Daily painful headaches for months

[FleeceOnEarth]

I'm a 30 year old female and have been experiencing headaches every day for about 5 months. The pain is usually behind my eyes, forehead, and cheekbones, but also the left forehead and left side of the head.  I occasionally have pain all over my head.   I initially thought it was allergy and sinus related, but I was also having forehead nerve pain above my left eye.  After OTC meds and a round of antibiotics, my GP said I could be having migraines or it could be trigeminal neuralgia.  We decided to do an MRI do rule out anything else, and after the results, she ordered an MRA which found a 5mm fusiform aneurysm in my left middle cerebral artery.  After meeting with a neurosurgeon, he stated that the aneurysm isn't causing my pain and it has probably been there since birth and there doesn't appear to be any risk involved.  He suggested I see a physical therapist because neck problems are the cause of many headaches.  That was just before Christmas.  

I have tracked my pain daily since then I have had mild, moderate, and severe pain every single day.  It seems that changing weather patterns make it worse, but it hurts on sunny, clear days too.  When my heartrate goes up, my head pounds and pain increases.  I take Fioricet during the day and it only helps some of the time.  Last night the pain was so bad I almost went to the ER and I NEVER consider that.  I found a year old Rx for Lortab and that helped ease the pain so I could sleep.  I took one again tonight and it is helping.

So I guess my question is, what types of headaches could I be having, and is it possible I am having more than one type simultaneously.  Also, I don't want to take major pain pills on a regular basis, so what are my treatment options.  It feels like I have tried everything.  I have not been to a physical therapist, because in no way does my neck hurt and I don't see how that can cause my forehead to hurt.  

I have another appt. with my GP on Thursday to talk about options, but she may be at a loss as well.  I'd appreciate any info.  Thanks!

[FleeceOnEarth]

That is a similar experience and I'm glad things are better for you.  And while I may get a second opinion about the aneurysm, I don't think it's the source of my pain.  My particular one is different from a cyst or growth because it is a slight widening of the artery and doesn't appear to be putting pressure on the remaining structures.  And thanks for your suggestions and encouragement!

[FleeceOnEarth]

I don't think they are rebound headaches because I have only taken the Lortab twice as a last resort as the problem has been there for months.  And only the Fioricet for the past month  if I just can't get through the work day. I do think ill ask for a referral for a neurologist when I go back tomorrow.  Thanks.

[junieg]

I hope it gets better for you. It almost sounds like what I was going through. I had bad headaches, daily, some worse than others. I was told it was sinus related and put on Flonase (that didn't help) then went to numerous doctors. I had a cyst on my head which all of these doctors told me was not the cause of my headaches. After going to the ER a few times because of blinding pain and going to 2 different neurologists, one of whom wanted to just try different meds instead of finding the problem. I also went to my eye dr because my eyes were bothering me and I needed stronger reading glasses. She referred me to an Opthoneurologist which couldn't find a problem either. Then I started having hair loss, MAJOR hair loss I finally told my Dr I thought the cyst on my scalp was the problem and after they all insisted it wasn't I decided to get it removed and if that wasn't it then I was wrong, but it would be gone.

Anyway I got the cyst removed and the stitches came out yesterday and I can honestly say I had 1 headache since it was removed (that could have been due to the stitches though) I haven't had a headache in a week.
This is the longest I have gone without a headache in years. I would say if there is a cyst or any growth on your scalp or brain then if possible have it removed. Listen to your body no matter what the doctors say! A growth of any kind on your head could definitely be the cause of your headaches.
I hope you get this resolved!
Good luck!!!

[wnzday]

It's possible that yes you caould be having more than one type of headache at the same time. It is also possible that you may be having rebound headaches due to your meds, especially if you are taking the RX alot to try to remedy the pain. I would suggest a neurologist who specializes in this area instead of your regular GP.
Ask for a referral. It may be a s simple as getting you on the right meds to help you. There are many things that they may be able to help benefit you that your reg doc cannot. There are also specialty pain clinics that could possibly help. And it would not be a bad idea to get a second opinion and have someone else look at your MRI or to even have a repeat done.
I hope all turns out well for you and you are able to get some answers.