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A 28-year-old female asked:

Shooting pains above temple, a little tender to touch, sometimes feels tingly and pressure like. tight neck and shoulder muscles. my ms or migraine?

2 doctor answers4 doctors weighed in
Dr. Paul Grin
Pain Management 36 years experience
TTH: Tension-type headache has been described as recurrent episodes of headache lasting minutes to days. The pain is typically described as dull, achy, nonpulsatile, pressing or tightening. The management of episodic and chronic tth consists of psychological support, physical therapy and pharmacotherapies. Rec. See a headache or orofacial pain specialist for proper evaluation.
Dr. Bennett Machanic
Neurology 52 years experience
Migraine: You are describing a variety of migraine events, perhaps, ice pick headaches. Maybe triggered by neck or shoulder issues, such as thoracic outlet syndrome or cervical stenosis. However, if you do have MS, why are you not taking a disease modifying med for MS??

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Last updated Feb 16, 2015

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