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First post for new member (Read 1674 times)
ken_russell
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First post for new member
Mar 3rd, 2009 at 10:44pm
 
Greetings.....I am a 48 yr old male living near Toronto Canada. I experienced what I am reading about in October 08. I went about 2-3 weeks with a severe pain as you describe behind my left eye and my left eyebrow. I have had sinus surgery 10 years ago (deviated septum). That was my original dignosis and treated it as such initially. The pain would start late in the evening the first couple days and then for the next 2-3 weeks it would wake me at 3 -4 a.m and I would do the room pacing and hot cloth treatment, ready for emerg. I initially went to the clinic and rec'd sinus meds then pain killers. After a week of no change my family Dr. diagnosed Trigeminal neuralgia. Tegretol was the drug of choice this time. The intense pain eventually stopped and not returned but I have  head achey sensations and a tingling sensation around my left eye. I went back to my GP several times and his dianosis changed to TMJ (tempomandibular joint) to masseter muscle syndrome ( let's get on Alprazolam now). I have not had the intense pain since the initial 2-3 weeks but still have not been happy with the diagnosis. I finally got to see a neurologist today and learned about CH. What do you think? . I have been researching all night and found your website. The neurologist sent me on my way making sure I knew how to "Google" and here I am. Should I have lingering headaches and tingling? I have had a CT scan and it is clear. I have an MRI booked for March 23. As silly as this may seem and I hope I can find someone who appreciates this.......are you ready? I play the bagpipes. I used to be able to play for lengthy periods and now I get an forehead ache that is bearable but a pain in the a$$. Your help is so much appreciated.
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ken_russell  
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Linda_Howell
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Re: First post for new member
Reply #1 - Mar 3rd, 2009 at 11:30pm
 
Hello Ken and welcome.

(don't be angry with me if I tell you please try to use paragraphs.  it makes it so much easier to read and respond)

It sounds to me like the Dr. you are seeing is just taking  uneducated guesses at a lot of things.  Dr.s get exactly 5 hours of taining in med. school on headaches.  ALL KINDS of headaches so it isn't a surprise that a lot of them have their head up their collective a$$es when it comes to cluster headaches.  case in point: Quote:
The neurologist sent me on my way making sure I knew how to "Google"



Uh...was he trying to tell you to diagnosis yourself?  WOW...

Mind you now, I am not a Doctor.  I've been chronic for 22 years though and I do know a lot about this condition, but it sounds like it could be CH to me. There are links to the left of where you are reading this right now. 

medical info.
cluster traits
cluster quiz...etc.

All of the best info in the world is right here as well as on the O.U.C.H site to the left.    Read read read,  til you're smarter than the docs.  JK...

There is always someone here almost 24/7 if you need to ask questions or if you want to PM someone.  For instance I am in California so when the East coast goes to sleep I'm awake.   Grin 

Again welcome to you and please know that we're all here to help anyway we can.    Linda







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Hurt people.....hurt people.   Think about it.
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Skyhawk5
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Re: First post for new member
Reply #2 - Mar 4th, 2009 at 2:21am
 
Ken,  Welcome to CH.com. We are here to help if we can.

Linda has asked you to look at the links on the left of this screen, to help you decide if you may have CH. We are all different so you may not match all the information, but one thing is for sure, CH is the worst pain any of us have felt.

Knowing what you have and a firm diagnosis of it, is absolutely needed for proper treatment.

Don
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Though I walk through the valley of the shadow of the Beast , I  have O2 so I fear him not.
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Bob Johnson
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Reply #3 - Mar 4th, 2009 at 7:26am
 
Your picture is sufficiently "mushy" that I would not guess a diagnosis. Print out this entire article (link, 2nd line) and, after reading it, get back with specific questions.

Have you seen "cluster traits/quiz",left?
==========

 
Cluster headache.
From: Multimedia File Viewing and Clickable Links are available for Registered Members only!!  You need to Login or Register (Orphanet Journal of Rare Diseases)
[Easy to read; one of the better overview articles I've seen. Suggest printing the full length article if you are serious about keeping a good medical library on the subject.]

Leroux E, Ducros A.

