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So thrilled to find this forum! I have questions. (Read 10017 times)
mjones
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So thrilled to find this forum! I have questions.
Jan 6th, 2015 at 4:54pm
 
Hello, wow am I glad to have discovered this forum!  I can't believe that only in the last week have I discovered what type of headaches I might really be having....

I am 46 years old, female, live in Georgetown, Texas.

I have had headaches all my life so it's hard to say when they started.  As a teen, they were tension/exhaustion headaches and I could sleep them off.  In my 20's and 30's, they became more like migraines and were monthly...like clockwork.  In the early days of this, I could take 600 mg of Ibuprofen and drink something with caffeine and that would knock them out.  Later when that stopped working, I went on a birth control pill that I take continuously to try and keep my hormone levels stable.  It worked for over a year...no migraines. 

Then in my 40's, things changed.  Many of the symptoms described by other CH sufferers started happening to me...I wake up at night with serious pain, have to get up, no pain meds work, nasal congestion on one side sometimes, feel like I want to put pressure on or hit the area of pain, can't sleep, etc. My Dr. prescribed Sumatriptan pills but of course they did nothing and gave me a "creepy crawly" feeling.   

Then last week...when at my wits end and researching migraines...stumbled upon information about cluster headaches.  Wow!!!!! 

One thing different about my headaches though that I'm curious to see if anyone else experiences...I don't have separate attacks throughout the day...once my pain starts during the night, it stays for many hours through the next day, and amazingly I can pretty much count on it lasting until between 4 and 6 p.m., then goes away.  Sometimes it fluctuates in intensity a bit...usually intensifying between 12 and 2 pm....but then gone by the evening until it starts over.  My loving and supportive husband reminds me...."hang in there until 4 pm, ok?"....and that's what I do...somehow...but my whole day is ruined.  This goes on for 2-5 days in a row, then I get a break of 2-4 weeks, then it starts over again.  Does anyone else have this same type of cycle?

I am also pretty sure there is a seasonal element to my CH...having lots of trouble right now, in the winter...but interestingly I have pain much less often when the sun is out.  When there's high humidity, lots of clouds and/or high mold counts...much more trouble. 

I have not seen a neurologist, headache specialist, or been officially diagnosed with CH.  I have not tried anything suggested on this forum yet besides Sumatriptan.  I am thrilled to see there are new options for me to try that I never knew existed!!

I look forward to replies to my post...thanks in advance to all of you for your help and support!
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Hoppy
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Re: So thrilled to find this forum! I have questions.
Reply #1 - Jan 6th, 2015 at 5:45pm
 
Cluster Headaches don't normally linger the way you are
describing. maybe take the cluster quiz, the link is to your
left on this page, and see how you go.

Hoppy.
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mjones
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Re: So thrilled to find this forum! I have questions.
Reply #2 - Jan 6th, 2015 at 6:06pm
 
I did take the quiz, and most everything fits, except I don't get droopy eyelids. 
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« Last Edit: Jan 6th, 2015 at 7:07pm by mjones »  
 
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maz
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Re: So thrilled to find this forum! I have questions.
Reply #3 - Jan 6th, 2015 at 8:00pm
 
Hi mjones
Sometimes, if not treated, my attacks last a couple of hours at a time, but I once had one that went on for something like 14 or 16 hours - can't remember exactly. It is unusual, but the one constant thing among us is that no two of us are exactly the same.

It's vital that you see a headache specialist because there are many other headache types which are very similar, so it's difficult to diagnose. Many of us have suffered for years (5 in my case) without a diagnosis, while the doctors faff around with pain meds etc, which just will not work.

If it does turn out to be CH, then sumatriptan is the best abortive drug. The pills are too slow to be of much good, but the auto injections are fantastic and will work in about 5 minutes.
Also Oxygen is the safest abortive because it's drug free and you can use it as often as you need to. I use the oxygen at home and save the injections for when I'm out. But, it must be used correctly for it to work. You need a flow rate of at least 15 litres per minute (more is better) and a non rebreather mask. If you get either of those two things wrong it will not be effective.

