Thanks
Physiotherapist
I am presuming this is the first time he has had such an episode?
It is good that you have sought a medical opinion, as with any new presentation of severe pain especially when accompanied by vomitting, it should be investigated to rule out serious pathology as the cause.
If serious pathology has been ruled out and the doctors are not continuing to investigate I would seek a skilled assessment of the upper cervical spine.
It is a possible source of the problem as the nerves from the top of the neck share space in the brainstem with one of the nerves (Trigeminal nerve) that relates to sensation in parts of the head and face.
Overactivity in the neck can then cause referred pain in the head and face, and, again, if serious causes have been ruled out then it is a sensible next step for investigation.
Good luck finding a solution and feel free to contact me if you wish to discuss the case further.
Regards,
Roger O'Toole
Director - Melbourne Headache Centre
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