Another visit with the neuro

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holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 4/10/2007 2:26 PM (GMT -7)   

Okay, so I have been going on for 3 months with a non stop headache, though the severity has changed. This is all due to a car accident with a diagnosis of whiplash. I have been seeing a chiropractor and a physical therapist for a while and the headaches have gotten much better, but they are still there and my neck pain and discomfort are still there as well.

I am scheduled for an MRI this Friday (finally) and depending on how that goes the neuro wants to refer me to an anesthesiologist to have different nerve blocks done until basically the pain goes away. The way it sounds to me is the process of elimination. Unless of course the MRI pinpoints the exact problem, which I hope it does since I hate needles. Wish me luck!


bob-o
Regular Member


Date Joined Mar 2007
Total Posts : 37
   Posted 4/10/2007 8:33 PM (GMT -7)   

Let us know how it goes!

Nancy


CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 4/10/2007 11:49 PM (GMT -7)   
Hey holmesla,
 
The headache pain could be caused by some damage to your spine, but I'm wondering if you are taking pain medication for you injuries.  Taking pain medication too often, too much, or for too long can set up a rebound pain situation.  Prescribed or OTC pain medication can start to give you headaches everyday if you fall into a rebound cycle.  The only way to get rid of the pain is to clean out your system of all the pain meds.  Hanging out for several days without any pain meds is not a fun thing to do, but it's the only way to break the cycle.  Once you have cleared out your system, the rule of thumb it not to take pain meds more frequently than instructed, don't take a higher dose than recommended, and don't take pain meds more than two days a week.  This should keep the rebound headaches away.
 
As far as nerve blocks go, they can be very effective when injected into the spine.  I have major back problems, and have to get a series of three epidurals every six months.  Because my migraines are very resistant to any preventative medications(been through them all), I saw a pain specialist who tried a series of occipital nerve blocks in my head.  The first injection was at the base of my skull (on the side I get my migraines), the second behind my ear, and the last one over my eyebrow, all on the right side of my head.  Those injections are not particularly pleasant as you can feel the needle actually hitting the skull bone.  Unfortunately, the nerve blocks in my head didn't help my migraines at all, although they are successful for some people.
 
Keep in touch and let us know how you are doing.
 
Leigh Ann cool

"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett


holmesla
Regular Member


Date Joined Jan 2007
Total Posts : 196
   Posted 4/11/2007 5:13 AM (GMT -7)   
I have already had an occipital nerve block which took about a week and a half to partially work. But as you can see, I still have headaches. The two nerve blocks he gave me where in the base of my skull on both sides, and I know what you mean about discomfort! Oh my goodness!
 
As far as pain medication, really I don't take anything for them unless it is severe, and lately I haven't had too many severe headaches, maybe 2-3 a month. I take Topamax (100 mg) and Cymbalta (30mg) for nerve pain. If I am having severe headaches I will take vicaden.
 
I am not sure what an anesthesiologist can do for me because as far as I know, it is muscle damage I have in my neck. I have a burning sensation in my neck muscles and they constantly feel strained and sore. I need a massage all the time. Hopefully the MRI will tell all and we will know what kind of treatment I need. The accident was more than 3 months ago so I would have thought my muscles and ligaments would have healed up by now.

mercyme
Regular Member


Date Joined Feb 2005
Total Posts : 310
   Posted 4/11/2007 2:07 PM (GMT -7)   
 
 
  :-)   So sorry for all the pain you are going through.  I have migraines 2-3 a week, and sometimes daily.  It also hurts at the base of my skull and into my shoulder blades.  I only have midrin to take, which doesn't work.  I've tried alot of migraine prevenative meds, nothing really works.
 
         Would any of you that deal with migraines want to set up a time to chat so we can discuss migraine issues?   eyes     Today is Wed April 11th I will check back to see if anyone wants to chat.
 
        Mercyme   tongue       

CRANKY 1
Veteran Member


Date Joined Aug 2005
Total Posts : 616
   Posted 4/12/2007 5:30 PM (GMT -7)   
Hey holmesla,
 
The problem could be taking too much Vicodin, either too large a dose, taking doses too close together, or taking them more than two days in a week.  The amount of Cymbalta you are taking(30mg) is very low.  I was taking 90mg as an anti-depressant a for the benefit of nerve pain relief.  It wasn't helping me with my migraines or any nerve pain, but I know it does help some people.
 
My biggest concern it that you are taking TOPAMAX.  To me, it is POISON and I had titrated up to 400mg.  By that point, I was a brain dead zombie.  I lost my abilites to do just about anything.  It did not help my migraine attacks, either.  I stopped taking it two years ago, and my brain is still damaged, especially memory functions.  Be very careful with this medication, as it carries a lot of bad side effects, some of which are irreversable.  If you aren't getting any benefit that are noticable - I mean your headaches going completely away, ditch the TOPAMAX ASAP.  It works for some people, but I personally think the risks of permanent nasty side effects far out-weights the possible benefits.
 
As far as the anesthesiologist goes, they do know a lot about controlling pain and and where to inject the medication.  It is strange though, because I've never heard of anyone being referred to an anesthesiologist, unless the plan was to get surgery afterward.
 
Let  us know how you are doing.
Leigh Ann cool

"The weather is here, I wish you were beautiful."
                                             - Jimmy Buffett

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