I have been waking up around 4:00 am during deep sleep with a headache that starts in the back of my head then moves around on both sides until my head feels as though it 's about to explode. This has been going on for years, and getting worse. Once it starts, I can 't seem to control it. I have had migraine for over 40 years occurring in one eye only, and have lived with it, but nothing has ever been this painful and out of control. I have ended up in the ER seven times in the last few months having to have IV Dilaudid. I vomit with this type of headache, which I never did with my usual migraine. I have been diagnosed with Occipital Neuralgia, and given injections of everything from Botox to Lidocaine, and tried two years of PT. Today I went to a world expert in O N, and was told that it isn't O N, but some type of nocturnal migraine, but he can 't figure out what is causing it. It seems to come on only when I 'm in the deep...
It is a good idea to type and print your migraine diary before you see your doctor in order to keep it legible and clean. If you arrive prepared, many of the questions your doctor will ask can be answered quickly and painlessly. Factors to Include in Your Migraine Diary: 1. When your migraine occurred When looking back at your diary, you may see that your migraines often occur during a certain time of day. 2. Location and type of pain Was it a throbbing pain, or steady pressure? 3. Intensity of your migraine Try to place the pain of your migraine on a scale from 1-10. 4. Any possible symptoms , including Aura Numbness Light sensitivity Nausea 5. Disruptions in your daily activity, including Changes in sleep patterns Increases in stress at work or at home 6. Menstrual cycle Migraines often occur more frequently before, during or immediately after a woman’s period. 7. Any possible migraine triggers , ...
Muscle contraction headache; Headache - benign; Headache - tension; Chronic headaches - tension; Rebound headaches - tension
The headache pain may be described as:
Dull, pressure-like (not throbbing)
A tight band or vise on the head
All over (not just in one point or one side)
Worse in the scalp, temples, or back of the neck, and possibly in the shoulders
The pain may occur as an isolated event, constantly, or daily. Pain may last for 30 minutes to 7 days. It may be triggered by or get worse with stress, fatigue, noise, or glare.
There may be difficulty sleeping . Tension headaches usually do not cause nausea or vomiting.
People with tension headaches tend to try to relieve pain by massaging their scalp, temples, or the bottom of the neck.
Signs and tests
A headache that is mild to moderate, not accompanied by other symptoms, and responds to home treatment within a few hours may not need further ...
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