Undiagnosed uncommon Headache/Facial Pain

[marvman]

Having seen an ENT, allergist, ophthalmologist, and a neurologist that I'm seeing for sleep apnea, many diagnosis (blocked tear duct, allergies, sinus infections, etc...) have been ruled out and all doctors have mention that my symptoms seem to be neurological.  Cluster headache has been mentioned a lot.  However my symptoms don't quite fit.  My pain isn't continuous and not sharp-like.  My symptom are as followed: sometimes after completing a run outdoors, within a half hour of stopping I begin to get a mild to moderate pain on one of my nose on the nasolabial fold.  This pain sometimes throbs and seems to cause me to sneeze a lot.  Rhinorrhea (runny nose) then sets in.  Then a continuous eye pain on the same side as the nose pain starts along with watery eyes and sometimes lacrimation.  The symptoms peek very quickly.  Each time I set this off it varies in severity and duration (1 to 10 days) with each passing day bringing some relief.  These episodes can occur on either side of the face, but always seem to start with the nose pain.  It seem to be an uncontrolled triggered event.

Recently, I have tried gabapentin without success. I just filled a prescription for indocin and have yet to try it.

I have looked at the IHS-ICHD-2 website (http://ihs-classification.org/en/) and can't find anything that fits entirely.  My next step to to go to a headache center, but any help would be welcomed.

[Dr Santos]

Hi,
How are you? Cluster Headaches may present with pain in vicinity of eye, tearing of eye, nose congestion, and flushing of face. Majority of patients are male, most ages 20-50. If it persists, have this checked by your doctor for proper management. Treatment may include oxygen, ergotamine, sumatriptan or intranasal application of local anesthetic agent. Relaxation techniques as mentioned from the above post may also help. Take care and do keep us posted.

[hava]

This pranayam will relax you and help with the pain episodes.Start today and you will start to to feel the benefit in 9 days.Your feedback will help others.
Build up your timing gradually.If you feel tired or dizzy, stop and resume after one minute.
Anulom Vilom –
Close your right nostril with thumb and deep breath-in through left nostril  
then – close left nostril with two fingers and breath-out through right nostril  
then -keeping the left nostril closed  deep breath-in through right nostril
then - close your right nostril with thumb and breath-out through left nostril.
This is one cycle of anulom vilom.
Repeat this cycle for 15 to 30  minutes twice a day.
Children under 15 years – do 5 to 10 minutes twice a day.
You can do this before breakfast/lunch/dinner or before bedtime or in bed.Remember to take deep long breaths into the lungs.You can do this while sitting on floor or chair or lying in bed.

[marvman]

Forgot to mention that I can remember having this for about 10 years.  I always thought it was allergies and it wasn't till recent that an allergist said it wasn't and thought it was nerve related.