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Tingling and numbness around the area (Read 8662 times)
Darryl York
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Tingling and numbness around the area
Nov 18th, 2010 at 5:20pm
 
of my headaches. My headaches are around my right temple area. Since I started having CH headaches I have tingling around my right temple and it runs down my face and by the edge of my right eye. After I have one of these bad CH the tingling and numbness is worse and it effects my right eye. I have had a couple of nerve block shots and the headaches and numbness got better for a couple of days. Now my headaches are back and so is the tingling sensation around my temple and eye.  I am taking verapimil, idomicin, and lyrica. Has anyone this happen with numbness.
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Batch
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Re: Tingling and numbness around the area
Reply #1 - Nov 18th, 2010 at 5:50pm
 
Darryl,

Many of us experience numbness, tingling, bruising, swelling, droopy eyelid and skin painful to touch on the hit side of the face following a heavy hit.  In short, your symptoms are not all that uncommon.

I'm not a doctor, but the latest guidelines and standard of care for the treatment of cluster headache and other trigeminal-autonomic cephalalgias, prepared by the European Federation of Neurological Societies (EFNS) Task Force, does not recommend indomethacin for cluster headache.  That powerful NSAID is only used for Paroxysmal Hemicrania.

Have you tried oxygen therapy at a flow rate of 15 liters/minute with a non-rebreathing mask as an abortive for your cluster headaches.  It is also listed by the EFNS Task Force as the first abortive of choice in the acute treatment of cluster headache.

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Take care,

V/R, Batch
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« Last Edit: Sep 17th, 2015 at 1:23pm by Batch »  

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Darryl York
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Re: Tingling and numbness around the area
Reply #2 - Nov 18th, 2010 at 6:38pm
 
Thanks for your reply Batch.
My neurolgoist did get me on oxygen and imitrix injections. These cluster headaches really got bad in early September. Before that for two years I was getting nasty headaches on the right side of my head. I started taking all over the counter headache medicines and nothing worked until started taking excedrine migrine and excedrine tension. These two medicine together worked for awhile. Besides the headaches I just felt terrible most days. I would wake up in the morning and just have to drag myself out of bed and I would feel dizzy,drunk, and hungover.  This was very much unlike me as I use to get up at 2 or 2:30am and go to the gym and work out. Even on weekends I would wake up early and get up early feeling good. I don't what happened to me but I started feeling bad in the mornings. Later in the day I would get these headaches along with achy feeling through my body.  I went to the doctor and he said I had sinus infection. This went on for ahwhile with my doctor giving me shots and meds for sinus infection. I kept feeling this way and my doctor sent me to a ENT and he said I needed sinus surgery to clear out my sinuses. After I recovered from the surgery I felt good for about two months and the headaches returned. Over the next several months the headaches got worse. I would take a pocket full of excedrine to work to get me through the day.  I would get home from work and would just crash in the bed after taking excedrine. I would sleep the headaches off. In July and early August I started getting worse headaches. It would be days where it hurt so bad I would have to leave and go home.  I am a machine operator and I run three machines that needs my total attention. When my head started hurting so bad I couldn't concentrate on my work and it was kind of dangerous. After a few weeks of having to go home from work because of these nasty headaches and one bad one that I had to go to the ER my wife and I decided we needed to see another doctor.  I went to the ER two times and both times they gave me pain shots to knock me out. The second time at the ER the doctor said I may be having cluster headaches. I went to my doctor the next day and ask him to suggest a doctor for headaches.  He told me that I needed to see a neurologist. He found me a neurologist that majors in headaches. I first told me to take a leave from work and put me on veramcil and predasone. He also told me as soon as I felt a headache starting to get on the oxygen. If that doesn't work and the headache gets worse then one imitrix injection. I think I had two injection before the next visit. My next visit I told him about the numbness in my temple and face area. He gave me two nerve block shots in the back of my head. I immedialy felt better and the numbness and tingling was gone. He also took me off the predisone and increased the dosage of vermcil and put me on lyrica and indomethacin. The nerve block worked great for about a week but now the tingling and numbness is back and almost every afternoon I start getting a headache. I have been getting on the oxygen everytime I feel a headache coming on. So far it is working but I am scared I will have a bad one and I will have to get a imitrix shot. I go back to see the neurologist Monday Nov. 22. I hope I can make it the next few days. I was hoping to go back to work next week but now I am doubtful.
Sorry this was so long but I just wanted to tell everyone what has happened to me and maybe someone can shed some light on my conditon.  I forgot to say the neurolgist said I was having cluster headaches and inflammtion of the occiptal nerve.  Thanks for any replies or helpful information.
Darryl
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Chris H
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Re: Tingling and numbness around the area
Reply #3 - Nov 18th, 2010 at 7:53pm
 
