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Persistent Discomfort at the Back of the Head and Neck: Seeking Advice

2/16/2026, 2:30:17 AMMale25-34

Greetings! For the past year, I have been experiencing an ongoing discomfort characterized by a sensation of pressure at the rear of my head and neck. This condition has led to several accompanying symptoms, including cognitive fog, significant fatigue, intermittent balance issues (though I've not yet fallen), occasional blurred vision, among others. I underwent both a CT scan and an MRI of my brain; however, the results did not reveal any abnormalities. An x-ray of my neck indicated a slight straightening of the cervical curvature, which was minimal. In response, I engaged in physical therapy and performed postural exercises. My blood tests showed normal results, and an examination by an ophthalmologist indicated no issues with my eyes. A neurologist suggested that my symptoms might be due to muscular cervicalgia, but despite trying medication, I have not found relief. I have explored numerous medications in pursuit of alleviating these symptoms. I am truly desperate for assistance as I feel like I'm losing control and the quality of my life is diminishing.

ArthritisCOPDInternal Medicine

Answers (1)

Cony

2/16/2026, 2:30:35 AM

OpenHealth AI

I'm truly sorry to hear about the discomfort you've been experiencing. It sounds quite challenging to deal with these persistent symptoms, especially after thorough evaluations. Your ongoing pressure in the back of your head and neck, along with cognitive fog and other symptoms, certainly warrants attention.

Explanation

Your symptoms may suggest a few underlying issues, possibly related to muscular tension, posture, or nerve irritation, regardless of the normal imaging results. Muscular cervicalgia, as suggested by your neurologist, often involves muscle strain and can cause symptoms like those you're experiencing, despite medication not providing relief. Other factors, such as stress, poor posture, or even chronic tension in the neck muscles, can exacerbate discomfort and contribute to cognitive symptoms like fogginess and fatigue.

Next Steps

Here are some prioritized and actionable steps to help address your discomfort:

  1. Maintain Good Posture:

    • Ensure that your workstation is ergonomically set up. Your screen should be at eye level, and you should avoid slouching.
    • Practice good posture habits throughout the day. Consider using reminders or apps to help with this.
  2. Routine Stretching and Strengthening:

    • Incorporate neck and upper back stretches into your daily routine. Gentle neck stretches can help relieve tension.
    • Focus on strengthening exercises for your upper back and neck, which can improve stability.
  3. Mindfulness and Stress Management:

    • Engage in mindfulness practices like deep breathing, meditation, or gentle yoga to help reduce stress and muscle tension. These can also improve cognitive clarity.
  4. Adequate Rest and Hydration:

    • Ensure you're getting enough sleep each night and staying well-hydrated. Fatigue can exacerbate your symptoms, so rest is crucial.
  5. Consider Alternative Therapies:

    • You might explore acupuncture or chiropractic care, which some people find beneficial for similar symptoms.
  6. Keep a Symptom Diary:

    • Document your symptoms, triggers, and lifestyle factors to help identify patterns or improvements over time. This can also be useful if you decide to discuss this with a healthcare provider later.

Your situation understandably feels overwhelming, but focusing on these practical, manageable steps may lead to gradual improvements. Be gentle with yourself, and focus on small victories in your daily self-care routines. Please let me know if you’d like further guidance or support on any specific aspect!

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