Dr. Valery Lipenko, MD

If your back pain radiates down to your leg, especially on the back part of the leg, all the way down to the foot. This may indicate nerve impingement potentially.

It all depends what type of neuralgia is it. The most common and at times difficult to treat is trigeminal neuralgia. There are different treatment approaches that exist.

Xanax is commonly prescribed but it is addictive medication and there are other treatment options available including psychological therapy

Muscle and joint problems of the neck and/or shoulder could lead to something called occipital neuralgia which when triggered can send the pain to the temple and the eye on that same side. Nonetheless, brain and neck imaging should be done to rule out other problems

Yes, there are multiple different treatments available and if headaches chronic he should be started with preventative treatment options. Detailed exam and even imaging studies with bloodwork would be necessary to select correct approach

Typically, brain imaging and bloodwork including CBC, electrolytes, thyroid panel, inflammatory markers

Hi,

The symptoms are certainly worrisome for narcolepsy and cataplexy syndrome. Other problems should be ruled out including anemia and obviously sleep apnea or central sleep apnea in addition to other disorders of sleep. You may need to see a sleep specialist and in addition to bloodwork may also need to have polysomnogram and multiple sleep latency test -MSLT
I hope this was helpful!

Regards,

Dr. Lipenko