head pain

[NINA 6]

6 weeks ago I started having chronic head pain and muscle spams in the top back of my head I've been checked for bacterial and viral infections i had a cat scan and c-spine mri, the pain wakes me up at nite laying down makes it worse.
My MRI reads that C7-T1 no signficant disc bulge or protusion is identifed. no significant facet  osteoarthropathy or canal or foraminal stenosis is noted.
upper spine okay.
spondylitic are seen in C3-4, C4-5, AND C5-6 as decribed on report. there is an indentation of the cord to the left of C4-5 and to the right at C5-6 due to disc bulge and asymmetric spondylitic protrusion and osteophyte complex.
C3-4 is left sided foraminal stenosis due to facet and unconvertebral joint hypertrophy more promient on left.would this be causing chronic pain in back of head I'm going to
see 2 neurologist's  in the next ten days,but in the mean time can you tell me what this all means-thank you-

[neekie]

I had a complete hysterectomy 9/1/05,first I began to suffer lack of orgasism, vaginal dryness, vaginal tears during intercourse, so I decided that celebacy was best for me. I opted against HRT, because the only female organs that I have left are my breast and vagina, and with HRTs high correlation with breast cancer, I decided better safe than sorry. I started having daily very severe headaches in April 2006. I went to the emergency room in June 2006, because I could not tolerate to even touch my head. My pain had begun to travel down the side of my face, behind my eyes, and into my ears and jaw. I was given a CT, MRI, and PET scans. All were normal. A neurologist evaluated me and all was normal.Finally, the ER doc gave me IV toradol, compazine, and IM imitrex, my pain began to subside. I was given a diagnosis of migraine headaches and sent home with prescriptions for the afore mentioned medications. Since that time, I have been on beta blockers, calcium channel blockers, imitrex, and many others. Not one of them seem to help. Sular (CCB) seemed to work for a while, at first my migraines were cut down to 3-4 a week, but that changed after about three month. I have tried soy, and black cohosh root top help with my menopause symptoms, he black cohosh root made my migraines worse. I still take the soy when my hot flashes get too bad. Please help me find a solution to my problem.

[CCF-Neuro-M.D.-SH]

First of all, keep in mind that I am unable to diagnose you because I am unable to examine you, this forum is for educational purposes.
   The symptoms you describe are not likely to be a direct cause of your head pain.  However, neck problems can often precipitate an underlying headache disorder (such as cervicogenic migraines).  From your description (indentation of the spinal cord) can be dangerous and you should be evaluated by a neurologist/neurosurgeon to evaluate whether surgery or other therapy may be indicated.  Symptoms that could be a direct effect of the spondylitic/disc changes that you described may include arm weakness/pain/numbness and/or bowel and bladder problems. An EMG and a SSEP (somatosensory evoked potential) will be helpful in finding the actual deficit caused by the compression.  
   I would suggest physical therapy of your neck (if cleared by neurologist/neurosurgeon).  A muscle relaxor such as xanaflex, skelaxin or parafon forte is usefull during physical therapy.  I would also suggest a migraine prevenative medication such as Elavil, Topamax, Nadolol etc. to see if this impacts on the pain.  I would also recommend an MRI of the brain with contrast (GAD) if not already done (you only mentioned a C-spine MRI).
I hope this has been helpful.