Sunday, May 27, 2012

Post-Spinal Tap. Intractable Migraines?

By Chelsea Tuesday, May 20, 2008

Hello Everyone!!

 

Spinal Tap was interesting.  Did not go nearly as smooth as I had hoped--but it wasn't the worst one I've been through either.  A radiologist did this one, with a little xray machine---it was kind of weird.  Anyone who has ever had a spinal tap I would love a message---as this one was different then the others.  I don't want to share all the lovely details with everyone, but I would like to have another's input.........

 

So, bottom line---my pressure was high but not dangerously elevated.  My doctor also told me that the pressure could be different in 4 days---so just because it wasn't above the safe line, that I didn't have increased pressure, which I don't understand.  Why the heck did I do this then??? if the pressure can read different day to day?

 

diagnosis:::: Intractable migraines.  basically I have a migraine that just does not go away.  They don't always respond to my meds, and usually its a matter of damage control.  anyone have any info on this type of migraine?? any input??

 

My doctor and I agreed anxiety is a HUGE trigger for my migraines---so instead of trying topamax for the 3rd time, were trying effexor (anti-anxiety med).  My Dr was very upfront with me--stating that our goal right now is to aim for reducing the frequency and intensity of my headaches by 50%--meaning my daily pain of a 7-8 should go down to a 3-4.  Its kind of depressing when you state it like that, but I know its a give-it-time matter.  I am also taking a yoga class with my mother, doing meditation, deep breathing excerises, along with my medicine regime determined by my dr. 

 

Maxalt as abortive, bacolfen as step b (muscle relaxer), and thorazine for step c (anyone have any info on thorazine?? I've only used it once, 25mgs---and it made me nervous feeling, like I had tremors/twitches??)

 

Anyone have any info on getting additional financial help??? I am having a hard time here, because I have missed so much work (I usually average 2-4 days missing a month).  I am afraid I'm going to lose my job---and then I won't even have health insurance...........any help on pointing me in the direction of some resources I could look into would be greatly appreciated.

 

 

anyway. one day at a time. I am so lucky in other aspects of my life......

 

hope all is well

 

chels

big changes in my little world.....
Nancy Harris Bonk, Health Guide
5/20/08 12:02pm

Sorry to hear your lumbar puncture didn't go as smoothly as you would have liked.

 

I'm not sure what your doctor means by your pressure not being "dangerously high". Your intracranial pressure is either high, or it is not. Having chronic, intractable head pain is dangerous  in itself. Just because CSF may not have shot out of your back Surprised doesn't mean your body doesn't have an issue.

 

 

Migraine cannot be diagnosed with a lumbar puncture. There currently are no diagnositc tools to diagnose Migraine disease. But IIH - Idiopathic Intracranial Hypertension, (formerly called Pseudotumor Cerberi) can and is diagnosed with one. 

 

Your results are important to know, the exact number of the lumbar puncture. The results of an LP I had my pressure was 285 mm. That was high enough for my preventive, abortives and rescue medications to stop working and be in daily chronic pain. Some people, thin or fat, have pressures of 500mm or more. 

 

Have you seen the information on IIH?  Pseudotumor Cerebri (IIH) - The Basics. After you read it let me know what you think, ok?

 

 

5/21/08 8:20am

Nancy,

 

IIH is not a factor for me this time.  My pressure was 190 (when 200 was as high as my pressure should get). I thought I stated that in my sharepost--oops!......My doctor diagnosed me with intractable migraines, which I know a lumbar puncture will not diagnose---only IIH. I have a history of IIH, so the lumbar was to verify whether or not it was a factor this time around.  Yes I have read your information on IIH. Is there anymore info about intractable migraines?

 

I know that intractable head pain in dangerous.  What else should I do, I am working with a migraine specialist who put me on a preventative less then a week ago---which will take at least 6 weeks to tell if it is working properly or what not.   As I said in my sharepost, its a matter of damage control with my pain now.  I need to be able to function at work-----and in my life overall.

 

chels

Anonymous
Sarah
6/16/08 12:37am

I just wanted to share some information with you that has helped me, have you tried reducing the amount of light your exposed and what types of light to help wiith the migraine pains. Here is how I function and keep my job, kids, and life going.

Yoga first thing in the  morning to help reduce stress and a mixture of lavendar and other herbs in a temple balm that helps to relax you as well as doing the breathing excersices every 30 minutes while at work and taking my breaks no matter how much work I have to walk, I take motrin and some pain medication to help get me through the day at night sometimes I can not sleep so I make an ice pillow and sleep on top of it, sometimes that is the only way that I can get some rest. Some days are worse than others but I have learned that I can use damp cotton balls in my ears to muffle the noise, wear different shades of sunglasses depending on my light sensativity and use a topical lidocaine 5% patch for when the pain radiates down my neck and shoulders this will numb the neck and shoulders and the ice pillow( which is frozen bags of stir fry vegatables) and pain meds only when everything else has not helped. I make sure that  I never feel sorry for myself after all I do get to be with my children and support them and show them that no matter what you should never let anything stop you from being the person you want to be, this is proving to be the best example I could have given my son since he started with migraines at age 4 and now being 9 years old. He finds it weird and funny when people fumble over him as he says "baby him" when he has a migraine at school. He says, all I need is some Motrin and I will be fine in a while. I know the pain won't go away but if I can stop it from giving me the other symptoms like the paralysis I am good. He will take  his meds unless he starts to get the leg paralysis then he will call me and feel guilty about having to bother me at work to give him his stronger medications, so you see with him it is about being a bother that is what is the most annoying thing and not the pain....

Sarah

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By Chelsea— Last Modified: 09/04/10, First Published: 05/20/08