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#719366 - 06/25/08 02:29 PM
Re: Re-current headaches? Need advice, please.
[Re: dixiechick]
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neofate
GRAND Pooh-Bah
Registered: 10/30/02
Posts: 1734
Loc: Southern, US
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Experience them all too often. How long have these headaches been occurring? Do you have any other symptoms?
Headaches are evasive in definition, but they can be grouped into four basic categories.
Muscle contraction (tension) - Vascular - Traction - and Inflammatory.
Judging by your report of the scalp hurting it leads me to believe it is Muscular in nature. That there is tension/contraction of the head/face/neck muscles which leads to the nociceptive pain signaling.
If the cause were traction or inflammation , the headache would be a symptom of another disorder.. ie: Sinus infection, etc.
I would suggest a hot shower/bath and moist heat to the back of the neck to ease the muscles. Massage and other therapy in line with this is also a good idea. These are the most common cause of headache, and account for about 90% of headache. When the scalp is sore like you describe it is from muscle contraction of the scalp. Things were (and might still be) tensed up for a long period of time. We are often unaware of the held contraction in the scalp (and other regions).. then obtain horrid pain and are at a loss to what is going on. The headache and worry can then worsen your stress levels and cause it to be cyclical in nature .. producing more stress, causing more tension in the muscles and resulting in more pain.
If you could describe in detail as much about your headaches as you can think of it would help tremendously in finding the root cause of it.
I have had chronic headaches for the better part of 8 years now, and have not found a 'cure'. Analgesics take away much of the pain temporarily but in my case I can still 'feel' the tension of my scalp. It feels as if there is a elastic band on my scalp. The feeling varies during the day and gets better and worse as days go on.
Often headaches are complex. They are often co-existent. Basically people who have frequent headaches and seek medical attention often have more than one 'type' of scenario occurring. Which makes it difficult to treat. Often doctors will make one singular diagnosis and thus one of the , say, two cause is treated but pain remains because the other is not treated.
An example,.. I have the tension headaches, and can physically feel the tension when pain exists and when it doesn't. However I also have cervical pain and problems in the neck region that spawn the head pain as well. The latter resulting from car accidents years ago,.. are the two linked -- To a degree I am sure, but so far, have not been able to 'cure' them.
In regards to your ADHD medication, I assume it was an amphetamine derivative of some sort. You say you could feel the headaches when the medicine was wearing off, but not while on. This would automatically lead one to believe it is vascular in nature.. and it very well might be a part of it. Though a good test would be to drink an ample amount of caffeine, or even take one of your ADHD pills as a 'trial' , one time, to see if symptoms are relieved.
It could be as basic as the body readjusting after discontinuing the ADHD medication. It can take some time to readjust after exposure to any type or relative of amphetamine.
If Ibuprofen, Aspirin, Tylenol, and Naproxen Sodium aren't helping then you can be fairly sure the cause isn't inflammation. That Rules out 1 of the 4.
So we are down to Traction, Muscle Contraction, and Vascular.
I can assume Traction has little to do with it. So I believe you are dealing with Muscle Contraction and Vascular difficulties.
With Muscle Contraction being the main culprit at the moment.
Again,.. I think more details would help us help you. Also a little history of how long these have been occurring and how frequent would help.
Have you seen a doctor about them? Is this an acute episode that is not a chronic thing? I hope it is the latter, I hope it is acute and it will take care of itself irregardless of if you figure it out. 
Anyhow, I do empathize with you,.. I suffer everyday to some degree, and am willing to try to help you help yourself if this continues.
I hope you are feeling better.
_________________________
-/\/eofate
"Efforts and courage are not enough, without purpose and direction."
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#719538 - 06/25/08 10:50 PM
Re: Re-current headaches? Need advice, please.
[Re: neofate]
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jehza1
Veteran
Registered: 02/28/08
Posts: 537
Loc: Southwest US
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I fear that it is vascular in nature, which scares me. However, I have had both an MRI with and without contrast that were unremarkable. Along with the headaches, my wrists will ache, and behind my left knee seems tender. I have no visible vascular damage, but feel a sort of pressure at times, especially in my feet and hands. Last semester it was quite bothersome, and I reluctantly went to my doc who ordered and EKG and a 48 hour heart monitor along with MRI's. All came back normal. I wonder if it could be simple nerve damage? I guess I am a bit worried that it is some form of periphreal vascular disease, but my heart seems to be tip top. What do you think?
Thanks, J
_________________________
The average pencil is seven inches long, with just a half-inch eraser - in case you thought optimism was dead.
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#720468 - 06/27/08 05:47 PM
Re: Re-current headaches? Need advice, please.
