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I get awful headaches/migraines. 2-3x/mth for 3-4d @ a time.They're often debilitating.I have ms=mri's done.I've tried everything! Medical & not.Help!

2 doctors weighed in
Dr. Laurence Badgley
General Practice

In brief: Exam S. Trapezius

38y fem. w. chronic headache.
Look for signs crossed muscles in neck: pinch leading edge Superior trapezium, ST. Is one thicker, tense & painful? Look in mirror. Is shoulder on side away from thick ST lower? Does rim of T-shirt lie farther away from base of neck on lower shoulder side? Does drivers license photo show same? Does head tilt to lower shoulder side? Brain perceives muscle spasm as HA.

In brief: Exam S. Trapezius

38y fem. w. chronic headache.
Look for signs crossed muscles in neck: pinch leading edge Superior trapezium, ST. Is one thicker, tense & painful? Look in mirror. Is shoulder on side away from thick ST lower? Does rim of T-shirt lie farther away from base of neck on lower shoulder side? Does drivers license photo show same? Does head tilt to lower shoulder side? Brain perceives muscle spasm as HA.
Dr. Laurence Badgley
Dr. Laurence Badgley
Thank
2 comments
Dr. Laurence Badgley
Crossed Muscle Syndrome in cervical region can lead to chronic muscle spasm headaches, often mislabeled "chronic migraines". Head weighs 10# & chronic head tilt, from unilateral splinting of chronically injured shoulder or underlying scoliosis, can be etiologic.
Dr. Laurence Badgley
At Quora.com, on my Pain Syndrome board, I present these theories in greater detail and as a result of my original clinical observations.

In brief: Advice

You are getting close to "chronic daily headaches", and you need to break up pattern ASAP.
Botox may be an answer, but OTC remedies to prevent headaches may work well, such as butterbur, feverfew, riboflavin, Co-Q10, and magnesium. Sometimes, occipital nerve blocks are useful. Avoid pain meds of all kinds.

In brief: Advice

You are getting close to "chronic daily headaches", and you need to break up pattern ASAP.
Botox may be an answer, but OTC remedies to prevent headaches may work well, such as butterbur, feverfew, riboflavin, Co-Q10, and magnesium. Sometimes, occipital nerve blocks are useful. Avoid pain meds of all kinds.
Dr. Bennett Machanic
Dr. Bennett Machanic
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