I've posted before about my chronic headache for 4 years. I've seen ENT, Neurologist, and Allergist, pain doctor, all without relief. I don't know where to turn next. Should I just ask my pain management doctor again?
4 years ago I was in a bad wreck. I ignored the broken nose for a year while getting more critical injuries repaired (some continuing). I went to an ENT for chronic sinus infections. Over the next 3 years I have been on various antibiotics, had sinus surgery - he didn't fix the deviated septum. I have tried all sorts of antihistamine and steroid sinus washes and sprays. I rinse with saline at least once daily. I have allergies but get allergy shots. Some antihistamine nasal sprays seem to help a very little.
The headache, and tenderness is mostly in the front above my eye, where I had a cut from the airbag hitting my face. Sometimes it starts at the back of my neck and runs over to my forehead. I have some neck problems, including a big bone spur. My nose hurts when I wear sun or reading glasses.
The neurologist sent me back to the ENT for a bad sinus infection the first time I saw him (after brain MRI). The second time I had a head CT from the ENT which showed thickening of sinus, but not where the headache is, and the neurologist said there was nothing he could do for me.
The pain doctor tried an injection near the supraorbital nerve, but I couldn't tell if it did anything because at the 2-week followup I still had a painful bruise. He had said he could do an ablation. but since the shot didn't give relief that's out.
This morning it was about an 8. I didn't want to get up. My normal thing is doing the sinus wash while waiting for the tramadol to kick in, then reclining on the couch with my coffee for an hour.
I'm at a loss for what to do next. The pain never completely goes away.