Suggest treatment for cervical spondylosis in neck and migraines
Patient: Im 34 yrs old with cervical spondylosis in neck, a disc bulge in neck, carpal tunnel, migraines, and ive had 3 nerve blocks that didn t work .....im scared now because of the pain I have and especially when the baby gets bigger .....tylenol does not help so what do I do ? Doctor: Hello!I understand your concern!If I were your doctor I would recommend you an antidepressant like amytriptiline . It will reduce your migraine frequency and will also help with the neck pain and carpal tunnel problems. This drug must be started after a cardiologist consulting because it can  cause heart problems and hypotension. Another drug I would recommend in your situation is Topiramate, an antiepeleptic drug, good for migraine and also for neck pain and carpal tunnel. These drugs are given under medical prescription and should be taken for at least three months.Physiotherapy and neck massage are also helpful for the neck pain, causing reduce of migraine frequency too.Hope to have been helpful!Thank you for using HCM!Best wishes Dr.Abaz