Headache for over 2 weeks !!

by Elvin
(San Francisco, CA)

I am a 32 year old male and for over the past two weeks I have been getting throbbing pains in the left back part of my head which the pain runs to the back of my left eye. Also, it seems as though the occipital lobe swells up, but I can't confirm. The only reason I believe that this part of the head swells up is from what I have gathered researching online plus I have compare the back of head (left and right) and it seems as if it does swell up at times.

These throbbing pains have been part of my life for at least the last five years and I always thought they were migraines and didn't pay attention. In 2009 I woke up with Vertigo and I had an MRI done, which turned out negative. At the time of the test, I did not have these throbbing pains.

At the of May I will being going to a Neurologist and hopefully I can get an MRI, MRA and CT Scan done, so I can finally know what is going on in my head! I have not tried any treatments, except for resting and moving carefully around the house, so I don't feel the throbbing pain.

I would appreciate any type of feedback. Thank you for your time!



Hi Elvin,

Episodic swelling in the occipital area is usually spasming from the trapezius muscle. When severe it can provoke dysequilibrium and perhaps vertigo.

Cervicogenic headaches are not that difficult to treat and if mixed with migraine might respond to a low dose of amitryptiline or trazadone. Both medications function as anti-spasmotics and treat migraine.

I do agree that you should have an MRI of the brain, and if the neck is involved perhaps one of the C-spine but that is up to the neurologist who examines you.

Best of luck!

Mary Kay Betz MS RPA-C

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