he everybody, in the spring of 05 i started with a sudden sharp pain in my left eye like a claw in my eye trying to dig it out, after first visting a 100 eye doctors thinking there was something wrong with my eye, and no sucesss with my primary care doctor or with the first neurologist i saw, i finally made my way to a second neurologist who prescribed a week of steroids, the cycle and pain stopped completely after the first or second dose(but this was after 7 or 8 straight months of pain) and ironically in aug of 05, well now 5 years later last friday night the whole thing started again with a shatp pain in my RIGHT EYE instead and watering eye, with tears that felt like acid was pouring out of my eye,spent saturday in the er in case there was a remote possibility that i had injured my eye, they found nothing and gave me nothing for pain, only problem is the neurologist i saw 5 years ago doesnt take the insurance i have now, and is the only neurologist within 40 miles AND i have no car, plus my fear is that the steroids wont work this time and they were the only thing that worked last time.
do u think my current primary care doctor would be willing to prescribe the steroids?
my last question is, in between attacks im never completely pain free, which i guess is uncommon, although its not agonizing there is still a pulling sensation and feeling of having something stuck in my eye, even when im not having a full blown attack, so im basically in pain 24/7 does this mean its not clusters?
like the last time in 05 i was in pain for 7 to 8 months 24/7 even though the pain was very mild at times it never went away completely until the cycle ended with the steroids

You've got a tough situation here!

Did you get a firm diagnosis the last time this happened?  Your symptoms and treatment sound quite a bit unusual for CH but not impossible.  Have you taken the CH quiz found to the left?  Have you been ruled out for an iritis or other inflammations of the eye?  If that was what was going on it would explain what sounds like primarily eye symptoms and how it was so fully treated by a round of steroids...

Talk to your primary care doc about what's going on - the main issue is that he/she is going to want to be very cautious that giving the steroids isn't going to be just covering up a more significant problem...

If your primary care is open to receiving medical literature which we can send then, yes, he can help you.

Print out the PDF file, below, and give to it to him and ask if he would work this way.

Re. non-stop pain,etc. Some folks using Verapamil 100% of the time, even when not in an active period, to handle such background experience.

forgot to add its been five years since this happened with my left eye, this time its my right eye.   the first time lasted 7 months until the steroids were prescribed, the neurologist called them "atypical cluster headaches" because the pain was 24 hours a day with the exception that sometimes it was aganozing like my eye was being forced out of its socket and other times it was just mildly painful.   eye doctor insisted there was nothing wrong with my eyes.