the area of the brain that they affect. Some common symptoms include:

• headaches
• dizziness
• seizures
• persistent nausea
• vomiting
• drowsiness and fatigue
• progressive weakness or paralysis on one side of the body
• problems with speech, vision, or memory
• changes in personality or behavior

Treatment

Brain tumor treatments depend on the following factors:

• type, grade, and location of the tumor
• how abnormal the cells are
• how big the tumor is and how far it has spread
• the person’s overall health and fitness

Some possible treatment options include:

• steroids to reduce swelling around the tumor
• antiepileptic medications to control seizures
• pain medications to ease pain
• surgery to remove the tumor
• radiation therapy or chemotherapy to help destroy any abnormal cells

Other possible causes of headaches, dizziness, neck pain, and fatigue include dehydration and anxiety.

Dehydration

Dehydration occurs when the body does not have enough water to function properly. This can result in the following symptoms:

• headaches
• dizziness or lightheadedness
• tiredness
• dry mouth, lips, and eyes
• dark, strong-smelling urine
• reduced urine

Anxiety

According to the Anxiety and Depression Association of America, headaches are a common symptom of anxiety. People with this condition may also experience panic attacks, which can trigger the following physical symptoms:

• heart palpitations
• chest pain or discomfort
• shortness of breath
• sweating
• trembling or shaking
• numbness or tingling sensations
• dizziness or lightheadedness
• nausea

Cervical headaches indicate that there may be an injury in the cervical spine or surrounding soft tissue.

People who experience them may benefit from the following treatments:

• physical therapy to help regain function
• alternative therapies, such as acupuncture
• medications to alleviate pain
• surgery to address serious injuries

Anyone with severe, persistent, or worsening headaches should see a doctor for a diagnosis and appropriate treatment.

The acronym SNOOP can help people decide when a headache may be serious, which stands for:

• Systemic symptoms:
  • fever
  • persistent vomiting
  • stiff neck
• Neurological symptoms:
  • changes in mood, personality, or behavior
  • confusion
  • memory problems
  • seizures
  • loss of consciousness
  • weakness or paralysis
• Onset: New or sudden onset of headaches.
• Other conditions: A headache that develops following another condition or head injury.
• Prior history: If the headache differs from previous headaches, or they get steadily worse, this could signal a serious issue.

It is not possible to prevent all headaches. However, certain strategies can reduce a person’s risk of developing diseases that may trigger them. These include:

• Following a healthful lifestyle: Exercising regularly and eating a healthful and varied diet can lower the risk of stroke, aneurysm, and other life threatening medical conditions.
• Monitoring headaches: People should keep a diary that records when their headaches occur, as well as their duration and intensity. This will allow them to detect possible headache triggers.
• Managing anxiety and stress: Proper anxiety and stress management may help reduce headaches and other symptoms. People can try relaxation techniques, such as:
  • massage
  • exercise
  • meditation
  • talking therapy
• Managing underlying medical conditions: It is essential that people tend to any underlying medical issues to reduce the risk of serious complications.

Headaches, dizziness, fatigue, and neck pain can be a worrying combination. Various conditions can cause these symptoms, while some are more serious than others. Potentially life threatening triggers include aneurysms, stroke, and brain tumors.

As headaches can indicate serious health issues, people who experience severe, persistent, or worsening headaches should see a doctor for diagnosis and treatment.

Anyone who experiences symptoms of an aneurysm or stroke should seek emergency medical care immediately. Timely treatment can reduce the risk of serious complications, including death.

Neck pain with a headache: Symptoms, causes, and treatments

Various conditions, such as infections, stress, and illness, can cause neck pain and a headache. Although people can usually manage symptoms at home, they may need to contact a doctor in some cases.

People sometimes worry that a headache means they have cancer or another serious medical issue. Most headaches, though, are harmless and go away on their own.

Monitoring for other symptoms, such as fever, and tracking whether or not symptoms get worse can tell a person if they should seek medical attention.

Read more to learn about what causes neck pain and headache, how to treat the symptoms, and when to contact a doctor.

There are many different types of headaches. The most common are migraine, cluster, and tension.

Tension headache

A tension headache gradually gets worse with time, and neck pain can accompany it. Fatigue, stress, and muscle strain are often underlying causes of these headaches.

These headaches often lead to a dull, throbbing pain on both sides of the head. The pain might come and go.

Learn more about tension headaches here.

