Hi soho,
I am glad that you had an extensive workup, including neuroimagings (MRI). For chronic headache, we need to rule out all the serious diseases that can cause chronic headache. Examples are tumor, vascular malformation (need MRA), vasculitis (MRA and CTA are noninvasive, but gold standard is still angiography), hydrocephalus (extra fluid in brain). If everything is ruled out, then your chronic headache can be what we called "chronic daily headache", tension headache, migraine, or mixed type. For treatment, it's best to see a headache specialist (neurologist). We typically start with intravenous medication to try to abort the headache. Preventive medication is often indicated to prevent further onset of headache. We discourage patient to use too much over the counter NSAID (e.g. tylenol, ibuprofen, advil, aleve, motrin, etc) as it can exacerbate headache. This is called rebound headache or medication overuse headache.
Lumbar puncture can be useful if your headache is due to pseudotumor cerebri, hydrocephalus (both from too much fluid in the brain), or chronic meningitis.
Good luck. Thanks for using MedHelp Forum.
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Maybe you should talk to a neurosurgeon about your problems. Even if you aren't a surgery candidate for tumor removal, maybe a neurosurgeon can identify what exactly is causing your headache and how to treat it. The neurosurgeon may be able to treat excessive intracrainal pressure, for example.
Ah, double posting, good call. That tumor is narly. Get some more Neuro MD & Neurosurg opinions ASAP.
Gee, quick sevice for a change? Xmas? Whta do U think of her response?
Well kinda disappointed actually. It doesn't even look like the doc really even read my question....didn't even comment on the tumor....rambled on about medications when I stated that I've tried everything already. Well hey what can ya do? I hope your question gets answered sometime this century Kim. No drug aborts my head pressure and brain fog, and I've been on alot of drugs, even steroids.
I really do think my next move will be to have my deviated septum fixed and turbinates reduced to see if that helps any, but I'm not getting my hopes up. If that doesn't work, I might try chiropractics for a while, and if that doesn't work I'll push for tumor removal. I dunno, how are things going with your symptoms?
Kim have you ever been checked by an ENT for contact points inside your nose? There is an obscure but very real syndrome known as contact point headache. Can't remember if I asked you before, but do you experience a blocked nose or diminished sense of smell?
Yes, ENT anesthetized contact points with lidocaine (ouch) & we waited 25 minutes. Unfortunately, no reduction in pressure, but was worth a try.
Still no relief for me but doing facet blocks to see how it goes.
Kim, so when are you getting the facet blocks done? Please....let me know how it goes!
Had 2, 2 to go in a few weeks.
btw: Beggars can't choose, but Why don't they answer these questions in chron order??
Did you try going to an Osteopath? A D.O is a doctor that uses homeopathic methods to relieve symptoms.
I was in a MVA over a year ago with migraines and daily headaches ever since. I started going to an osteopath, and he really helped my headaches. After a few weeks of treatment, it felt like The pressure was released like a rubber band being taken off my head. They can help ringing in the ears, and lots of other problems without drugs, although they can prescribe drugs.
The Osteopath doctors go to medical school just like MD's and, and know the body inside and out. They are required to be licensed by the state medical board, too.
Good luck!
mon ross
mon ross, what treatments did the D.O. give you that were helpful?