<s>[INST] Good morning, I have the worst headaches starting at the back of my neck going all the way to the top of my head associated with needles and pins in my hands and feet. My muscles are sore throughout my body. Been having this for 7 years including 2 Carpal Tunnel operations as well as a neck operation. They also did a Risotomy procedure . Any ideas? I live on grandpa powders and pain killers. [/INST] Hi,Thanks for writing in.It looks like you had rhizotomy procedure done for neck pain. In this procedure the selected nerve roots are blocked and this reduces the pain. As you have been having this neck pain for 7 years and now headache and tingling have also started therefore it will help to go back to your neurosurgeon and get a MRI scan of cervical spine done. This will show any new developments and disc changes that require attention and treatment so that your pain is treated. New procedures like laser assisted disc surgery and radiofrequency ablation are in use to release pressure over the pinched nerve roots and block the pain sensations in the area. These are well accepted by many patients and please discuss these treatments as you have already had a neck surgery without much relief in symptoms. Since it might be surgically difficult to decompress the nerves at various levels, doing radiofrequency ablation of nerve roots might be a better choice. </s>