Hi,
Your description of
headaches is certainly consistent with at least chronic daily headaches and very compelling for a
chronic migraine with aura. I wouldn't be surprised if chronic tension-type headaches were mixed with the migraine headaches.
I realize that you've been on numerous medications, however, more details as to exactly which medications you've been tried on and to what extent they've been used it is impossible to make further recommendations.
I can tell you that in such headache cases we always to discover the cause of the headaches. This could involve imaging studies such as
MRI and MRA imaging. With chronic daily types of headaches, patients will need both prophylactic as well as abortive medications.
In addition, my patients are educated in the filling out of headache diaries which we review on each visit in order to assess the efficacy of treatments.
There are also many alternative forms of treating headaches such as biofeedback,
acupuncture, ThermaZone, and Cefaly devices. I would highly recommend staying away from chiropractic manipulation of the neck, especially with your history of strokes.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi,
Neurologist