A member asked:

I suffer from severe tension headaches (so diagnosed) with pain in my neck and radiating pain and fatigue in my arms. the topamax (topiramate) is not working!

3 doctors weighed in across 2 answers

Discuss with: Treating physician. May be your pain is coming from your cervical spine pathologic rather than migraine

Answered 11/22/2014

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Dr. Nayana Trivedi answered

Specializes in Internal Medicine

Relaxation: Tension headache is due to stress, and or Arthritis and Muscle Spasm. If Topamax (topiramate) is not working then slowly tapper off. Try Meditation, Relaxation and Massage therapy. Xray of Neck and CT san of head must have been taken prior to establishing the Diagnosis.

Answered 3/17/2017

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