
Suffering From Headache. CAT Scan, MRI Of Neck And Head Fine. Why Am I Getting Headache?

Thanks for questions.
Since CT and MRI are normal, possibility of migraine seems more likely. Migraine headaches are know to be chronic and may not respond well to OTC analgesics.Medications to treat migraine headaches are either abortive or prophylactics.
During the onset of a headache, some people respond to inhalation of 100% oxygen.Alternative first-line treatment is subcutaneous administration of sumatriptan.
Lidocaine and other topical anesthetics sprayed into the nasal cavity may relieve or stop the pain, normally in a few minutes, but long term use is not suggested due to the side effects and possible damage to the nasal cavities.
Ergot compounds like cafergot have also been effectively used.
Other abortive remedies that work for some include ice, hot showers, cool or lukewarmwater sprayed on the face around the sinus, temple, and ear areas, breathing cold air, application of analgesic balm beneath the nostrils, caffeine, and drinking large amounts of water in the early stages of an attack. Vigorous exercise has been shown in some cases to be very effective in relieving and aborting an acute attack by increasing the levels of oxygen within the body.
Avoid triggers like deprivation of sleep, smoking , alcohol ,bright light , inhalation of strong chemicals etc.
Prophylactic treatment include calcium channel blocker (verapamil),Steroids(prednisolone) ,magnesium sulfate.
Normally with some trial and error both doctor and patient reach most effective treatment in a particular case .
I think you need to consider possibility of migraine or reconsider it (if already considered in past) with other treatment options.
Please ask if there are doubts.Regards.


Please provide these details.Regards.


Headache which is there even after sleep and which worsens as day progresses is likely to be tension type headache.May be in addition to this you might be having strained neck muscles, when headache is at it's peak.
(Actually few years back I had similar episodes, treated earlier as migraine and evaluated with MRI.But none of the treatments helped.Finally we decided to try treatment for tension type headache and it helped)
I would recommend a consultation with neurologist and discuss this possibility.A trail treatment of two weeks can be undertaken.
In view of details I am pretty sure of the diagnosis, but I would suggest to get it confirmed by a neurologist.
Please ask if there are doubts.Regards.

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