Cervicogenic headache

According to the American Migraine Association, a specific source of pain in the head or neck causes a cervicogenic headache. It leads to a dull, aching pain on one side of the head.

In addition to pain, a person may experience:

• a limited range of motion of their neck
• a headache that worsens as a result of specific movements
• increased headache pain due to pressure on the neck
• pain that typically occurs on one side of the head
• pain that starts in the back of the head or neck and travels behind the eyes

Learn more about cervicogenic headaches here.

Cluster headache

A cluster headache is a sudden, intense headache that can be debilitating. It usually begins near the eyes or temples and affects just one side of the head.

This headache can make a person have red eyes, a runny nose, and congestion.

Cluster headaches typically last less than 3 hours. They often begin with a prodromal phase, which is when a person may have changes in mood, personality, or sensations. Some people may also have neck stiffness.

Learn more about cluster headaches here.

COVID-19 headache

A COVID-19 infection can cause headaches in some people. According to a 2020 study, 11–34% of people receiving hospital treatment for COVID-19 reported experiencing a headache. People with a COVID-19 headache may also have a stiff neck as well as widespread muscle pain, aches, and stiffness.

A COVID-19 headache can happen for several reasons, including:

• muscle stiffness, especially in the neck and back
• a sinus headache from congestion
• inflammation
• damage to blood vessels
• changes in blood pressure

The virus can also lead to meningitis, which causes a stiff neck, headache, light sensitivity, and sometimes changes in thinking or personality.

Learn more about COVID-19 headaches here.

Migraine

Migraine is a type of neurological headache that can cause severe pain.

A 2020 study suggests that neck pain may be the most common migraine symptom, beginning at the same time as the headache.

The study, which included 50 participants, found that neck pain occurred alongside a migraine headache in about 90% of people. The remaining 10% experienced neck pain at other points during their migraine headache.

Learn more about migraine here.

Meningitis

Meningitis is swelling of the meninges, which are membranes that line the skull and spinal column. It happens when an infection attacks the meninges. Bacteria, viruses, fungi, and parasites can all cause meningitis.

People with meningitis often have a very bad headache and a stiff neck that makes it difficult to move the head. It can also cause other symptoms, including:

• fever
• confusion
• loss of consciousness
• dizziness
• nausea and vomiting
• sensitivity to light

Learn more about meningitis.

The treatment for a headache and neck pain depends on the type of headache a person has. The following are common treatments for different types of headaches.

Tension headache

Tension headaches often cause mild to moderate pain. In some instances, over-the-counter (OTC) medication, massage, or rest will relieve pain. If the pain is persistent or occurs frequently, a person may need additional treatment options.

Some prevention strategies include:

• eating regular meals
• managing stress
• getting regular rest
• exercising each day for at least 30 minutes
• avoiding triggers such as stress or lack of sleep
• drinking enough water
• keeping a headache log to identify triggers
• stretching to reduce neck and upper body tension

Learn about home remedies for headaches here.

Cervicogenic headache

Cervicogenic headaches are the result of an underlying condition in the neck, so treatments focus on the neck. People experiencing these headaches should contact a doctor.

Typical treatments for cervicogenic headaches can vary but may include:

• using nerve blocks
• taking pain medication
• having physical therapy

Migraine headache

Migraine treatments often involve improving a person’s symptoms and preventing future migraine.

Some treatment options include:

• using medications, such as pain relievers, triptan, or ergotamine drugs
• resting in a dark, quiet room
• drinking plenty of fluids
• applying a cool, damp cloth or ice pack on the forehead
• undergoing hormone therapy
• recording triggers and trying to avoid them
• managing stress

Learn more about tips for migraine relief here.

Many people do not need to contact a doctor for a headache and neck pain. Usually, taking OTC medications, such as ibuprofen or acetaminophen, or applying heat packs can adequately manage pain.

A person should contact a doctor if:

• the headache does not go away or gets worse
• OTC medications do not stop the pain
• the headache interferes with daily activities
• sexual activity, coughing, sneezing, exercise, or bending over trigger the headache
• they develop nausea or dizziness

A person should seek emergency medical treatment if they experience:

• vomiting that will not stop
• loss of vision
• pain lasting more than 72 hours
• the presence of unusual symptoms
• an intense “thunderclap” sensation in their head
• weakness or numbness of the face or arms
• slurred speech
• stiff neck and fever

Neck pain and headaches are often connected. Several types of headaches, including tension and migraine headaches, may correlate with neck and other pain.