Unfortunately your story is common for people starting to discover they have CH. The sinus track, ENT, nasal surgery, then a host of medicine trials. I would be clear whether the indocin is working or not. If it is, you may have a different type of headache. The neuros give that sometimes to determine if you have these other types of headache. The good thing is that he started you on verapamil and O2 which seem to help most people with CH.

My story is not very different from yours. I have chronic CH with occasional migraine. That doesn't mean you will have the same, just that I can relate. -Chris
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Batch
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Re: Tingling and numbness around the area
Reply #4 - Nov 18th, 2010 at 9:18pm
 
Darryl,

As long as your oxygen therapy is working you should be in good shape.  There will be times when we go into high cycles where the frequency and intensity of CH go up and that may make oxygen therapy take longer to abort a CH. 

When that happens a higher oxygen flow rate helps.  I use oxygen therapy at flow rates that support hyperventilation (40 liters/minute) and it's never failed to abort a CH.  25 liters/minute is generally the lowest oxygen flow rate that supports hyperventilation.

I've also been taking 3000mg Omega 3 Fish Oil and 10,000I.U. Vitamin D3 a day since the 5th of October.  It dropped the frequency of my CH from 4 a night to none in two nights.  I've been pain free ever since.

Granted this can easily be a fluke or coincidence and these results are clearly anecdotal.  Having said that, there's always the possibilithy this anti-inflammatory regimen is reducing the neurogenic inflammation in and around my trigeminal nerve and that is helping prevent my CH.

Hang in there and take care.

V/R, Batch
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Darryl York
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Re: Tingling and numbness around the area
Reply #5 - Nov 19th, 2010 at 9:52am
 
The oxygen seems to be helping. The last few afternoons I started getting hits and I got on the oxygen as soon as I felt it coming on. I stayed on for about 20 minutes the headache was not completely gone but after about 15 or 20 minutes the headache was gone. It seems I am in an afternoon pattern with the headaches.
The regulator on my oxygen bottle has a gauge that reads from 1 to 15. The RT told me to set it on 8 when I have a headache. The bag doesn't fill all the way up when I am on the oxygen. It might fill half way up. Am I getting enough oxygen??  Do y'all use the small oxygen bottles or something else?  I heard their are oxygen machines. I don't know anything about a machine or how it works. Is a machine better than a oxygen bottle? I have no idea. I am just trying to figure out what is best and if I am getting enough oxygen.
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Guiseppi
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Re: Tingling and numbness around the area
Reply #6 - Nov 19th, 2010 at 10:00am
 
Crank the regulator up to 15, I think you'll be pleasantly suprised at how much faster you can make the pain go away. If the bag is not refilling completely, you're still sucking in too much "outside" air which really slows the abort time.

There are different size oxygen tanks, i find it easiest to use E-Tanks. APRIA delieves them to me in this cute little steel 8-pack tray, keeps the tanks from possibly tipping over, (bad), and they're small enough to easily handle, take with you when you go out, carry up the stairs to the bedroom!

Some have big tank they keep bolted down in a room in their house, and keep several E-Tanks on hand for the portable runs in the car. The oxygen machines, called concentrators, generally don't work well for us. They take a while to warm up and start producing oxygen, and even at their peak i don't think they're at 100% oxygen, very important for us CH'ers!

joe
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Reply #7 - Nov 20th, 2010 at 1:43pm
 
First post in a long time, prompted by worst visit of beast in a couple years anyway, which started early Oct.  Getting fewer nocturnal but more afternoon hits lately (e.g. often ~3-4 AM & 3-4 PM).  O2 still working but seems to take longer.   Neuro (at NE Reg HA Ctr in Worcester MA) ramped up Verapamil from 480 to 960 which seemed to start working, but I then developed severe edema due to interaction w/another med used for pulmonary probs & had to drop way down to 240 & hits increased again.  Neuro had said lithium was an option but decided to try Indocin first (which is apparently used more for PH, paroxysmal hemicrania).  Worth a try I guess.  If anyone's had similar experience I'd love to hear.  Will look back through posts.  Wonder how long to give Indocin to work.  Love this site & all of you!
"Strange how people who suffer together have stronger connections than those who are most content." –Bob Dylan

