Thanks Mark. Yes, I have had a PT treating my neck for some time. He does very gentle techniques of mobilization. It has helped quite a bit as I have gone from having severe upper back and neck tension to it being moderate to light. His work also got rid of the constant pressure feeling in my head. He may have helped with the dizziness some too, but hard to be sure.

The problem is I still have the tension and it feels like a giant knot on the right side of my neck that is causing the occasional headaches. I also sometimes get a very inflamed feeling in my neck that causes my vision and dizziness problems to get worse, and will cause a worse headache - this may be why the doc thought it was migraine related. I cannot figure out a trigger for the inflamed feeling.

Also, I just have this general feeling in my neck like it is very fragile. Like I can't do certain types of exercise or movements without causing it to become tight and inflamed. It is frustrating because I am usually a very active person.

I also saw an Atlas Chiro. for several months, but I did not feel much benefit.

Thanks for your help.

I don't know anything about Amitriptyline, but for neck pain such as you mentioned, I would try seeing a D.O. (Doctor of Osteopathy, I think) or a PT who is a CFMT (Certified Functional Manual Therapists). Either can work on such neck pain.

Good luck, and if you try the amitriptyline, please report back with the results!

Jenn
Santa Clara CA