People should contact a doctor if they are not sure what is causing their headache and neck pain, treatments are not working, or they experience other worrying symptoms.

Why my neck hurts and my head is spinning, and what to do about it

Pain in the neck, dizziness, nausea – a complex of unpleasant symptoms, when they appear, a person’s working capacity and quality of life are sharply reduced. With their periodic occurrence, it is imperative to consult a doctor, because it is almost impossible to independently determine the cause of the ailment. The list of diseases that can be accompanied by such symptoms is very wide.

General

Most often, sudden dizziness does not directly signal diseases of the brain or other organs in the head itself. Statistics indicate that most of the dizziness is associated with pathological processes that occur in the cervical region (in the cervical spine and in the vessels that pass through the neck). That is why such an alarming symptom as dizziness is considered by doctors in combination with pain in the neck.

Causes of painful symptoms

If the patient complains that his neck hurts and feels sick, and also (when walking or at rest) dizzy, doctors first need to understand the causes of the condition and make the correct diagnosis.

Osteochondrosis of the cervical spine

The most common cause of dizziness, accompanied by nausea and pain, is osteochondrosis of the cervical spine. During his life, a person constantly makes various movements, which means that his body is almost constantly under load. The spine absorbs the load, and over the years this leads to the fact that its individual elements wear out and gradually begin to lose their function. Cartilaginous structures (intervertebral discs), which are present in the cervical and other parts of the spine, gradually lose moisture, become fragile, thin. This is called osteochondrosis. The vertebrae and intervertebral discs altered by osteochondrosis begin to irritate the paired vertebral artery that feeds the brain, hence the dizziness (in conjunction with nausea). Neck pain is caused by the fact that the distance between the spinal disc and the vertebral body becomes smaller, and they begin to gradually compress the spinal nerves.

Vascular diseases

If the neck hurts and nausea appears, these symptoms may be associated with problems of the vascular system. The general disruption of the vessels leads to the fact that the blood moves through them at a reduced speed, and in some segments the blood even stagnates. Consequently, the normal nutrition of all organs and systems of the human body stops. For poor blood supply to the brain, dizziness and nausea, a headache that radiates to the cervical region, are quite typical.

Metabolic diseases

Neck pain and nausea are symptoms that can occur due to a general metabolic disorder in the human body. Such diseases include diabetes mellitus, hypertension, atherosclerosis and other pathologies that lead to a gradual accumulation of harmful substances in the human body.

Traumatic disorders of the spine and head

The cause of pain in the neck, an unstable state in motion or at rest, can also be a spinal injury. In case of violation of the structure of the vertebrae (especially the most fragile ones, which are located in the cervical region), every movement of a person can be accompanied by pain. Dizziness, on the other hand, occurs due to the fact that damaged vertebral structures interfere with the normal blood supply to the brain.

Vegeto-dystonic syndrome

In a separate group of causes that provoke dizziness and pain in the neck, vegetative-vascular dystonia is distinguished. This is a complex disease that is associated with a violation of the vascular tone of the autonomic nervous system. Dizziness and pain in the neck are symptoms that appear along with heart rhythm disturbances, pressure surges, blanching of the face, fainting, etc.

Diagnostics

Since the causes of vertigo are varied, the methods of diagnosing the disease can also vary. First of all, in order to exclude or confirm metabolic diseases, the patient is prescribed a blood test (general, clinical, for sugar or another), as well as other standard tests that every person has taken at least once in a polyclinic. In the presence of injuries, an x-ray of the area of ​​\u200b\u200bthe spine where the damage is localized is necessarily taken. Also, to study the internal bone structures and soft tissue structures of the cervical region, CT, MRI or ultrasound may be prescribed. At the initial examination, the doctor (this may be internist , neurologist , surgeon traumatologist or other specialist) performs a visual examination and palpation to see if the pain increases when pressing on the affected area.

What causes dizziness

If we separately consider such a symptom as dizziness, we can distinguish two main causes of it. The first is brain dysfunction. The second is a violation of the vestibular apparatus. The mechanism of dizziness can be described as follows:

If the process of transmitting information about the location of the body in space is disturbed at any stage, the person is likely to feel dizzy. Violation can occur for any of the above reasons – vascular failure, injury, metabolic disorders, and so on.

