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Given your long and complex headache history, my first reaction is that your current treatment plan appears to be inadequate.
Appears you are not now using a preventive med--but perhaps we need some more history from you (why the first paragraph).
If at all possible, we encourage working with a headache specialist. This is a far more complex area of medicine than is generally appreciated and most neurologists have quite limited training with complex headache disorders.
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LOCATING HEADACHE SPECIALIST
1. Search the OUCH site (button on left) for a list of recommended M.D.s.
2. Yellow Pages phone book: look for "Headache Clinics" in the M.D. section and look under "neurologist" where some docs will list speciality areas of practice.
3. Call your hospital/medical center. They often have an office to assist in finding a physician. You may have to ask for the social worker/patient advocate.
4. Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

or

; On-line screen to find a physician.
5. Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

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Look for "Physician Finder" search box. They will send a list of M.D.s for your state.I suggest using this source for several reasons: first, we have read several messages from people who, even seeing neurologists, are unhappy with the quality of care and ATTITUDES they have encountered; second, the clinical director of the Jefferson (Philadelphia) Headache Clinic said, in late 1999, that upwards of 40%+ of U.S. doctors have poor training in treating headache and/or hold attitudes about headache ("hysterical female disorder") which block them from sympathetic and effective work with the patient; third, it's necessary to find a doctor who has experience, skill, and a set of attitudes which give hope of success. This is the best method I know of to find such a physician.
6. Multimedia File Viewing and Clickable Links are available for Registered Members only!! You need to

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NEW certification program for "Headache Medicine" by the United Council for Neurologic Subspecialties, an independent, non-profit, professional medical organization.
Since this is a new program, the initial listing is limited and so it should be checked each time you have an interest in locating a headache doctor.
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A specialist can work you thru a broader range of treatments in a systematic manner. Our collective experience is that so many docs simply are not up to date on the new treatment developments.
At this stage, I'd encourage you to avoid jumping from this treatment to another in hopes of finding a fix. When in pain, the urge to try this approach is understandable but a skilled hand has more potential to offer you.