head hurtting all the time

[tom31750]

why does my head keep hurtting bad like a migraine every sence i had my stroke

[Dr Sharma]

Hi there. These headaches could be primary like migraines, cluster or tension headaches depending on the characteristic of the headaches you are having. The onset post stroke could be incidental. These headaches could be due to stress, anxiety, migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both  the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion particularly aneurysm and MRI spine for ruling out cervical spondylosis and degenerative disc disease.  Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. If you had a cerebral aneurysm, it can be confirmed with cerebral angiography and clipping of the aneurysm could be done. Hope this helps. Take care.

[sara12345]

To add to what I wrote above, I have had a severe 24/7 migraine since I had my carotid artery dissection stroke 3 years ago.  It is mostly mild now with a lot of treatments and procedures, but it gets severe frequently if I do a little too much physically.

[sara12345]

How long ago was your stroke?  What kind of stroke did you have?  What does your doctor have to say about the migraines?