Archive | November, 2007

Sources of Headache Pain

I found an interesting read yesterday on some sources of headaches written Andrea Trescott, M.D. More than 20 million people in the US suffer from severe headaches, and the annual prevalence has increased nearly 60% since 1980. Nearly 80 percent of these patients report headache-related disability that may result in missed work. In fact, nearly 50 percent of headache sufferers are moderately or severely disabled by a headache attack or “migraine” and lose an estimated 13 workdays and 8 leisure days each year.1 “Migraine” is a term of much confusion in the lay public’s mind. Physicians use the term migraine to mean a specific intracranial vascular headache. Patients usually use the term to mean a “sick headache” or a throbbing headache. Pain management doctors treating headache patients are beginning to realize that the symptomatic diagnosis of migraines (unilateral throbbing headache associated with photophobia, phonophobia and emesis) does not distinguish between intracranial and extracranial causes of headaches. In this article I will discuss some of the most common causes we have found to be associated with migraines and intractable headaches. Supraorbital Neuralgia Entrapments of the first division of the trigeminal nerve can cause unilateral or bilateral throbbing headaches, often just before […]

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Stand Up for Your Rights

So I just came across a site called DoctorsAreIdiots. Excerpts from the site…. “My wife, Betty Nelson Schuld, died on May 8 at a Portland medical center. Her abdominal cramps started in November 2004. She went to the emergency room and was diagnosed with bowel obstruction and pneumonia. After many doctor’s appointments and visits to the emergency rooms, she went in for a three-hour bowel blockage surgery. Then we were told there was nothing that could be done and she would die in a few hours. We sat in intensive care for six hours and watched her die. “I didn’t find out that she died of intenstinal ischemia until the next day. In her last six months, she was seen by 12 different doctors. None of them came up with the correct diagnosis. She never received a correct diagnosis or treatment.“I don’t know if they did anything wrong, but I do know they didn’t do anything right. We made the wrong assumption that doctors knew what they were doing. I sent a complaint to the Board of Medical Examiners, which said no laws had been broken. So I assume death from a lack of a correct diagnosis and a lack […]

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A Very Interesting Read on Headache Pain

For six years, Lee J. Nelson searched in vain for the cause of the unrelenting headache centered like a bull’s-eye above the bridge of his nose. He consulted nearly 60 doctors, none of whom could find a physical explanation for his pain. He took 100 different medications, but even powerful narcotics brought no more than temporary relief. One doctor who considered his headache a symptom of severe depression suggested electroshock; a specialist at Johns Hopkins proposed last-ditch brain surgery reserved for intractable psychiatric problems. So the day in 2003 that the Northern Virginia consultant found the answer to his baffling and rare medical problem in a 40-year-old article in the National Library of Medicine, he was overcome. “It described patients just like me,” Nelson recalled. “I started crying.” For Nelson, now 55, and his wife, Neta, an executive at a small pharmaceutical company in Herndon, the discovery of that article in a British medical journal proved to be life-changing. It not only provided a diagnosis for a problem that had stumped dozens of specialists, but also described a surgical treatment for the malady that at times had driven Nelson to talk about suicide and his wife of nearly 30 years […]

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