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Is he in good health otherwise? Is he on any medications?
Did he have a CT of his sinuses?
Was his bulging disc in the neck?
Does he continue to have neck pain?
There are many different types of headache syndromes. Many overlap. Some occur together. It can be very challenging to pinpoint the exact diagnosis. Once this is done, however, the headaches can almost always be treated successfully. I would suggest he see a headache specialist (typically a neurologist) for a complete evaluation. If he can see one at an academic medical institution, this would be best.
Keep in mind also that taking pain killers everyday, including tylenol and advil and the like, can actually trigger headaches and create an ongoing "vicious circle." These are called "medication overuse headaches" or "rebound headaches" and the treatment is tapering off the medications to break the cycle and then using the mildest meds that work, but only on an intermittent basis. An alternative to this is to find a preventive medication that can keep the headaches from occuring in the first place.
Amitriptyline, desipramine, propranolol, topamax, depakote to name a few.
Were you able to do some research on these meds? Do you have any follow up questions about them? Different doctors have different preferences as to which one to try first. All else being equal, a neurologist generally goes with the one that has been most successful in his or her practice. If the desired result is not obtained within a couple months, a different medication may be tried.
Hi there. Did you have any follow up questions? Let me know if you do and I would be happy to help further. If you have no additional questions, please don't forget to provide a rating. This is the only way I get credit for helping you. Thank you.