Hello and thank you for your question.
Do you feel like tingling and numbness in your arms when you have this neck and shoulder pain?
please provide the answer with above information requested so we can discuss further before rating the service. Thank you.
Based on what you have described you have muscle tension headaches resulting in neck and shoulder pain. The reason I asked whether you feel tingling or numbness in your arms when having such pain is to evaluate if you have nerve compression issue or not.
do you feel numbness and tingling in your arms while having these pain?
okay. Usually that would happen only when you are sleeping and not in sitting position. You certainly have muscle tension which can be irritating the nerve in your neck leading to such symptoms.
I would suggest to see a neurologist who can order MRI or CT of your cervical spine to evaluate if you have any nerve root compression.
Moreover you also need muscle relaxant to ease the muscle tension that can also relieve the irritation on the nerve.
yes muscle tension headaches can also give you dizziness or lightheadedness.
I would suggest to get evaluated by a neurologist who can diagnose you clinically.
yes it is good to get evaluated for appropriate treatment.
If you have no further questions than please rate my answer positively. Thank you.