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Old 11-01-2012, 07:10 AM   #1
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kman HB User
Cervicogenic Headache

Well, after a few months of constant headaches and several misdiagnosis my Doc and I think we may have figured out the cause of my headaches/neck pain. Cervicogenic headaches, i have some issues disc degen disease and a couple herniated discs in my lower back, i never dawned on us to check my cervical area as well. Turns out there is possible arthritis and a couple discs that look off, this was done with a xray which i know is a dull tool. I am going to the Cleveland clinic in a couple weeks to see a Spine Doc, but in the meantime we are going o start a trial of a anitepileptic drug called Gabapentin.

So my question to you all, once diagnosed correctly with Cervicogenic headaches, what worked? I have read a ton about botox shots, nerve blocks, surgery, meds etc etc.. Did anything finally fix the problems??

Oh, my symptoms.. Always starts as a dull back of the neck pain usually starting at the base of my skull. As the day progress it turns into a full blown headache from hell, that encompasses my entire skull. Some days are mellow, other days are so bad i just climb into bed and get under the covers. I have this crazy crackling noise that goes on in my neck when i turn my hear, sounds like rice cripys.

During the course of figuring out the problems, i have been on meds like nortryptaline, maxalt, butibital, any nsaids i could get my hands on. Currently taking flexiril (muscle relaxant) which helps me gets some sleep at night. Even xanax for a little while to relax me, but the flexiril works better.

I work in front of a computer at work. This is usually when things are the worse, i have found that if i get up and walk around, the neck pain and head pain ease up greatly. I am also a triathlete and have found that my days are WAY worse after swimming or running, i guess the constant head motion and pounding from running really make things worse.

Last edited by kman; 11-01-2012 at 07:18 AM.

 
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Old 11-02-2012, 09:35 PM   #2
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jverive HB Userjverive HB Userjverive HB Userjverive HB Userjverive HB Userjverive HB Userjverive HB User
Re: Cervicogenic Headache

Your pain definitely sounds like cervicogenic pain, especially given that your pain gets worse when you are seated in front of your computer. The X-Ray findings in your cervical spine are further evidence to support the diagnosis of cervicogenic pain, but this pain often occurs even without findings on imaging studies (like X-Rays and MRIs.)

I have seen dozens of doctors and been on dozens of meds. Nortriptyline helped me, but the side-effects were pretty bad, and I was on a pretty heavy dose. Neurontin (gabapentin) did nothing for me, but I've known others who have experienced significant relief with it. It is generally very well tolerated, so it is a good idea to try it.

Let us know how your visit to the Cleveland Clinic goes, and keep us updated as to your response to the meds.

 
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Old 11-04-2012, 01:40 PM   #3
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Re: Cervicogenic Headache

Hi kmantei


Good luck at your appointments. Why the epileptic drug ?

Your condition is similar to mine. I wake up with headache, most mornings in the base of skull, neck, which improves very quickly after getting up or it may turn out like yours.

I have DDD in lower and higher spine. cervical spondylosis is apparent too. For good measure, a thyroid tumour, spotted on the MRI, which is causing sone issues but is at the end of the Q for any treatment it would seem.

tony


Quote:
Originally Posted by jverive View Post
Your pain definitely sounds like cervicogenic pain, especially given that your pain gets worse when you are seated in front of your computer. The X-Ray findings in your cervical spine are further evidence to support the diagnosis of cervicogenic pain, but this pain often occurs even without findings on imaging studies (like X-Rays and MRIs.)

I have seen dozens of doctors and been on dozens of meds. Nortriptyline helped me, but the side-effects were pretty bad, and I was on a pretty heavy dose. Neurontin (gabapentin) did nothing for me, but I've known others who have experienced significant relief with it. It is generally very well tolerated, so it is a good idea to try it.

Let us know how your visit to the Cleveland Clinic goes, and keep us updated as to your response to the meds.

 
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Old 11-05-2012, 06:32 AM   #4
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kman HB User
Re: Cervicogenic Headache

I will update you for sure. I started the gabapentin Saturday, just 300mg at night for the first 5 days. Then will go to twice a day after that. Thanks

 
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Old 02-02-2013, 05:09 AM   #5
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Re: Cervicogenic Headache

Hello. Your symptoms seem very similar to mine. I have been to several doctors trying to figure out what is causing all the pain in my neck, ears, and head. I have cervical DDD, herniated discs C5&6, TMJ w/myofascial pain, arthritis, and fibromyalgia. I have constant pain. When I wake up it is in my neck and as the day goes on it is a full blown headache just like you. It is so bad now that it keeps me awake all night and I have very powerful sleeping medication but the pain overrides those meds and keeps me awake. One doctor said that those discs are pressing on the peripheral nerves. Does anyone know anything about those nerves? For several years I worked in front of a computer and I finally had to quit because it made my pain so much worse. I take Percocet 10/650 mg, Lyrica 100 mg, Zanaflex 4 mg, and Celebrex. The Percocet I was put on last month and it doesn't touch this pain. I am so desperate and cannot take this pain. Can anyone offer me any advice? Thanks so much.

 
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Old 02-04-2013, 08:52 AM   #6
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kman HB User
Re: Cervicogenic Headache

Sorry for your problems, i saw a spine specialist and neuro at Cleveland clinic. They both diagnosed me with cervicogenic headaches. They found some mino arthritis and a couple of shrunken discs in my neck but nothing drastic. I have been on gabapentin for a few months now and i suffer very little pain. I did have to quit running, swimming and biking and pretty much anything else that bounces me around. I was on the gaba and cyclobenzaprine, but dropped the muscle relaxer because it just made me tired. I take 300mg 3 times a day of gabapentin and have been weening myself off the last few weeks, down to 1 pill a day right now. Been seeing a chiropractor which has helped tremendously







Quote:
Originally Posted by mystellic View Post
Hello. Your symptoms seem very similar to mine. I have been to several doctors trying to figure out what is causing all the pain in my neck, ears, and head. I have cervical DDD, herniated discs C5&6, TMJ w/myofascial pain, arthritis, and fibromyalgia. I have constant pain. When I wake up it is in my neck and as the day goes on it is a full blown headache just like you. It is so bad now that it keeps me awake all night and I have very powerful sleeping medication but the pain overrides those meds and keeps me awake. One doctor said that those discs are pressing on the peripheral nerves. Does anyone know anything about those nerves? For several years I worked in front of a computer and I finally had to quit because it made my pain so much worse. I take Percocet 10/650 mg, Lyrica 100 mg, Zanaflex 4 mg, and Celebrex. The Percocet I was put on last month and it doesn't touch this pain. I am so desperate and cannot take this pain. Can anyone offer me any advice? Thanks so much.

 
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