ABSTRACT: Cluster headache (CH) is a primary headache disease characterized by recurrent short-lasting attacks (15 to 180 minutes) of excruciating unilateral periorbital pain accompanied by ipsilateral autonomic signs (lacrimation, nasal congestion, ptosis, miosis, lid edema, redness of the eye). It affects young adults, predominantly males. Prevalence is estimated at 0.5-1.0/1,000. CH has a circannual and circadian periodicity, attacks being clustered (hence the name) in bouts that can occur during specific months of the year. ALCOHOL IS THE ONLY DIETARY TRIGGER OF CH, STRONG ODORS (MAINLY SOLVENTS AND CIGARETTE SMOKE) AND NAPPING MAY ALSO TRIGGER CH ATTACKS. During bouts, attacks may happen at precise hours, especially during the night. During the attacks, patients tend to be restless. CH may be episodic or chronic, depending on the presence of remission periods. CH IS ASSOCIATED WITH TRIGEMINOVASCULAR ACTIVATION AND NEUROENDOCRINE AND VEGETATIVE DISTURBANCES, HOWEVER, THE PRECISE CAUSATIVE MECHANISMS REMAIN UNKNOWN. Involvement of the hypothalamus (a structure regulating endocrine function and sleep-wake rhythms) has been confirmed, explaining, at least in part, the cyclic aspects of CH. The disease is familial in about 10% of cases. Genetic factors play a role in CH susceptibility, and a causative role has been suggested for the hypocretin receptor gene. Diagnosis is clinical. Differential diagnoses include other primary headache diseases such as migraine, paroxysmal hemicrania and SUNCT syndrome. At present, there is no curative treatment. There are efficient treatments to shorten the painful attacks (acute treatments) and to reduce the number of daily attacks (prophylactic treatments). Acute treatment is based on subcutaneous administration of sumatriptan and high-flow oxygen. Verapamil, lithium, methysergide, prednisone, greater occipital nerve blocks and topiramate may be used for prophylaxis. In refractory cases, deep-brain stimulation of the hypothalamus and greater occipital nerve stimulators have been tried in experimental settings.THE DISEASE COURSE OVER A LIFETIME IS UNPREDICTABLE. Some patients have only one period of attacks, while in others the disease evolves from episodic to chronic form.

PMID: 18651939 [PubMed]
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Bob Johnson
 
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Re: First post for new member
Reply #4 - Mar 4th, 2009 at 8:25am
 
Welcome to the board, glad you found us. Yeah the head can sure be complicated territory. There are literally hundreds of headache types, what is helpful for one type can be useless or even harmful for another.

1: Take the cluster quiz on the left and document your answers..

2: Start keeping a headache journal. Be as detailed as possible. When they start, how fast they build to a peak pain, how high that peak pain is, (KIP scale on the left is a very useful tool for that), how long the pain stays at peak, how fast it goes away, any triggers you've found, meds that have and have not helped, do they wake you from sleep, keep you from sleeping.......the final diagnosis will be in the details.

If it turns out you have CH, DON'T lose this link! It's the finest collection of information to be found anywhere. Good luck in your diagnosis, pain is pain and it sucks! Wink

Joe
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"Somebody had to say it" is usually a piss poor excuse to be mean.
 
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ken_russell
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Re: First post for new member
Reply #5 - Mar 4th, 2009 at 8:55am
 
Thank you all for your quick responses, I am overwhelmed. There is so much information to absorb here!!

I am working my way through specialists and I think I am getting close to an accurate diagnosis.

I am unloading my GP of many years, he was just away for 8 weeks (LOL) and have had a meet and greet with a new fellow. I am seeing him again Friday and will discuss the Neurologists assessment then.

In the meantime I will continue to search this site and help myself and my wife better understand CH.

Thanks so much.
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Iddy
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Reply #6 - Mar 4th, 2009 at 10:14am
 
Hi Ken and welcome

There is a good Neurologist at Sunnybrook by the name of Marek Gawel. He is actually affiliated with Women's College.
His office is at Yonge and Davisville. I went to see him a few month ago. A very decent guy. Familiar with CH. Look him up

All the best Iddy
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Walk in Peace

"If you can, help others, if you cannot do that, at least do not harm them." Dalai Lama
 
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Farzad
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Re: First post for new member
Reply #7 - Mar 4th, 2009 at 10:58am
 
hi ken and welcome

Just having the pain behind your left eye is not suffcient to diagnoze the CH.

however I just wanna add some points which may help you to know the CH difference in addition to the CH quiz:

1. if you notice that your headache or attack is going to be started.(this is diffenet than Sinus pain)

2. If your pain is too strong that doesnt respond to acetaminophen or such normal pain relievers.

I wish you case not be a CH. Smiley


Farzad
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Farzad
 
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Katie
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Reply #8 - Mar 4th, 2009 at 3:45pm
 
I think what you need most is a knowledge neurologist.

I get some neuralgia when the CH swaps with migraine and vice versa- it causes weird neuropathic pain BUT the CH still hurts more than migraine or neuralgia though and CH makes my nose run, my eye stream and I cannot stay still.

Best thing I can think of suggestiong to do whilst you wait to see a neurologist is keep a pain diary, describe the location, how the pain feels an if you notice any other symptoms as this will help them to work out what type of pain this is , what can be causing it and more importantly what they can offer to make life a nicer place again.

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Pain is no evil unless it conquers us.  
 
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UnderTheRadar
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Re: First post for new member
Reply #9 - Mar 4th, 2009 at 9:20pm
 
Welcome to the site!  I hope you find out enough information to help get a diagnosis.  But until then...

"PIPER DOWN. WE HAVE A PIPER DOWN."

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

Cheesy
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ken_russell
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Re: First post for new member
Reply #10 - Mar 5th, 2009 at 8:05am
 
Ah yes ....a classic movie for all Pipers!! The last thing I want to do is become a drummer!!
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ken_russell  
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