Conversation: The conversation between human and AI assistant.
[|Human|] Hi I am 50 years old male suffering a strong permanent pain in my head just on the back taking nurophen tablet to relef the pain but not really help my gp don t know what to do visit more than 5 times on x ray witch he refer me to get it From the hospital the X-ray show on my neck a pression on the Nerf from the disk to the brain I heard the sound of the bones when clicks and the pain on my brain is painfully especially at the night he refer me to a consultant and the appointment is on the 10 th of July any help or advise will be a great appriatiate thanks
[|AI|]  Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that your headache seems to be related to occipital neuralgia. This is an irritation of the occipital nerve from chronic degeneration of the cervical spinal column. An X-Ray study is not the best test to determine these changes. So, I would recommend performing a brain and cervical spine MRI study to examine better this region and exclude possible fiscal herniation. Meanwhile, I would recommend starting treatment with carbamazepine or topiramate for the pain. Hope you will find this answer helpful! Kind regards,