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Headache, pain radiating to body. Taking Ibuprofen

For several years now, I have daily headaches . It always starts in my right temple. They only thing that will take care of it is Ibuprofen , within 30 minutes. Last night, as usual, it starts in my right temple. It started burning and the pain started to radiate through the whole right side of my body. Parts of my body even started twitching. Earlier in the day, it felt like I had a pinched nerve in my upper back and I was having radiating pain and burning in my upper back. I ve had several tests done, have seen numerous doctors and still no answer but Chronic Daily Headaches . Last night was absolutely unbearable and first with all the numbness and burning.
Asked On : Sun, 3 Feb 2013
Answers:  1 Views:  38
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Neurologist 's  Response
Thanks for posting this question in HCM
Let me tell you that headache can be due to various reasons like brain infection, tumor, migraine, cluster headache, tension headache, problems in the blood vessels of the brain and so on. Migraine, cluster headache, tension headache and chronic daily headache are diagnoses of exclusion. I mean these diagnostic labeling is done when secondary causes of headache are excluded.
Back to your problem, I feel that there a good possibility of migraine in your case. However, as I told it is a diagnosis of exclusion. So, I advise you to get examined by a headache specialist/local neurologist who will evaluate you through clinical evaluation and investigations including scans. Though the twitching can be seen as a part of migraine, the possibility of coexistent epilepsy cannot be excluded definitely.
If the diagnosis turns out to be migraine,
You will benefit with the following
1. Acute attack: when the severity is more: you may take analgesics/ sumatriptan nasal spray. Learn to avoid the precipitating factor like stress, lack of sleep, coffee, perfumes, and excessive use of commuters and so on.
2. During the chronic phase: Medicines that help are valproate, topiramate, propranolol, amitriptiline. Your neurologist will help you select one of these appropriate medicines.

Hope this helps
Answered: Tue, 5 Feb 2013
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