For the past 6 months, I ve had neck/upper back pain , achy, and I feel a pulling when I lean my head back or bend it forward. I have also had intermittent head pressure and sharp localized pain at the base or my head. My GP sent my to PT for neck strain , which has not helped after 3 weeks, I think I need come imaging, thoughts? Thank you.
Hellenist likely it is a Cervical Spondylosis. But you are not getting any relief for medication and physiotherapy, so you need MRI Cervical spine and consult spine surgeon for better treatment. You have to follow some guidelines to improve your spine pain:1. Alternate hot and cold fermentation. 2. Use hard bed to sleep, avoid pillow. 3. Apply anti-inflammatory gel 3-4 times a day. 4. Wear Cervical Collar as much as you can. 5. Avoid all long term sitting, standing and Chat Doctor.  6. Avoid jerky movements of neck. Hope this will help you in reducing the pain. Consult you doctor soon and plan your treatment. Best Wishes