Donald Corenman, MD, DC
Moderator
Post count: 8465

Your complaints: “I began having terrible migraine’s and there wasn’t any medication that could come anywhere near touching the pain. Over the past 6 months or so I began experiencing noteworthy numbness, tingling, and weakness in my right arm” fit with two potential diagnoses.

Generally, headache complaints that manifest from the neck originate from facet disease of the upper cervical vertebra (Occiput thru C4). There is no identification of facet disease at these levels by the radiologist but might have been missed or might not have enough degeneration to be appreciated. If present the way to identify these are with facet blocks and a pain diary (see hyoerlinks).

Your right arm probably is generated from radiculopathy (nerve compression) but the radiologist notes on mild compression (“Uncovertebral spurring resulting in minor bilateral foraminal narrowing”). A selective nerve root block with a pain diary can ferret this out (again-see hyperlinks).

https://neckandback.com/neck/#:~:text=Epidural%20Injections%20and%20Selective%20Nerve%20Root%20Blocks
https://neckandback.com/treatments/facet-blocks-and-rhizotomies-neck/
https://neckandback.com/treatments/pain-diary-instructions-for-spinal-injections-neck/

Dr. Corenman