How to treat headaches and neck pain

The method of treating neck pain and dizziness directly depends on what caused the appearance of such symptoms. Doctors may prescribe painkillers, anti-inflammatory drugs (topical tablets or gels). Medications are also prescribed to restore blood flow, blood pressure, and metabolism. In some cases, physiotherapeutic procedures, massage, exercise therapy are effective. Any treatment should be under the supervision of a physician. Sometimes, in the absence of an effect, it can be corrected or supplemented. To get the help of a qualified doctor, contact the Energo clinic. It is here that specialists work who have vast experience in the treatment of spinal injuries, vascular, metabolic and other disorders of the human body.

You can make an appointment with specialists online , as well as by phone 8 (812) 901-03-03.

Pain in the neck – the causes of occurrence, in which diseases it occurs, diagnosis and methods of treatment

Arthritis

Hernia

Protrusion

Arthrosis

Trauma

Osteochondrosis

Myofascial syndrome

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09 June

Pain in the neck – the causes of occurrence, in which diseases it occurs, diagnosis and methods of treatment.

Almost two-thirds of people have experienced neck pain at least once in their lives – cervicalgia. Such pain does not always indicate a serious illness. But if relapses occur more and more often, this can be an alarming signal.

Varieties of pain

Conventionally, the causes of cervicalgia are divided into two groups:

1. arising from diseases of the spine (herniated discs, arthrosis, dysfunction of the intervertebral joints) and subluxation of the vertebrae (whiplash). The consequences of such injuries can manifest themselves throughout life;
2. arising from other causes: infectious and endocrine diseases, tumor processes, rheumatism.

Possible causes

Myofascial syndrome

Prolonged overstrain of the neck muscles, sprains, hypothermia lead to pain, which is characterized by moderate intensity and short duration. In this case, there is often a limitation of the mobility of the head and a spasm of the neck muscles, in which seals and pain are felt when pressed.

As a rule, pain in myofascial syndrome disappears on its own within a few days.

Cervical osteochondrosis

Osteochondrosis is a degenerative-dystrophic lesion of the spine, which occurs as a result of deformation and destruction of the intervertebral discs. Loss of elasticity, compression and destruction of the discs lead to overload of the intervertebral (facet) joints, arthrosis, pinched nerve roots and pain. With age, due to the drying of cartilage, the distance between the vertebrae decreases, which causes damage to the intervertebral joints and ligaments.

Facet joint dysfunction

Damage to the structure of the intervertebral, or facet, joints is one of the most common causes of pain in the neck.

The thinning of cartilage on the articular surfaces leads to the appearance of bone growths – osteophytes. They narrow the lumen of the intervertebral foramina and compress the nerve endings. As a rule, this causes dull pain (gradually increasing, of low intensity), especially in the morning after sleeping in an uncomfortable position (on a high pillow, in the prone position). When moving, it increases, and at rest it weakens. The pain may radiate to the back of the head, ear, temple, or shoulder.

Herniated and protruded intervertebral discs

Compression of the intervertebral discs that have lost their elasticity leads to their protrusion (protrusion) into the spinal canal and the subsequent formation of a hernia.

As a result, compression of the spinal cord occurs, leading to a violation of the sensitivity of the hands (numbness, burning, weakness) and pain. Shooting (irregular, one-sided) pain is aggravated by tilting, rotating, or tilting the head back, so that the person instinctively tilts the head forward and in the direction opposite to the location of the pain.

Cervical myelopathy

Prolonged compression of the hernia of the spinal cord leads to a violation of the spinal circulation.

Painful sensations occur not only in the neck, but also give between the shoulder blades, to the shoulders. They increase with movement and do not stop even after taking painkillers. Characteristic signs are the appearance of goosebumps, numbness of the limbs, problems with fine motor skills. Dizziness, memory impairment, changes in gait are possible.

Whiplash

Whiplash injury of the cervical spine occurs in a person with a sharp bending of the neck forward or backward, followed by recoil in the opposite direction. This type of damage most often occurs in an accident. In this case, stretching and damage to muscles, ligaments, intervertebral discs and cervical vertebrae occur. In the most severe cases, dislocations and fractures of the cervical vertebrae occur.

The consequences of an injury can be pain in the cervical region and shoulders, migraines, spasms of the muscles of the neck, impaired mobility.

Associated symptoms include blurred vision, fatigue, and headaches.