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Re: Tingling and numbness around the area
Reply #8 - Nov 20th, 2010 at 3:26pm
 
I went through an Indocin trial, concomitant with Verapamil at 600mg. Every week, they raised the Indocin dosage until I was at, if I recall correctly, 1000mg. It did not help me but eventually did make me sick to my stomach. One thing to watch out for because this is particularly harsh on the stomach, even more than other nsaids. The reason for that trial was to rule out hemicrania continua, a type of headache that just plants itself on one side of the head and doesn't stop. Apparently it responds to Indocin. My trial lasted 5 weeks.-Chris
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Re: Tingling and numbness around the area
Reply #9 - Nov 21st, 2010 at 9:49am
 
When my neuro first diagnosed me (and she was great, btw, she diagnosed me within 2 minutes of my giving her my symptoms) - she had me first try indocin, then O2, then imitrex.  That night, I got a cluster and took 25mg of Indocin at a time, 20 minutes apart, until the headache broke.  It took 3 pills (which is what she thought it would take) and like magic, after the 3rd bill, the beast broke.  I was in heaven.  I felt completely groggy and drugged out the next day.  And it also seemed to break the cycle, although the cycle itself might have ended, because I was 5 or 6 weeks in.

I had a month long remission, and sadly, my new cycle just started yesterday.
Finally went to ER to try O2 and it worked! within a few minutes, the neck muscles started releasing and within 20 minutes the headache went down to about a level 1.

Then, in the middle of the night, I got another bad hit and I took the indocin.  after 3 pills, knocked it out and I was able to fall asleep.

Just as a side, my dr told me that indocin is really harsh on the stomach, so to take mylanta and eat something before the pills...

For what its worth, it HAPPILY worked for me.  anything to kill that pain.
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Re: Tingling and numbness around the area
Reply #10 - Nov 21st, 2010 at 9:55am
 
You'll love having a home oxygen set-up! By having it at home, and starting it as soon as the tension and pressure starts, I can be pain free in as little as 6-8 minutes. Beats the heck outta the old 90 minute rides I used to take!! Smiley

Joe
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Re: Tingling and numbness around the area
Reply #11 - Nov 21st, 2010 at 10:10am
 
Home O2 is indeed a godsend.  It will work in 5-10 minutes sometimes, although in my current severe period it's taking about 20.  I have 2 6L concentrators connected together to pump up to 12L.  Some say tank 02 is best since it's near 100% pure but the machines (~91% O2) work as well for me, & while they're a bit noisy I don't ever worry about running out.  My supplier also gave me a portable tank for power outage or travel.
Prevention is my main goal now, & since I can't tolerate high doses of Verapamil I've just been given Indocin 150 mg/day.  No help yet after 1st day of this.
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Re: Tingling and numbness around the area
Reply #12 - Nov 21st, 2010 at 1:03pm
 
Can't wait to get the tank at home!!!  It was amazing and I'd be thrilled to be able to attack the monster as soon as it starts its horror show.

You're so right, Joe: It beats the hell out of riding it out for an hour +.  Ugh.

I'm so thankful I was able to address this attack immediately instead of waiting 6 weeks due to not knowing what the heck was happening.  hallelujah.
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Re: Tingling and numbness around the area
Reply #13 - Nov 21st, 2010 at 1:51pm
 
Yes, I have numbness on the affected side of my face.  I go to a Chiropractor for this.  It really helps me, but Chiropractors vary widely, so I can't promise anything.  It helps immediately.
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Re: Tingling and numbness around the area
Reply #14 - Nov 21st, 2010 at 10:46pm
 
Jeez, every time I see this topic "Tingling and numbness around the area", I think to myself "that sounds kinda personal". -Chris
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Re: Tingling and numbness around the area
Reply #15 - Nov 21st, 2010 at 10:57pm
 
Chris H wrote on Nov 21st, 2010 at 10:46pm:
Jeez, every time I see this topic "Tingling and numbness around the area", I think to myself "that sounds kinda personal". -Chris


Grin Grin

Joe
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