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What Causes Headaches?

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Posted on Thu, 3 Apr 2014
Question: I had some headache symptoms that started August 2012. I went to my internist and he sent me for a Head Cat Scan and all came out normal. I also had a Head CT in 2008, 2011 and 2012. All were compared and were the exact same and no changes. My headaches went away for all of 2013 and came back around Nov 2013. These headaches seem to be in the same area. They start in my neck and move to my eyebrows or temples. I can push on the muscles in my neck and pain shoots to my eye. I have some serious tender spots in my neck. Should I be worried since I have had clear CT scan a year and half ago? How long are these good for? Didnt know if something crazy could have formed since then. These headaches are similar to the ones I got before in late 2012. I am taking 12 milligrams of amitryptiline for it and not sure if I am taking enough.
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Answered by Dr. Sudhir Kumar (42 minutes later)
Brief Answer: Symptoms are suggestive of muscle tension headache Detailed Answer: Hi, Thank you for getting back with more details. First of all, I would like to reassure you that your symptoms are not suggestive of any serious neurological illness. This is because you have had multiple CT scans and all were normal. They are valid for six months to one year. However, in your case, since the type of headache is similar to previous ones, they are valid even now. Your symptoms are suggestive of muscle tension headache and you are on correct medicine. However, in my opinion, the dose seems to be low, and it should be increased to 25 mg at bedtime. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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What Causes Headaches?

Brief Answer: Symptoms are suggestive of muscle tension headache Detailed Answer: Hi, Thank you for getting back with more details. First of all, I would like to reassure you that your symptoms are not suggestive of any serious neurological illness. This is because you have had multiple CT scans and all were normal. They are valid for six months to one year. However, in your case, since the type of headache is similar to previous ones, they are valid even now. Your symptoms are suggestive of muscle tension headache and you are on correct medicine. However, in my opinion, the dose seems to be low, and it should be increased to 25 mg at bedtime. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology)