I am just writing because the last few weeks have been in so much pain, my neck and shoulders have been killing me, for no apparent reason, I have not had an MRI since 09, and I believe it's time for one. The pain radiates all the way down my spine and lower back @ times I feel like wearing a neck brace. And on another note....I have been taking Cymbalta for depression and panic attacks the panic attacks came out of the blue...Can anyone tell me if there is a relation between Chiari and depression/Panic Attacks?