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Thanks for your question.
The recurrent headaches can be caused by the several possibilities.
Migraine headache is common.
Migraine can present with various features and MRI is normal often.
Another possibility can neuralgia related headache.
Occipital neuralgia is one such example.
I don't really have symptoms of a migraine headache though... I have no sensitivity to light or sound
In this case, the nerve supplying the head gets inflamed.
sensitivity to the light and sound is not seen in every migraine presentation.
but you do have other symptoms which can classify this as atypical migraine
that is one possibility.
the next one as mentioned above neuralgia
my other symptoms such as the loss of appetite have only started in the past week
yes this can start anytime but you do have this.
what other symptoms you have?
right now, fatigue, slight headache, loss of appetite, and slight nausea
sny tingling, numbness?
i have a slight pain in my left arm that goes from my armpit to my hand
not really numb or tingling though
any weakness of muscles?
so, neuralgia or migraine can cause this.
Tension headache is another possibility --usually other symptoms not present.
now describe your headache---where does it start and then where does it spread?
my headaches normally start in the back of my head down by my neck... sometimes they are one-sided like right behind my right ear and it feels like my head's going to explode
Ok then this is a neuralgia type headache.
Likely the cervical nerves are getting pinched somehow at the spine or the nerve is very inflamed due to the damage by the body's immune system.
In this case, you will benefit from seeing a headache specialist.
A headache specialist is also a neurologist with special training and experience in headache management.
Most big medical centers have headache clinic.
The usual management is to adminisiter a steroid and lidocain mixture shot at the base of the nerve.
This stops the headache for good in most cases.
Then head and neck physical therapy is incorporated in the management.
This is a special physical therapy only performed by the experienced physical therapist working with headache patients only.
This is the best management plan to bring your life back to normalcy without using different medications.
i don't understand where all my other symptoms are coming from...
why the loss of appetite and slight nausea?
these are nerve related as I explained above.
The nerves are inflamed.
Inflammation releases lot of chemical substances known as cytokines that can cause fatigue and loss of appetite.
Once the the inflamed nerves are treated, you will dramatic improvement.
my primary doctor did prescribe me a steroid pack but it didn't help...
The best way to treat is as I described above.
steroid pack will not help.
could this possibly explain the arm pain as well?
only the injections at the very specific area will help.
you have problem in your cervical spine.
that has not been evaluated yet.
the neurologist will address this issue likely.
i work for a spine doctor.. he examined me yesterday and he said it could be a cervical spine issue as well but not sure... so he gave me a script for an mri of my c-spine... will this show nerve complications?
another test that is commonly performed is a nerve conduction study.
this can be ordered by your neurologist.
ok, also does this explain the pain coming from my armpit?
my primary gave me a script for an EMG of my left arm..
if you see the anatomical picture of the nerve roots coming out of the cervical spine, it will be very clear.
ok, i guess i will go ahead and proceed with my mri and appointment with my neurologist...