Sharp head pains-Migraine or Trigeminal Neuralgia???

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Jenny R.
Regular Member

Date Joined Sep 2006
Total Posts : 162
   Posted 7/30/2007 9:40 PM (GMT -6)   
I have been getting a sharp pain that feels like someone is stabbing me in the back of the head and its coming through just behind my forehead, and nose.  It only lasts for a few seconds, and its gone.  This has been happening for about 6-7 years now, but when it first started, it was only once in a great while, now the last few days its has really started acting up.   Sometimes it feels like I am having a spasm behind my forehead, weird.  Could this be TN or a type of migraine?  I have had 2 brain MRIs done, one this spring, and one last spring.  Everything was normal except for sinusitis.  Anyone have this kind of pain.  I do suffer from migraines, they are hormone provoked, and I do have a bulging disk in my neck at C-3.  I suffer from a bug crawling sensation also, on the left side of my head, the sharp stabbing pain is located on the right side.  Thank you

Regular Member

Date Joined Apr 2007
Total Posts : 189
   Posted 7/31/2007 11:05 AM (GMT -6)   
Hey Jenny:  I have heard of others suffering with this kind of pain and they call it "ice-pick migraines".  I believe that they say that it is the stabbing pain that only lasts for seconds at a time.  I have that same kind of pain - stabbing through behind my left eye through the eye and on the left side of my head.  The difference is - my pain lasts (into a full-blown migraine for days) instead of coming and going. 
Hopefully, someone else can tell you if your pain is the ice-pick migraine kind or something else and what you can do for it.  My recommendation would be to see a neurologist who specializes in headaches.
Good luck!
DX:  Migraines since June, 2006, kidney stones
RX:  Daily - Verapamil, Trileptal
PRN:  Relpax, Prednisone, Dilaudid, Lortab, Lidocaine Nasal Spray

New Member

Date Joined Aug 2007
Total Posts : 1
   Posted 8/2/2007 7:18 AM (GMT -6)   


Jenny R you're not alone.  This sharp stabbing pain woke be up out of bed this morning.  For me, the pain seems to start on the right side near the base of my skull where all the muscles insert.  Then is seems to end up some where behind my right eye.  All of this happens within seconds, but it's very scary & annoying.  It seems to have started yesterday & the funny thing is that it didn't bother me at all while I was working out.  I haven't gone to the doctor yet about it since it just started, but I've had the pain before years ago & remember going to the ER.  They gave me a catscan & told me that my head was fine.  The pain just seemed to go away on it's own.  It would be nice to know what the problem is.



Regular Member

Date Joined Mar 2007
Total Posts : 37
   Posted 8/7/2007 11:48 AM (GMT -6)   

Jenny, you might want to do a search for Occipital Neuralgia.  I had pain nonstop for 4 months before someone on this board mentioned Trigeminal Neuralgia, and when I researched that it led me to Occipital Neuralgia.  It's worth a try!


Regular Member

Date Joined May 2007
Total Posts : 328
   Posted 8/7/2007 4:37 PM (GMT -6)   
I'll second bob-o. If you have pain originating in the back of your head, it's possible that it is from the occipital nerve. If so, you might find relief in occipital nerve blocks or occipital nerve stimulation.
DX: NDPH, Recovered CRPS
RX: Lamictal, Abilify, Verapamil, Provigil, Clonazepam, Rozerem, Emsam
PRN: DHE IM, Droperidol IM, Toradol IM, Haloperidol, Zyprexa, Lodine, Thorazine, Zofran

Regular Member

Date Joined Jan 2007
Total Posts : 34
   Posted 8/7/2007 9:47 PM (GMT -6)   
I experience recurring bouts of occipital neuralgia, about one per year, and the bug crawling sensation is a very familiar symptom to me.  The crawling sensation occurs in seemingly random places all over the back of my scalp, and is usually accompanied by slight jabs/pinpricks of pain, scalp itching, and sometimes a mild to very intense "sunburned" feeling scalp pain.  The symptoms go away after a few weeks of unpleasantness.   I am looking into a surgical option for correcting the impacted nerve that is causing my issue. 
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