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Dr. Frank
Dr. Frank, Board Certified Physician
Category: Neurology
Satisfied Customers: 8999
Experience:  Board certified general Adult Neurologist, with experience in experimental neuroimaging and neurodiagnostics.
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What is happening when you get a headache? I know its not

Customer Question

What is happening when you get a headache? I know its not your brain that hurts. Is it muscle tension around nerve endings in the scalp &/or head musculature? Also usual over the counter med's usually don't work for me (tylenol, advil, bayer, excedrine, etc, etc). I have a prescription for 10/325 hydrocodone & 750 methacarbamaol, which I usually take in tandem to relieve tension headache's, but these are becoming ineffective anymore (my usage can be 1-3 times a week, or 1-2 times a month, dependent on the headaches. The headaches seem to be brought on by stress, neck & shoulder muscle tightening as a result & 1 had a recent cervical MRI which shows mild to moderate stenosis, 2-slightly bulging disc's & mild to moderate arthritis. I'm 55 years old & my daily job is the owner/operator of a auto mechanic shop, I also do some of the hands on mechanic duties as well. I'm getting so many opinions & mixed messages from my regular PCP & others that I wanted some of your thoughts here. Especially what is the actual physical issues going on when you have a Headache!
Submitted: 1 year ago.
Category: Neurology
Expert:  Dr. Frank replied 1 year ago.

Hello. Welcome to JA. I will respond to your question after reading your statement. Dr Frank

Expert:  Dr. Frank replied 1 year ago.

Hello. Welcome to JA. I will respond after reading your statement. Dr Frank

Expert:  Dr. Frank replied 1 year ago.

Tension headache can derive from several stimuli such as stress caffeine or stimulant overuse. But one thing the most common is cervicogenic headache. It derives from spinal roots in the cervical spine that cause spasm and that ascends to involve occipitalis the superficial temporal muscles and frontalis which cause the tightness sensation as they are all connected. There are more aggressive treatments like Botox to effect contraction in these muscles for 3 months.

Expert:  Dr. Frank replied 1 year ago.

But the best approach for most middle aged men with this condition is to address the nerve roots themselves with steroid epidural median nerve or radicular blocks. Or cervical surgery (acdf) if needed based on imaging and neurodiagnostic testing Dr Frank

Expert:  Dr. Frank replied 1 year ago.

Get back to me with questions and I will respond or rate my service if satisfied. Dr Frank

Expert:  Dr. Frank replied 1 year ago.

please get back to me if you have additional questions