The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Hello

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.

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

yes this can start anytime but you do have this.

what other symptoms you have?

sny tingling, numbness?

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?

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.

Best wishes,

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.

The best way to treat is as I described above.

steroid pack will not help.

only the injections at the very specific area will help.

yes ofcourse.

you have problem in your cervical spine.

that has not been evaluated yet.

the neurologist will address this issue likely.

most likely.

another test that is commonly performed is a nerve conduction study.

this can be ordered by your neurologist.

yes absolutely.

if you see the anatomical picture of the nerve roots coming out of the cervical spine, it will be very clear.