A member asked:

Severe daily headache+migraine. on elavil, topamax, (topiramate) acebutolol. good bp. clean ct. good blood panel (+thyroid) no triggers. no rebound any options?

A doctor has provided 1 answer
Dr. Laurence Badgley answered

Specializes in General Practice

Soft tissue injury: 26 y male with headaches resistant to dx and Rx. Muscle tension HA's can cause. Check for asymmetry of mass and tone of superior traps. Head usually slightly tilts to side of the weakest and less toned superior trapezius. Concern for remote shoulder injury on weak muscle side wherein chronic pain resides.

Answered 6/27/2015

2.6k views

Thank

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