Check out these boards for info on the vitamin D3 regime which has had brilliant results for many of us.
Hope this helps
Maz.
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BobG
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Re: So thrilled to find this forum! I have questions.
Reply #4 - Jan 6th, 2015 at 9:15pm
 
Just a thought.......
Quote:
but interestingly I have pain much less often when the sun is out.

Have you had your vitamin D3 level checked?
There is a D3 treatment for CH that has been very successful for many folks.
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Bob Johnson
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Re: So thrilled to find this forum! I have questions.
Reply #5 - Jan 6th, 2015 at 9:39pm
 
Glad that you found us! First, it's very unwise to try and diagnose and treat yourself. There are, for example, many serious disorders which mimic Cluster but which are not headache disorders. 

We recommend, if at all possible, that you consult a headache specialist for a diagnostic work-up. (General neurologists seldom have the depth of training/experiece with headaches unless you are willing to question them closely about their experience.)

We are not in a position to make this judgment and so urge you to avoid starting any treatments without a good diagnosis.
====

LOCATING HEADACHE SPECIALIST

1. 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.

2.  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.

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

4. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register 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.

5. Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register 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.
=====================================================================
WHY A HEADACHE SPECIALIST IS RECOMMENDED


Headache. 2012 Jan;52(1):99-113.
Cluster headache in the United States of America: demographics, clinical characteristics, triggers, suicidality, and personal burden.
Rozen TD, Fishman RS.

THERE REMAINS A SIGNIFICANT DIAGNOSTIC DELAY FOR CLUSTER HEADACHE PATIENTS ON AVERAGE 5+ YEARS WITH ONLY 21% RECEIVING A CORRECT DIAGNOSIS AT TIME OF INITIAL PRESENTATION.


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« Last Edit: Jan 6th, 2015 at 9:59pm by Bob Johnson »  

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Hoppy
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Re: So thrilled to find this forum! I have questions.
Reply #6 - Jan 6th, 2015 at 10:40pm
 
mjones wrote, I did take the quiz, and most everything fits, except I don't get droopy eyelids.

I'm more inclined to think they are not CH's you are
suffering from, therefor its best to check in with a
Headache Specialist to get a proper diagnosis.

Hoppy.

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mjones
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Re: So thrilled to find this forum! I have questions.
Reply #7 - Jan 6th, 2015 at 11:09pm
 
Thank you all for the information.  I will try to find a headache specialist.  I have never had my Vitamin D3 checked but sounds like something I need to do.  If I don't have CH then I surely need to find out what I do have.  And if it is CH, hopefully some of the methods on this site will help me.  Thank you for being available to me for support.
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AussieBrian
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Re: So thrilled to find this forum! I have questions.
Reply #8 - Jan 6th, 2015 at 11:26pm
 
And we'll keep supporting you while you always let us know how you're getting on.

All headaches are horrible.
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My name is Brian. I'm a ClusterHead and I'm here to help. Email me anytime at briandinkum@yahoo.com
 
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Peter510
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Re: So thrilled to find this forum! I have questions.
Reply #9 - Jan 7th, 2015 at 2:15pm
 
Hello,
Your pattern seems unusual, but then I have a very irregular pattern, so who knows. Also, in the dozen or so years I've lived with this I have never has a droopy eyelid either.
The other guys are right. Get to a headache specialist Asap. I wasted about 6 years before I got a diagnosis and was referred to a specialist. Only happened because my regular Doctor was on holidays and a locum was on duty that day. He took about 3 minutes of listening to me before he said CH.
2 days later I was in hospital being scanned and my life has improved dramatically since. Still in the thick of it, but I now know what it is and what to do.
Get to a headache specialist soon. Don't waste the years I did.
Good luck,
Peter.
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mjones
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Re: So thrilled to find this forum! I have questions.
Reply #10 - Jan 14th, 2015 at 12:04pm
 
Thank you Peter.  I have been away for a few days, so I apologize for my delayed response.

