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Hi there. Sorry to hear about your headaches. This is a very distressing condition to have and, unfortunately, is far too common. Usually though the cause, or at least exacerbating factors, can be identified and a measure of relief can be attained with the proper care. Many neurologists are headache specialists. Have you seen one yet?
That's a good start, and the right thing to do. In the meantime, have you talked to your dentist (colleagues) about the possibility of TMJ disorder? Do you grind your teeth at night? What about your wisdom teeth? Do you still have them? They can cause bilateral headaches, particularly if they are impacted. It's a fairly common cause of otherwise unexplained daily headaches, and is often overlooked by doctors.
I see. It could be a combination of factors (i.e. a compound headache) but if you think it centers on the base of the skull there is a very good chance it is mechanical in nature. In other words, these headaches could be cervicogenic in nature. The base of the skull is where the upper trapezius muscles attach to the skull. This is a common site for pain, irritation, spasm and headaches in those whose work involves leaning forward and concentrating on fine motor tasks. The head is heavy and wants to fall forward so the upper traps have to work very hard to keep the head up during work like yours. This puts strain on the muscle fibers and tendinous insertion points that add up slowly over time.
In the meantime, see if you can get a referral to a good physical therapist who has training in ergonomics. This is the study of workplace factors and how they impact the body. There may be some simple changes you can make in your work environment, or your computer workstation, for example, that could make a big difference over time. Also, consider wearing a soft cervical collar for a few hours at night after you get home from work to rest the upper traps and relieve some of the muscle fatigue that is likely leading to or making your symptoms worse.
Hope all works out for the best for you. Let me know if there is anything else I can help you with.
Hello...just checking in to see if you had any additional questions. Were you able to arrange an appointment with a neurologist?
If so, be sure to ask him or her about cervicogenic headaches, or whether you be suffering from occipital neuralgia.
If so, the occipital nerves (at the back of the head near the base) can be injected, often with lasting relief.