This is Dr. David
you can go to the headache clinic.
but I think what you really need is a cervical spine MRI scan with contrast.
and if that MRI scan of the spine shows spinal instability, severe disk herniation, pressure on spinal cord or nerves, then you definitely need to see a neurosurgeon.
simple flexion and extension xrays of your spine does not see the spinal cord and nerves well.
an MRI scan is needed to look at the nerves and spinal cord.
This is what I was led to believe. But why has the neurologist downgraded my referral to a headache clinic? Could it be the orthapeadic surgeon thought the x-ray was more severe than it is and the neurologist thinks there is no instability? I can't speak to the neurologist to find out so will have to go back to my GP and demand more referrals and am worried my insurance will think I am being pushy if a neurologist thought it was nothing serious.
Thanks for your answer. I am in the UK and not sure we have physiatrists? Never heard of one. My physiotherapist has been concerned for some time. And I also have lumbar spine issues with sciatica and hypermobility in my knees and hips. She believes I need to see a rheumatologist to rule out any disorders leading to all this 'laxity' in my joints - and she believes I need the MRI as she says ANY evidence on a neck X-ray, even mild, is actually quite serious if it shows instability.
Sorry to ask again but could it be that the orthapeadic surgeon read the x-ray wrong and because the neurology consultant has seen it himself he believes there is nothing going on? Can x-rays be mistaken in this way?
An orthapeadic registrar read the x-ray at the hospital after I had it taken at a basic x-ray walk in clinic (on request of my physio who was concerned with my symptoms) and the ortho registrar wrote to my GP saying I needed a neurosurgery consult. My GP sent the referral to a neurologist consultant - not neurosurgeon - by mistake it seems. However they do work in the same building and the neurologists secretary spoke to me today and said if he'd thought it was relevant to neurosurgery he would have passed it to them. Instead, the neurology consultant read the referral and x-ray info from my GP and downgraded it to a headache clinic.