Neck pain due to muscular tonic syndromes

Muscle tonic syndrome is a condition that is caused by prolonged spasm of several muscle groups in the head, neck, and chest. Compression of the neurovascular bundles leads to pulling, sometimes severe pain. In particular, the syndrome of the scalene muscle is a symptom complex in which the innervation and blood supply of the scalene muscles of the neck, going from the cervical vertebrae to the first and second ribs, are disturbed. This syndrome is characterized by pain and stiffness in the neck, more often in the morning, a certain position of the head (the head is tilted forward and slightly towards the tense muscle). The pain can be mild, aching, but sometimes sharp, aggravated at night, with a deep breath, when the head is tilted to the healthy side. Sometimes pain is transmitted to the shoulders, to the axillary and interscapular regions, to the anterior chest.

Neck pain from other causes

Constant and prolonged pain in the neck can be caused not only by diseases of the spine.

First of all, infectious diseases should be excluded, in particular, nonspecific or tuberculous spondylitis, epidural abscess. Persistent pain that worsens rather than improves at rest may be a sign of vertebral metastasis. These symptoms are accompanied by fever, general weakness, sweating. When pressing on the spinous processes, local pain occurs.

Damage to the spine is also possible with rheumatoid arthritis. As a rule, at an early stage of the disease, pain occurs in the neck, neck and head. The pain may radiate to the forehead and eye sockets, aggravated by bending and turning the head. Loss of sensation in the neck and arms.

Diagnostics and examinations

First of all, the doctor pays attention to the clinical symptoms: the localization and distribution of pain, impaired sensitivity in the neck, shoulders, arms, decreased reflexes, general condition, the nature of the pain (increased by movement or at rest).

The doctor may prescribe:

• complete blood count

Blood test. Complete blood count (without leukocyte formula and ESR) (Complete Blood Count, CBC)

Synonyms: UAC. CBC without differential.

Brief description of the study Complete blood count

Blood consists of a liquid part (plasma) and cellular, shaped elements…

Up to 1 business day

Available with home visit

390 RUB

Add to cart

blood chemistry: minimal profile

Up to 1 business day

Available with home visit

3 990 RUB

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urinalysis (urinalysis with sediment microscopy)

Method of determination

Determination of physical and chemical parameters is carried out on an automatic analyzer using the “dry chemistry” method.

Hardware microscope…

Up to 1 business day

Available with home visit

410 RUB

Add to cart

C-reactive protein (CRP, CRP)

C-reactive protein is an acute phase protein, a sensitive indicator of tissue damage during inflammation, necrosis, trauma.
Synonyms: Blood test for CRP; C-jet …

Up to 1 business day

Available with home visit

665 RUB

Add to cart

To clarify the diagnosis, the doctor will need the results of computed and magnetic resonance imaging

Which doctors should I contact?

If you experience pain in the cervical region, first of all, you need to visit:

• therapist;
• neurologist;
• oncologist (at the conclusion of the therapist).

What should be done when pain occurs?

The Shants collar will help relieve pain and relieve tension in the cervical region.

It unloads and relaxes the muscles, reduces the pressure of the vertebrae on each other, helps restore normal blood circulation in the cervical spine.

Treatment

Conservative and surgical methods are used to treat patients with neck pain.

Conservative methods include drug and non-drug therapies.

Non-drug treatment, in particular, therapeutic exercises, ensures the restoration of the correct muscle balance, relaxation of overstrained muscles. Favorable influence is provided by methods of orthopedic treatment, manual and physiotherapy.

Only specialists can perform traction and massage.

Drug therapy is primarily aimed at eliminating pain. For example, blockades with local anesthetics reduce the intensity of pain. Most of the drugs used to treat neck pain are non-steroidal anti-inflammatory drugs, such as diclofenac. Also, in combination with anti-inflammatory drugs, the doctor may prescribe muscle relaxants – drugs whose action is aimed at relieving muscle spasms and reducing the tone of skeletal muscles.

With symptoms of compression of the nerve endings and spinal cord (sensory and motor disorders, paralysis), surgical treatment is indicated. The doctor assesses the benefits and risks of such operations individually. An alternative to surgical interventions on the spine in some cases are percutaneous high-frequency denervation of the facet joints and percutaneous laser vaporization of a herniated disc, which are minimally invasive neurosurgical procedures.

Sources:

1. Clinical guidelines “Rheumatoid arthritis”. Developed by: Association of Rheumatologists of Russia, LLC “Russian Rheumatological Association “Nadezhda””. – 2021.
2. Clinical guidelines “Neuromuscular scoliosis”. Developed by: Russian Association of Traumatologists and Orthopedists, Russian Association of Spine Surgeons.