Persistent Headaches and Head Sensations: Causes and Management

Chronic headaches and persistent head sensations can significantly impact an individual's quality of life. If you have experienced headaches that feel as if you are wearing a wool hat on your forehead and top of your head, and these sensations have been almost non-stop with worsening symptoms when lying down, it is crucial to seek medical attention.

Understanding Persistent Headaches

Persistent headaches are often a symptom of a broader issue. They can be caused by a variety of factors, including tension, stress, diet, environmental factors, and underlying medical conditions. If you have degenerative disc disease (DDD) in your neck, it can contribute to persistent headaches, as the pressure on the spinal nerves can lead to chronic pain.

Consulting a healthcare professional is essential in understanding the root cause of your symptoms. A thorough medical evaluation may include blood tests, imaging studies like MRIs, and other diagnostic procedures. Describing the specific characteristics of your symptoms—such as the type of pain, its intensity, frequency, and specific triggers—can help doctors make a more accurate diagnosis.

Potential Causes and Diagnostics

Based on the symptoms you have described, there are several potential causes and diagnostic approaches:

Nerve Damage or Blocked Bloodflow

The nerve damage theory is plausible, as it can cause a variety of sensations including pain similar to wearing a wool hat. Additionally, if blood flow is restricted, it can lead to persistent headaches. Throbbing pain is typically associated with blood flow, while stabbing pain often indicates nerve damage.

Imaging Studies and Nerve Block Tests

Your last MRI of the spine should be reviewed. If it did not reveal any significant findings, a nerve block test could be conducted to determine its effectiveness in alleviating your symptoms. This procedure involves injecting a local anesthetic or corticosteroid into the affected area to see if it temporarily relieves the pain.

Chiropractic Care

If you have tried chiropractic care without success, it may indicate a progression to nerve-related issues. C6/C7 are common culprits for pain, so focusing on these areas would be beneficial. Aspirin can sometimes help alleviate pain, which suggests a potential blockage or inflammation in the blood vessels. An MRI with contrast can then be done to see if there is any restriction of blood flow.

Seeking a Specialists' Opinion

Given the complexity and persistence of your symptoms, seeking a headache neurologist's opinion is highly recommended. A headache neurologist specializes in diagnosing and treating complex and chronic headaches. They can provide a more specific and comprehensive assessment, including advanced imaging techniques and specialized tests.

Remember, the tests may be uncomfortable, but they are crucial for finding the right treatment. The discomfort of these tests is far outweighed by the potential to significantly reduce your pain and improve your quality of life.

It is important to stay persistent and proactive in your search for relief. Many individuals can find effective management strategies, but it may take time and multiple approaches. Do not give up hope and continue seeking help from medical professionals who can provide personalized guidance and treatment.