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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Half Side Headache, Taking Strong Painkillers, MRI Of Head And Neck Normal

I have had a continuous 24/7 headache from the moment I wake until I fall asleep (cannot usually fall asleep without OTC sleep aids due to being in pain). It is one-sided (left) and never on the other side, basically the whole left side of my head and into my face on that side. I cannot stand to read very much at a time, talk for a long time, and noises or physical activity make it terribly worse. I am on very strong painkillers prescribed by pain management physician and I am still in terrible pain. What else can I do??? I have had MRI of head and neck and they were both okay.
Tue, 1 Apr 2014
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Ophthalmologist 's  Response
Hello
It seems from the history that you are having headache with normal MRI imaging of brain.
Since the headache gets worsened by noise or physical activity with normal MRI this is typical of migraine.
Hence this requires treatment by use of anti migraine drugs in acute episode.
Prophylactic drugs like flunarizine are required to prevent recurrent attacks.

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Half Side Headache, Taking Strong Painkillers, MRI Of Head And Neck Normal

Hello It seems from the history that you are having headache with normal MRI imaging of brain. Since the headache gets worsened by noise or physical activity with normal MRI this is typical of migraine. Hence this requires treatment by use of anti migraine drugs in acute episode. Prophylactic drugs like flunarizine are required to prevent recurrent attacks. Thank you