Headache since Aug. 30, 2009. Help this go away?

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    I have had a headache since Aug. 30th, 2009. It started suddenly while coming home from the zoo. I have a history of migraines, but this one is different, it has never gone away. My head hurts all the time. I have seen 2 Neurologists, have had 2 MRI's, blood tests and everything comes back fine. I have taken Topamax and IV solumedrol and now take Nortriptyline. I have had cervical facet injections with only 8 days of relief. I am to have RFA treatment in 2 weeks, do you have any suggestions for anything else that could help this go away? Thank you, Laura.



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    Dear Laura;


    A couple of things come to mind:

    1. When Migraines are refractory -- not responding to treatment, IV infusion is often a good solution. Many times, an infusion of a medication as innocuous as magnesium sulfate will break the cycle and "reset" the brain, so to speak. You can read more about this in IV Treatment of Refractory Migraines.
    2. Is this really a Migraine. When people know the specific date a "headache" began, and it's different from their usual headaches or Migraines, one thing to rule out is new daily persistent headache. You can get more information in New Daily Persistent Headache - The Basics.

    If your doctor isn’t able to help you, it may well be time to consult a Migraine and headache specialist. It’s important to note that neurologists aren’t necessarily Migraine and headache specialists. Take a look at the article Migraine and Headache Specialists - What's So Special? If you need help finding a Migraine specialist, check our listing of Patient Recommended Migraine and Headache Specialists.


    Good luck,
    John Claude Krusz and Teri Robert



    To review other questions from our Ask the Clinician Column,
     browse the Ask the Clinician archives.


    If you need help finding a Migraine and headache specialist,
     visit our listing of Patient Recommended Specialists.



    About Ask the Clinician:

    Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. Each week, he and Lead Expert Teri Robert, team up to answer your questions about headaches and Migraines. You can read more about Dr. Krusz or more about Teri Robert.


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    Last updated March 6, 2010.

Published On: March 06, 2010