[Re: neofate]
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jehza1
Veteran
Registered: 02/28/08
Posts: 537
Loc: Southwest US
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You have had extensive testing done to prove that you do not have vascular problems. Now, the headache could have a vascular component to it, but nothing that is 'hurting' you or damaging you. Simple dilation/constriction of blood vessels. Though as I said I think it is largely muscular. We don't feel 'vascular' pressure.. we might feel pain from vascular changes in the head.. aka: Headache. However the pressure you feel in your hands and feet have nothing to do with your vascular flow. I'm sure it feels that way, but I assure you it isn't. The pressure 'feeling' and the tenderness behind your left knee can be totally unrelated to the headache(s). I would look into possible 'nerve damage' if the knee is a bothersome 'chronic' item. It is somewhat difficult to accurately diagnose nerve damage. As we have no way to measure them and map them. They are too complex for us at this moment, and everyone has grown a different 'configuration'.
Do you swell? Do you have any fluid retention problems?
No fluid retention problems, unless I have eaten fast food or something with an equal amount of salt (which I rarely do). I think it is probably nerve damage-and I wonder if there is any logic to the thinking that I might be extra sensitive to stimulants after taking benzos for so many years? Hmmm...your thoughts? I have been really, really, busy lately, hence my lack of "posting"  Thanks, J
_________________________
The average pencil is seven inches long, with just a half-inch eraser - in case you thought optimism was dead.
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#720780 - 06/28/08 10:36 AM
Re: Re-current headaches? Need advice, please.
[Re: jehza1]
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neofate
GRAND Pooh-Bah
Registered: 10/30/02
Posts: 1734
Loc: Southern, US
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No fluid retention problems, unless I have eaten fast food or something with an equal amount of salt (which I rarely do).
Ok, great. Just asking for symptomolgy, not a cure 
I think it is probably nerve damage
There might be some nerve damage, but I do not think it has anything to do with your headaches, and is only mildly bothersome in comparison. In fact, I would overlook it for now. However, you might want to try some gabapentin -- aka: "Neurontin" -- for the nerve pain, AND the headaches.
Not likely to solve the headaches, but any nerve pain should be altered or significantly helped by the use of this medication. It just 'might' help the headaches. Give it a read, or if you are familiar and feel comfortable,... give it a shot (no pun intended)
-and I wonder if there is any logic to the thinking that I might be extra sensitive to stimulants after taking benzos for so many years? Hmmm...your thoughts?
Hrmm. There is logic to it,.. of course. I can deduce logic from almost any scenario discernible. -- But, hrmm.
Benzo's work by increasing Gaba. Stimulants work by increasing Norepinephrine and Dopamine. Logically without knowing the method of action I would say , sure.. You use a cns depressant on regular intervals ones sensitivity to a CNS stimulant would be higher than normal. However, looking at the mode of action of the two types of drugs.. They don't seem to overlap, and the science would point to an answer of "probably not" --
Not to mention the bodies adaptation to both Benzo's and Stimulants is very, very quick. In which the stimulant shouldn't be bothersome after a few weeks at most. (In most people).
Now the cessation of reasonably chronic use of a stimulant can cause a fairly long period of re-balancing in the brain which can and does lead to all sorts of odd , unexplainable, symptomolgy. Thankfully this goes away in time, .. but depending on the duration of the stimulant use it can be months to a year before all is said and done.
Private, I am interested in your take on the waking vs worsening during the day.
Anyhow, Jez -- Your headaches, in my sincere opinion, are not from anything 'major'. They in themselves are a major ordeal due to the pain/stress. However, if they do have a vascular component it is simply the dilation of the blood vessels in the head region and is of no harm.
I know that is comforting if you believe it, but it still doesn't solve the ultimate problem.
A doctor would likely start you on Topomax if all checks out. At your request, perhaps Neurontin.
I have been really, really, busy lately, hence my lack of "posting"  Thanks, J
That you feel the need to explain yourself shows the type of person you are.. You are caring, kind, and so forth. Though it is totally unnecessary -- People come and go all the time here,.. I had a 10 day hiatus not long ago,.. no big deal. Though we do miss you! =)
_________________________
-/\/eofate
"Efforts and courage are not enough, without purpose and direction."
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#721377 - 06/29/08 05:14 PM
Re: Re-current headaches? Need advice, please.
