I am a 24-yr old, female who has been suffering from chronic daily headaches since I was 10yrs old. Topamaz proved to be the one preventive that could help my chronic daily headaches. Within the past 2 years my daily life routine has changed drastically (I have graduated from college, moved out on my own, and started my career) and with these changes, my migraine pattern has also drastically changed. It is believed that I am now suffering from Tension headaches. Within the past two years I have tried numerous medications with minimal success. Currently, I am on 25mg daily of Nortriptyline as a preventive and 350mg of Carisoprodol when a tension headache occurs. My symptoms do not fit directly into the tension headache category, so I have been wondering if something else could be the problem. A typical headache for me now consists of a tightening and pulling sensation at the base of my neck on one side only, a pressure pain runs along that side of my head, over an eye, and down into the bridge of my nose. At times, the pressure is an extremely sharp pain on the side of my head, above my ear, and also particularly painful at the bridge of my nose. I have recently been tested again for allergies and have none. I have also had a CAT-Scan for chronic sinusitis and do not have any damage in my nasal cavities which would have shown that. These headaches tend to become more severe and frequent during the winter months. During the first year of experiencing these headaches, I was often going to my primary care doctor who assumed most of my symptoms were related to a sinus headache and about every 3 weeks I would be prescribed antibiotics to treat the sinus headache. The antibiotics would alleviate the pain, however the headache would always return a week or so later after finishing the medication. I began to form a headache diary to try to find the triggers for the headaches. I soon noticed that it often occurred either before and right after a stressful moment in my life. I spoke to my Neurologist about this, and he believed the pain in my neck was a muscle spasm and this spasm sent pain from the back of neck to the front of my face. I was then prescribed Nortriptyline, which has helped somewhat, however since the weather has recently changed, I tend to get more headaches more often (even not during a stressful time). The pressure pain at the bridge of my nose and on the side of head has become more frequent and painful. It often disables me to the point where I cannot go to work for the day and need to spend the day in bed. I have done a lot of research on Tension Headaches online, and though the pain in the back of my neck does reflect a typical symptom, I cannot find anything online that relates to the pain on the side of my head and bridge of my nose. I am wondering if anyone else has these issues with the pressure on the side of the head and at the bridge of nose. If so, what are you being treated for? Any medications help the pain? Are there any tests I should request my doctor to have done to rule out possible reasons for the pain?
Thanks in advance!