Hello, Lea,

It looks as though you tried to put your whole question in the top line and it got cut off, but let's see what information I can give you.

From the topic tags you used, it appears that "complex Migraine" has been suggested to you. One of the most important things is to get an accurate diagnosis. To simplify matters and make it easier for people to get information and treatment, doctors usually go by the gold standard for diagnosis, the International Headache Society's International Classification of Headache Disorders, 2nd Edition (ICHD-II). Under ICHD-II, there is no diagnosis of "complex Migraine." We do see it used, but doctors use it differently, so it really doesn't tell anyone what type of Migraine you actually have. You can read more about this in The Type of Migraine Does Matter.

As you know, nobody can diagnose via the Internet. The best suggestion we offer is for you 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.

An actual headache and Migraine specialist will be able to help you determine if what's going on is Migraine, another headache disorder, or something else entirely. Although daily headache for 14 years would seem to indicate a headache disorder, it's also possible that the headache is being caused by something else.

A question for you -- how many days a week do you take medication for the relief of your headache? Taking Migraine abortive meds such as the triptans or ergotamines or any kind of pain med more than two or three days a week can make matters worse by causing medication overuse headache (MOH), aka rebound. See Medication Overuse Headache - When the Remedy Backfires for more information on this.

Please let us posted on how you're doing?

I hope this helps,

Teri