I am going to look further into finding a headache specialist. There aren't too many to choose from in Austin, and I made the mistake (ha) of reading online reviews about them and some of them aren't too favorable.  I may have to go to Houston or Dallas.  I'll let you know what happens.
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Peter510
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Re: So thrilled to find this forum! I have questions.
Reply #11 - Jan 15th, 2015 at 9:07am
 
Hi,
Be cautious about on-line reviews, they are very subjective and you have no idea what expectations the writer had going in.
good luck,
Peter.
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mjones
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Re: So thrilled to find this forum! I have questions.
Reply #12 - Jan 16th, 2015 at 2:30pm
 
Good advice Peter, thanks.  Is there any way through this forum to get a recommendation of a specialist in the Austin area, or connect with someone else who has seen a specialist in this area?
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maz
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Re: So thrilled to find this forum! I have questions.
Reply #13 - Jan 16th, 2015 at 4:00pm
 
On the left of your screen is a tab called "where we live". Have a look there and you will find 26 people in Austin.  Also, Bob has given you some suggestions which will help.
Maz.
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« Last Edit: Jan 16th, 2015 at 4:03pm by maz »  
 
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mjones
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Reply #14 - Jan 16th, 2015 at 10:00pm
 
Thank you!!
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LasVegas
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Re: So thrilled to find this forum! I have questions.
Reply #15 - Jan 17th, 2015 at 1:41pm
 
mjones wrote on Jan 16th, 2015 at 2:30pm:
Good advice Peter, thanks.  Is there any way through this forum to get a recommendation of a specialist in the Austin area, or connect with someone else who has seen a specialist in this area?


Hi mjones,
Sorry to read you are suffering and in pain without the professional help of a doctor who truly knows how to effectively diagnose and treat Cluster Headache sufferers.

You asked for a referral to a good doctor in the Austin, TX area.  It just so happens that a little over one year ago, I compiled the most comprehensive list of all doctors familiar with Cluster Headaches throughout the USA and Canada.

The doctors listed below were all recommended by other CH sufferers residing in Texas.

Austin
Dr. Robert M. Cain
Associated Neurological Specialties

Dr. Craig R. Dubois
CHARM-Center for Healing and Regenerative Medicine

West Lake Hills
Dr. Rajat Gupta
Headache & Pain Center

Dr. Marci A. Roy
Little River Health Care Neurology

This completes my list of Austin area doctors who have all been referred/recommended from fellow Cluster Headache sufferers.

Wishing you and every CH'er in the Austin area good luck finding a doctor you are pleased with!  Wink

-Gregg in Las Vegas
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« Last Edit: Feb 18th, 2015 at 5:06pm by LasVegas »  

Wishing everybody at CH.com less pain w/ more productivity in their lives in 2019
 
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mjones
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Reply #16 - Jan 28th, 2015 at 3:14pm
 
Thank you so much!  I was running into difficulty nailing down specific names through other websites.  Thank you so much for your hard work in putting together the list that is now helping so many others.
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Reply #17 - Feb 18th, 2015 at 4:40pm
 
Hello, wanted to update you all on what's happening with me.  When I first joined this forum, I was dealing with some health problems with my son, had just gotten over bronchitis myself, and was getting ready to head off on vacation to New York.  So I had no opportunity to find a neurologist at that time.  I started myself on 5000 units Vitamin D3, fish oil and the Costco Multivitamin to see if I could get any relief until I could get back from my trip and find a doctor.  I wasn't trying to diagnose myself, just trying to get some relief or start the process of relief until I could see a Dr.

I thought it was helping because I didn't have a headache for about six weeks, when I had been having clusters of headaches every two weeks or so.  But then I got slammed again last week. 

So I called one of the doctors on the list that Gregg in Las Vegas provided, Dr. Edward Fox, since he is closest to my home.  The receptionist told me Dr. Fox doesn't treat headaches (he specializes in MS) but that Dr. Craig Couch, in the same practice, is who they refer all headache patients to.  So I made an appointment in mid-March (the soonest opening they had for new patient).  Interestingly, Dr. Couch is my father's neurologist, so I have met him several times and I like him.  So I feel good about that. 

I will keep you posted on what happens at my appointment.   Gregg, you may wish to remove Dr. Fox from your Austin list and I'll update you about Dr. Couch.  I so appreciate your list though because it pointed me in the right direction. 

