How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 34279
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

I feel like something is crawling on my scalp, but there isnt

This answer was rated:

I feel like something is crawling on my scalp, but there isn't anything there, I have checked for nits/lice and it isnt' that. Also, sometimes my scalp hurts like I have had my hair up in a ponytail. I have stiff and painful ankles and lower back and a nagging ache at the front of my right thigh. When I stand up after sitting for a whie or when I get up in the morning, I am very stiff and it takes a while to shake it off. I have seen an osteopath who just said I was tense and that I didn't any more sessions. Please can you help?

What is your age and gender?
Since when are your symptoms?
Are you on any medications or herbs?
Any significant past medical illness?
Were you investigated for it?

Dr. Arun
Customer: replied 4 years ago.
Hello Dr Arun, thank you for your reply
I am 42 and female,

I have had the symptoms for a long while about 2 - 3 years

I have recently started on Citalopram about 2 months ago for PMS which appears to have developed spontaneously!

I haven't had any significant medical illness in the past, apart from appendicitis when I was 12.

I have spoken to my dr about the stiffness and had blood tests carried out but they didn't reveal anything.

I also recently discovered that have hetrozygous factor V leiden
Hello Helen,

Your symtoms are suggestive of spondyloarthropathy like ankylosing spondylitis. A blood test called as HLA B27 and MRI of back can diagnose the issue. Crawling and pain on scalp can be due to neuropathy which can be associated with spondyloarthropathy. Following are the causes of neuropathy (many times cause is not known);

1) Diabetes
2) An underactive thyroid gland
3) Excessive use of alcohol
4) Thiamine deficiency
5) Vitamin B 12 deficiency (pernicious anemia)
6) Vitamin B 6 (pyridoxine) taken in excessive amounts
7) Drugs, medications, herbs
8) Autoimmune diseases
9) Heavy metals such as lead and mercury.

Following investigations are done for ascertaining the cause of neuropathy;

1) Electromyography/nerve conduction studies (EMG/NCS)

2) MRI of the spine and brain

3) blood glucose and glycosylated hemoglobin

4) serum B12 level with methylmalonic acid (with or without homocysteine),

5) serum protein electrophoresis

6) Anti-nuclear antibody

7) Lyme testing

8) Rheumatoid factor

9) Sjogren's syndrome testing (Anti-Ro, Anti-La Antibodies)

This should give the diagnosis and guidelines for the management.

Supplements and alternative integrative therapy protocols are;

1) Evening primrose oil
2) Acetyl-l-carnitine
3) Alpha-lipoic acid
4) Benfotiamine (Milgamma), 100 mg, is a lipid-soluble vitamin B1 analogue
5) Vitamin E

Please feel free for your follow up questions.


I would be happy to assist you further, if you need any more information.


We have recently implemented a new rating and feedback system. Please be aware that you are rating my courtesy and service as a professional. If you have any questions whatsoever, or there is anything I can clarify for you, please temporarily bypass the rating system by clicking “Continue the Conversation” or "Reply."

Clicking either of the lowest two options reflects poorly on me so please reply to me if there is anything else I can do to help before choosing those options. I appreciate your patience while we work out the kinks. It's important to me that you are 100% satisfied with the service I have provided you. Thank you.
Customer: replied 4 years ago.
Dear Dr Arun

Thank you for your answer, it proves very interesting and I am most grateful.

Kind regards

You are very welcome, Helen.

I would appreciate if you rate it Good / Excellent (only a positive rating by you would credit the answer to expert).

Thank you.

Best regards,

Dr. Arun
Dr. Arun Phophalia and 2 other Health Specialists are ready to help you