[Re: PrivateRealm]
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jehza1
Veteran
Registered: 02/28/08
Posts: 537
Loc: Southwest US
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Well, waking up can indicate brain tumors and other brain conditions, so I was just wanting to rule that out. Those that worsen throught out the day tend to be tension by nature...not that this is a given rule, just a rule of thumb. Oh, just a brain tumor...no big deal Thanks for the "rule out" but I had an MRI with and without contrast for this a couple of months ago. Everything checked out, so I think it unlikely that I have a tumor. Although if you have any ambien, send it ASAP as I am sure to stay awake wondering about this I'm kidding-thanks for the response. Someone suggested Neurontin, but I am leary of trying it-I have taken it before and feel like a space cadet on it, not in a pleasant way, either. I know that Lyrica works on neuropathy (GABA and others)? Do you have any experience with this medication? I've never taken it. Thanks, J
_________________________
The average pencil is seven inches long, with just a half-inch eraser - in case you thought optimism was dead.
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#721778 - 06/30/08 02:59 PM
Re: Re-current headaches? Need advice, please.
[Re: bdit]
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neofate
GRAND Pooh-Bah
Registered: 10/30/02
Posts: 1734
Loc: Southern, US
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Both are used for headaches, bdit. With Neurontin being much more common. There have been numerous studies in the 21st century and clinical trials to prove the efficiency of gabapentin on an array of headaches.
Austrialia has markedly done much of the research in regards to gabapentin.
Here is an excerpt that might be of interest:
Based on finding of a recent study researchers say the drug gabapentin (Neurontin) taken at 2,400 milligrams a day is an effective preventive measure for people with chronic daily headaches.
Gabapentin is an approved anti-epileptic drug. Studies have also shown its success in treating other pain-related health issues like diabetic neuropathy, postherpetic neuralgia, and migraine headache. Since gabapentin often reduces migraines by more than 50 percent and chronic daily headaches often have migraine-like features, researchers in Australia conducted a double-blind, placebo-controlled study to determine the drug's specific effect on chronic daily headaches.
This type of study is the gold standard of clinical research studies where neither the researchers nor the participants know who received the drug or an identical dummy substance, called a placebo.
For the study researchers recruited 133 patients who had headaches at least 15 days every month that lasted more than four hours at a time. The patients were randomly selected to receive gabapentin or a placebo for six weeks. After that period, none of the patients received either treatment for a week, and then each group switched to the opposite treatment for a second six weeks.
Results showed 36 percent of the patients taking 2,400 milligrams of gabapentin a day stopped having chronic daily headaches. Negative effects of the drug included vomiting, dizziness, dysarthria (problems speaking), sleepiness, and constipation.
_________________________
-/\/eofate
"Efforts and courage are not enough, without purpose and direction."
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#722656 - 07/02/08 08:59 AM
Re: Re-current headaches? Need advice, please.
[Re: jehza1]
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littlered363
Banned. Shill and scammer. Con artist
Pooh-Bah
Registered: 03/16/06
Posts: 1113
Loc: somewhere over the rainbow
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I also get headaches. They are very bad, and often keep me up at night. I thought at first I was having migraines, because I would feel very nauseaus, I couldnt stand to see anything moving, (TV), hated to hear any noises, and couldnt stand the light to be on. The computer screen was a nightmare to look at. They are very bad and sometimes last all day. I have found nothing to help with these.
The reason why the Dr. decided that they were not migraines is because I started noticing that it would start out in my neck and then slowly move towards my head, eventually staying on one side of my head. It isnt a pounding, but more like a constant pressure. It almost feels like someone is squeezing the hell out of one side of my head, I know that doesnt make sense, but it is the only way to describe it.
I am not meaning to hi jack the thread or anything, but I wanted to see if maybe anyone else here has had the same symptoms as me. I havent been back to the Dr since the last time, so I havent had any tests run. Although my husband is pushing me to go, so I probably will be making an appointment some time next week. If someone could give me a little advice on what to suggest to the Dr, I would greatly appreciate it. My Dr. seems to be one of those that doesnt like to spend much time with you, sort of uncaring.
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#723124 - 07/03/08 08:45 AM
Re: Re-current headaches? Need advice, please.
[Re: littlered363]
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jehza1
Veteran
Registered: 02/28/08
Posts: 537
Loc: Southwest US
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This morning I woke up with THE WORST HEADACHE ever, right behind my eye. I had to go into the darkest, coolest room of my house just to keep from crying (and I'm not usually one cry over headache pain). I was worse when I stood up. I took half an Atenol, and some aspirin and fell back asleep. When I woke back up, I felt much better, but when I bend over I still fill a residual pressure behind my eye. I took some Tylenol PM last night, as I could not get to sleep, and this often gives me a headache in the morning. It felt like one of these "headaches" X 10, accompanied by sweating. Seriously folks, I am freaking out a bit, and can't get into see my doctor until next week. Thoughts? Suggestions?
Greatly appreciated, J
_________________________
The average pencil is seven inches long, with just a half-inch eraser - in case you thought optimism was dead.
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