U.S. doctors online nowAsk doctors free
A 35-year-old female asked:

I have cluster headaches 2-3 times per week, depression and fibromyalgia. providers ruled out ms last year but i still keep getting more symptoms.

6 doctor answers11 doctors weighed in
Dr. Mara Fiorentino
Psychiatry 36 years experience
Depressive symptoms: Many times, depressive symptoms are expressed in physical disorders: headaches or generalized pain. If you are not under care of a specialist, you need to have a full work up for each condition, and start antidepressant treatment right away. There are many associations between pain and depression, and the treatment can be difficult and take long to show success. Don't give up !
Dr. Mara Fiorentino
Psychiatry 36 years experience
Provided original answer
Many times there are associated vascular problems affecting the brain, or autoimmune disorders which are not completely understood, and continue to cause symptoms chronically. The cause of fibromyalgia is not completely known, and seems to be multifactorial.!
Mar 21, 2014
Dr. Mark Roberts
Family Medicine 42 years experience
There are some data that suggest the new calcitonin gene-related peptide inhibitor agents, such as Aimovig, Emgality, and Ajovy, now approved for prevention of migraines, may work to prevent cluster headaches, as well. Stay tuned as the research emerges (Emgality looks quite promising for cluster headaches, in early studies).
Jan 25, 2020
Dr. Diane Minich
Family Medicine 37 years experience
Discuss symptoms: With your doctor who knows your history, and can asses your symptoms.
Dr. Bennett Machanic
Neurology 52 years experience
Co-morbidities: Cluster headaches are miserable, if you possess the classical syndrome. Ms patients do have higher incidence of headaches, but sounds like that concern is over. You would do best having specific treatment for the fibromyalgia, which might eliminate the other problems. Drugs such as savella (milnacipran) and Cymbalta would affect many of your problems.
Dr. John Chiu
Allergy and Immunology 57 years experience
Try oxygen: Aside from drugs, supplemental oxygen during the attack may help. I wonder if botox, which has been approved for frequent migraine, could be tried for your condition. Consult a neurologist.
Dr. Olav Jaren
Neurology 19 years experience
Cluster headaches: You may find you can prevent your cluster headaches with a calcium channel blocker or other preventive medicine. When you get them, you may find oxygen is helpful. It's not wrong to wonder about MS, but these symptoms do not strongly suggest MS.
Dr. Laurence Badgley
General Practice 53 years experience
Muscle spasm: 40's female with fibromyalgia has cluster headaches & depression. In my experience, undiscovered chronic superior trapezium muscle spasms manifest as "headaches". Non-restorative sleep due to chronic pain begets fatigue & depression. See Osteopath. Massage, topical cannabis lotion, biofeedback, trigger point injections, iontophoresis, & acupuncture focused on these muscles might benefit.

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Educational text
Free
Talk to a doctor
24/7 visits - just $39!
50% off with $15/month membership
Last updated Jan 25, 2020

Disclaimer:

Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Never disregard or delay professional medical advice in person because of anything on HealthTap. Call your doctor or 911 if you think you may have a medical emergency.