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Cervicogenic/Myofacial headache anyone?

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Old 11-18-2008, 12:21 AM   #1
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matt3507 HB User
Cervicogenic/Myofacial headache anyone?

Hey all. Well, my pain doc. for 2.5 years moved and my final dx from her for my headaches was cervicogenic/myofacial. Anybody get this dx? Any success getting rid of them? Thx, matt3507.

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Old 11-22-2008, 02:36 PM   #2
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Re: Cervicogenic/Myofacial headache anyone?

What are the symptoms of your cervicogenic/myofacial headaches? I just read a consult letter from the rhuematologist to my family Dr. She had
said that my headaches were cervicogenic in the letter but not to me directly. She also did not suggest what to do for them.

I am being bouncing from one specialist to another and back to my family
Dr. trying to get help.

I would really like to hear your symptoms.


Old 11-23-2008, 12:49 AM   #3
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Re: Cervicogenic/Myofacial headache anyone?

Hi Biyaki:
Thx for responding. My symptoms come on anywhere from immediately to 2 days after basically any exertion. I feel it from the base of my neck to my eyes. It feels like my brain is swelling. I would call it level 8 pain because I don't vomit, but I sit in my chair and cover my head and neck with ice and think of reasons to want to live. I I also have stabbing pains between shoulder blades. Nerve shooters down both arms, mainly left. I can't deal with the head pain anymore. It's the ER or meds and sitting motionless. I just lose it, it is torture, it is coming and I am screwed. I can;t stress how bad it is. I can not function. It is just so frustrating and random. Hope this info is useful, keep posting I will be watching. btw mri says: c5-c6 bulge on right, DDD all cervicals, severe foraminal stenosis left side c7-t1. Bunch of other big word crap too. Bone spurs all over the place. Headaches started after pt did traction 2.5 yra ago. Neck has crashed since then.

Old 11-24-2008, 01:27 PM   #4
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Re: Cervicogenic/Myofacial headache anyone?

Hi Matt..This is what my CT showed- Advanced degenerative changes with anterior and posterior osteophytes at C5-C6 .Bilateral foraminal encroachment C5-C6.
Degenerative changes C4-C5.
Foraminal encroachment C4-C5.
Degenerative changes within facets multiple levels.
Degenerative changes in facets C7-T1.

So much for the wording of the Impression of Ct.

I am in pain 24/7 worse if I overdo things but always pain.I wake up with it and go to bed with it.

I have had massage which actually makes me hurt more.

I have had physio where they did manual neck traction. I had numbness on my left side the next day so my Dr. suggested I no longer do it.

I do stretches which hurt but I do not think I could even turn my head if I didn't.

I haven't been walking lately because that makes my neck,shoulders and arms hurt so bad not to mention the headache that is ALWAYS there in the occipital area.

I take an extra str. Tylenol every morning. and then again in the afternoon.
If the pain is too much the second Tylenol is replaced with Percocet.

I have used heat, coldpacks,topical gels and patches. Have tried Lyrica, Neurontin, Tylenol #1 ,Acupuncture,Amytriptyline and more.

Percocet helps a bit but nothing gives me relief.

I attended a Chronic Pain Center for 6wks.( summer 2007) where I learned stretches and an excerise program.

I ALWAYS have pain coming up my sore stiff neck .The Occipital headache is ALWAYS there. My shoulders and between the shoulder blades are ALWAYS aching.

I also have Degenerative changes in my back and hands.(They look worse than my C spine.)

Are your headaches always there?
Do you feel dizzy(like an equilibrium type dizzy-not spinning)?

This has been awfully lengthy. I hope you got to the bottom.


Last edited by Biyak123; 11-24-2008 at 01:37 PM.

Old 11-25-2008, 12:55 PM   #5
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Re: Cervicogenic/Myofacial headache anyone?

Hey again friend. Thank you for the informative post, not too long at all. Hope I didn't bring you down last post. I am in better space today. I was freaking because I just knew what was going to happen and there was nothing I could do about it. Sounds like you have it worse than me. I have kept a diary for last 2.5 yrs. I have had breaks in headache up to 8 days long. So far it has always returned. Here are more details if you get bored and want to read long post.

Felt something strange in upper back at work (construction, sledge hammer). ER next day with stabbing pain in between shoulder blades. Numbness left arm, pinky and ring finger. June-06.

Primary doc. follow up, referral to neurosurgeon. Recommended foraminotomy.

Second opinion from neurosurgeon = no surgery if I had control of basic bodily functions. I chose no surgery.

Saw a PT for 6 months. Little change. He was all about strengthening exercises. I thought it was kind of stupid since I used to be very strong for my size, I could bench press almost twice my weight.

Saw another PT for six months. All about massage. Helped for a day or so afterwords.

Found a pain doc. She was all about alternative medicine. Through her I tried:
Intramuscular stimulation (which helps short term. Acupuncture needles at trigger points)

Tried Feldenkrais PT, which has helped alot. It's on the web. I am still seeing this lady who is also teaching me Qi-Gong, which has extended my range of motion.

Got a nerve root injection which helped, but I swear I saw my life flash before my eyes. Most painful thing I have ever felt, better afterwords though.

I ended up up doing the IMS every 10 days for six months. I got to the point where I could sit back in a chair. Used to couldn't because my back muscles were way to sensitive.

About the last year or so, I just got the IMS every month. That is over since my pain doc. moved. I do Qi-Gong at night when I can. Sometimes I wake up w/o headache but when I get up it is usually on. Any lifting over 8 pounds or so will trigger all my symptoms. Walking will do it also. I basically can't do exertion w/o triggering symptoms. I am now searching for help again. I am scheduling doc's. It sucks. Last guy I saw was complete jackass. Have not worked in two years.

Meds have been all otc's, neurontin, flexeril, oxycodone. I have to lay off the flex, and oxy. often since tolerance/effectiveness degrade with continued use. Ice packs all the time. Heat makes it worse for me. I do not have dizzy spells.

That is it in a big nutshell. I am on these boards alot. Usually spine, headaches, pain management. I will be watching for your posts. Maybe one of us will find an answer and we can pass it on. Good luck.

Last edited by matt3507; 11-25-2008 at 12:57 PM. Reason: more info

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