Headaches & Migraines

  1. Home
  2. Health
  3. Headaches & Migraines

Ask the Clinician: Answers to Readers' Questions

May 17, 2004, page 2

From John Claude Krusz, MD, PhD, and Teri Robert, for About.com

Updated: May 18, 2004

About.com Health's Disease and Condition content is reviewed by the Medical Review Board

Ask the Clinician

Dr. Krusz is a recognized expert in the fields of headache and Migraine treatment and pain treatment. To read more about Dr. Krusz, click HERE.

If you have a question for this section of our site, please send it to clinician@ha-support.com. Questions will be answered by publishing the answers here. Please note: We cannot handle emergencies or diagnose via the Internet. For those questions, please see your physician.

  • 5) I have had a bad reaction to Botox given for migraines. I had seven rounds, three months apart. After the last round (9/2002), I developed severe intractable pain in my upper back, shoulders, and neck. I have had palpable spasms in those areas for 16 months now. I have not had a moment without pain, and as a result, have had drastic life-style changes. I have had physical therapy, muscle relaxers, NSAIDs, anti-depressants. Currently I attend a pain clinic, see a physiatrist, a neurologist, etc. I have had nerve conduction studies, an MRI, cervical spine x-rays, blood work, all of which have returned normal. When this event first occurred, my neurologist (head of neuro at a large med center) told me that Botox was the cause. He said he had seen this reaction in several patients, all of whom recovered in two to four weeks. When my problem didn't go away, he said that "the vast majority of patients had responded to muscle relaxers, and that my reaction was atypical due to its severity and duration. Do you know anything about such reactions? The FDA tells me that muscle spasms and pain have been reported but they offer no further guidance, nor does Allergan. I would appreciate your response. I have been turned down for disability due to my income, but I can barely function, and am desperate for relief. thank you.
    Click HERE for our reply
    .

  • 6) I get a headache every month like clock work right around my period. In fact you can practically time them with the headache. They almost always come on a couple of days before or on the same day. They last for 2 to 3 days straight with almost no letting up. Sometimes they go away and come back a day later on the other side and stick around for a couple more days. I swear I'm going to die before they go away when the stick around that long. They are on one side of my head or the other and always right around my temple or on my forehead above my eye. I almost always wake up with them too. I have sensitivity to sun light and sometimes I'm sick to my stomach all day and can't eat or drink anything so I can't take anything for them. Being sick only happens once every couple of months or so. It's not every time I get one of these headaches. Most of the time all I want to do is sleep and I feel tired the whole time. I can still function through the day if I'm not sick to my stomach but I find it very hard to concentrate on anything. I asked my doctor about it and he said they were muscle contraction tension headaches and not migraines because I didn't have sensitivity to sound, I didn't see things before my eyes, I didn't hear my heartbeat in my ears, and then throw up. He prescribed Midrin for me and I take two of them and two Tylenol and even then they don't go away they just lighten up a bit so I can think. I just want to know if they truly are muscle contraction headaches or are they really migraines and what should I do about it? Thank you, Lynn.
    Click HERE for our reply
    .

  • 7) I am a 59 years old woman who has had pounding migraine headaches. I have since seen a neurologist and prescribed Topamax. The migraines are less seldom, but the headache pain is still everyday. Sometimes sharp pain, just for a minute and sometimes for a few minutes, but it comes everyday. I have had an MRI and a MRA which revealed scattered white matter on my brain that defines (I am told) I had mini strokes, (unknown to me). The doctors told me that I have Ischemic Disease. My question is are the migraines related to the disease. And, more importantly, how will I know when another mini stroke will come. All the doctors tell me I am too young for this kind of thing. If I am too young does this mean my life expectancy will be shortened by this disease. I have to presume it will. Did I answer my own question? Thank you for any insight into this query. Sheila.
    Click HERE for our reply
    .

>>Please click on the link below to go to the next page.<<

Explore Headaches & Migraines

About.com Special Features

Do I Have Allergies?

Are your symptoms merely irritating, or could they be a sign of allergies? More >

Preventing Headaches

The best way to treat a headache is to prevent it. Learn how. More >

We comply with the HONcode standard for trustworthy health information: verify here.

Headaches & Migraines

  1. Home
  2. Health
  3. Headaches & Migraines
  4. Ask the Clinician
  5. Ask the Clinician, 2004
  6. Ask the Clinician with Dr. John Claude Krusz and Teri Robert for About Headaches and Migraine: Questions for 05/17/04, page 2.

©2009 About.com, a part of The New York Times Company.

All rights reserved.