--Mariann
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Re: So thrilled to find this forum! I have questions.
Reply #18 - Feb 18th, 2015 at 5:06pm
 
Done, thanks for the heads up.  Keep us posted Mariann Wink

-Gregg in Las Vegas
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Reply #19 - Feb 18th, 2015 at 5:26pm
 
I will Gregg.  I hope to be of help to others as you all have been to me.
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mjones
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Re: So thrilled to find this forum! I have questions.
Reply #20 - Mar 12th, 2015 at 7:47pm
 
Hello all, I'm back with an update. 

I went to my first neurologist appointment yesterday with Dr. Craig Couch of Central Texas Neurology in Round Rock, TX.  He is the headache specialist in their group of about 5 neurologists.

The short story is, in his opinion I do not have cluster headaches.  He said my symptoms don't really match the "ice pick" pain that is typical of clusters, and he has almost never in his career seen a woman with clusters....always men. 

I described all my symptoms, and he listened carefully and asked lots of questions. I felt like he was thorough with that and also in the physical exam he performed. He then told me that my symptoms are very unusual.  He said my headaches are not typical tension, migraine or cluster headaches.  His conclusion was that my headaches sound the most like a condition called Occipital Neuralgia, but he's not 100% sure on that diagnosis.  He also reached this conclusion based on pain I felt when he pressed on certain areas at the base of my skull/top of my neck.

I have not had a lot of time yet to research Occipital Neuralgia (ON), but some of the symptoms I have briefly read about sound like what I experience, and some do not. Dr. Couch recommended two things to start with....physical therapy for my shoulders and neck to relieve pressure on the nerves, and also a prescription for BUTALBITAL/ACETAMINOPHEN/CAFFEINE TABLETS which he said should help during attacks if I do indeed have (ON). 

If no improvement, we can move to next steps of an MRI, preventative medication, etc. 

Have any of you heard of ON and had any experience with it?

I guess I'm feeling relieved that I don't have clusters, but anxious that my symptoms are so unusual and this experienced Dr is unsure of my diagnosis.

--Mariann


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mjones
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Re: So thrilled to find this forum! I have questions.
Reply #21 - Mar 12th, 2015 at 7:53pm
 
Gregg,

I just recently heard about a new headache clinic opening up in Round Rock, Texas.  It's a Scott & White Clinic.  I thought you might want to add it to your Austin-area list: 

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

It's nice to know that soon there will be another resource close by where I live that I can access if I need it.

--Mariann
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Re: So thrilled to find this forum! I have questions.
Reply #22 - Mar 12th, 2015 at 9:00pm
 
Hi Mariann,
Have you taken the cluster quiz? The link is too your
left on this page, it will help rule out if they are, or
not CH's your experiencing.

Hoppy.
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Re: So thrilled to find this forum! I have questions.
Reply #23 - Mar 13th, 2015 at 1:36am
 
mjones wrote on Mar 12th, 2015 at 7:53pm:
Gregg,

I just recently heard about a new headache clinic opening up in Round Rock, Texas.  It's a Scott & White Clinic.  I thought you might want to add it to your Austin-area list: 

Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register

It's nice to know that soon there will be another resource close by where I live that I can access if I need it.

--Mariann



Hi Mariann,
I do not add doctors to my list unless they are recommended by those suffering from CH's.

Just because a doctor claims to be a headache specialist or just because somebody went to school and studied neurology does not qualify them to effectively treat somebody suffering from CH's. At least not qualified on any of my recommended doctor lists, as I am very select. My lists are strictly based on positive feedback/recommendations from fellow CH'ers.  Thanks for the thought though!  Wink

Congratulations on not having CH's, you should feel very relieved you will not have to endure the living nightmare we here on this site all share in unfortunate common.

An MRI is a great tool to start the diagnosis process. Best wishes Wink

-Gregg in Las Vegas
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Re: So thrilled to find this forum! I have questions.
Reply #24 - Mar 13th, 2015 at 2:09am
 
mjones wrote on Mar 12th, 2015 at 7:47pm:
...  He said my symptoms don't really match the "ice pick" pain that is typical of clusters, and he has almost never in his career seen a woman with clusters....always men.

Both of these statements bother me and don't ring true of a doctor experienced in CH.

I truly hope I'm wrong.
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My name is Brian. I'm a ClusterHead and I'm here to help. Email me anytime at briandinkum@yahoo.com
 
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