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A pain doctor is probably your best bet anyway. Too many neurologists throw their hands up in the air and give up when they can't figure out what's going on. Even worse, many of them accuse their patients of being "malingerers" (making up pains to seek attention.)

Pain specialists deal with the patients that other doctors give up on, so try to find a good pain doctor in a pain clinic setting, particularly if the pain center uses "integrative" techniques - another way of saying that they look at diet, exercise, and other factors.

You should probably also ask to have your blood checked for immunodeficiencies, viatamin deficiencies, and other syndromes that may mask as nerve pain. Diabetes is perhaps the best known, but there are also conditions such as MS, ALS, and other "alphabet soup" diseases that should be ruled out.

Off-hand, it sounds to me like you have some nerve trauma or entrapment in your cervical vertebrae of the surrounding muscles or other tissues.

However, if the problem isn't detectable in MRIs, CTs, or other imaging tests, a good pain doctor will treat you based on your symptoms, and at that point a definitive diagnosis is less important than effective treatment. There are numerous drugs on the market that have been found to be effective in treating neuropathic pain, even if the drugs were not developed with the intent of treating pain. Many anti-depressants and anti-seizure medications are routinely used "off-label" to treat nerve pain. I think if you can find a pain doctor in an integrative (or multi-disciplinary) clinic, you will most likely find substantial relief. It took me 15+ years to obtain relief for my nerve pain, so be prepared to try many medications and other treatment modalities before you find something that works.

Jeff





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