Hi everyone! I, too, have migraines which begin at the base of my skull and engulf the entire back of my head. Sometimes, they reach to right behind my ears. While some people have auras of a visual nature, I have one of an auditory kind of nature. I get a " whap, whap, whap" sound inside the back of the base of my skull. This sounds to me like the scary music that comes up just before a monster attacks in sci fi films! So far my new med Frova has helped with the headaches! chesswoman
I have had occipical (sp) "blocks" where the doctor shoots some drug into the occipical nerve area which is behind the ear. The blocks are very effective, but unfortunately cost a fortune.
Hi TM,
Has your doctor mentioned occipital neuralgia? This is a disorder of the second and third cranial nerves (which combine and form the occipital nerves). Some think pain is due to muscle contraction on the nerves, but there is also the theory that there is pressure on the C2 nerve root (like a herniated disc in a way) and that releasing the pressure helps relieve the pain. It is worth mentioning to your doctor as another possibility in the differential diagnosis. I am a physician and when you mentioned your symptoms were always occiptal but poorly responsive to triptans it made me wonder about occipital neuralgia. Hope you feel better soon!
Laura L.
Don't know if this will help, but I suffer from C5 and C6 disk injuries in my neck as well as L4, L5, and S1 in my lower back. If I overdo it, which being a mom and the wife of a disabled man I always tend to do, I get severe chronic occipital migraines which until recently lasted from 2-3 days as long as 2-3 weeks. That is a long time to be in persistent pain. I have a tens unit for my back and just on the off shot, I decided that I could stand this headache no more. I was going on 3 weeks of unbearable pain and was ready to chop the head off. So I put my tens unit on and put the patches on the trigger points on my shoulders that were swollen. To my utter surprise and relief, within 4 hours, the swelling had gone done and the headache had started to disappear. No amount of skelaxin or zanaflex did what my tens unit did. It took a total of about 6 hours of 15 minutes on 15 minutes off with the tens unit, but the headache did go away. I just read today an article about a nerostimulator they implant in at the base of your neck that is supposed to help these headaches too. Maybe that explains why the tens unit worked for me. At least, for myself, I have found a solution. I hope it works for others too.
I know this is an old thread, but may have some info that might help. See my post under "Strange Headache" for my details.
I've been working with a therapist for a month - he specializes in CranioSacral Therapy, Myofacial Release and Lymph Drainage. For a month he's been working on various areas, but yesterday worked directly on the Occipital/Atlas (OA) release along with some other CranioSacral techniques, deep tissue massage and passive stretching. I went home with the least pain in the back of my head (occipital region) that I'd had in over a month. I woke up today with only minimal pain (whew!) and other than some mild shooting pain when using the computer and driving, have been pain free today. This is a miracle as far as I'm concerned after 4 months of battling recurring headaches of various kinds and several major headaches of the mind-blowing kind. I will post again next week to let you know if I continue to improve.
http://www.iahp.com/pages/search/index.php - This is a link from the Upledger Institute. They teach CranioSacral Therapy and several other manual therapies. This should have been the first place I went for help - I'm a licensed massage therapist (not currently practising) have been trained in this technique. So big DUH to me for not doing this at the very first sign of pain. This link will take you straight to the 'find a therapist' page. If you decide to try this route, find the therapist in your area with the most diverse training as they will be more likely to provide help.
http://www.round-earth.com/HeadPainIntro.html - I'm re-posting this link that someone in a previous post had... I read this entire page and WOW - this is so ME! I'll be taking this page to my therapist so I can better describe the types of sensations I am having and he can relate that to the appropriate muscle groups.
As I said, I will post again next week to let you know if this is helping. For those that have tried massage and/or chiropractic with no success, these therapies are quite different and work in ways that they can't. They are also different than Physical Therapy, which for me has had some benefit but not as much relief as yesterday's session.
Good luck, Jeanne
Sounds like you should see a chiropractor for re alignment, which will help the neck pain and in turn aleviate the related migrane.
Also, adding magnesium supplements to your daily vitamin supplements will help with real migranes since they are mostly the result of constriction in blood vessels. Magnesium helps the ody absorb calcium, and it also helps regulate blood pressure, which helps aleviate stress, also iliminating another type of migrane (stress related).
This is what my neurologist and my chiropractor have told me, and I have put theory to practice, for me it works