Constant head pressure and headaches

Posted by nathansmith7143 @nathansmith7143, Apr 13, 2025

This is my second post on this subject. I wanted to share some more details on the matter to see if I can get anymore direction/advice.

For over a year, I have been dealing with constant head pressure in the back of my head. Sometimes my head aches along with the pressure, and my eyes frequently ache as well, thus weakening my vision. With these head issues come extreme cognitive setbacks. I feel like I have forgotten much of the past, and I can hardly think because I have to try and think through pain and this sludgy head pressure. My head feels like it will explode 24/7. In addition to head/brain symptoms are digestive issues, on-and-off anxiety with no rhyme or reason to it, breathlessness when I talk, and achy limbs. Another thing about the head pressure situation is that it just feels like I can't emotionally connect with anything (like depersonalization maybe?). It doesn't feel like I have the capacity to feel any joy whatsoever. I never experience a complete sense of relief or relaxation. In other words, life is hell and I cannot enjoy it. I can't really get out and do much either thanks to the extreme head symptoms. All in all, life is a huge mental struggle where I am fighting for the will to keep going. I WILL keep going, but it's impossible to ignore the hell I am currently dealing with.

I have fallen on my back while wearing a drum once about 3 years ago. Other than that, no injuries. I have plans to see a neurology department somewhat near me (if they get back with me). I have already seen 2 neurologists who weren't of any help. Muscle relaxants, antidepressants, pain killers/migraine medication, and numerous supplements have already been tried and were little to no use. I have seen numerous other doctors (functional medicine, PCP, ENT, etc.) along with 2 ER visits and haven't gotten anywhere. A supine MRI of my brain showed no abnormalities either.

I am just fearful of my life. I haven't considered a spinal leak issue yet, although I don't get any relief when I lay down. I could also consider pursuing a cardiologist for blood flow to the brain issues, but I don't really know where to go from here. I just wish my poor brain function (lack of emotions, poor memory, weaker vision) made sense. I don't know if there's anything else that could be contributing to my symptoms?

Interested in more discussions like this? Go to the Headache & Migraine Support Group.

Your condition sounds exactly like what my 17 yo daughter had for the past 3 1/2 months. We finally broke the cycle two weeks ago. The diagnosis was never confirmed with imaging because couldn't get the unknowledgeable doctor to order an MRA / Mrv in time. But we followed the treatment protocol of removing all possible triggers and it worked ...

It sounds like PRES / RCVS. Recent research shows that vascular problems provoked by covid-19 can be a root cause. Basically, problems with blood circulation can start it. You get a painful pulsing base of skull pain that spreads down your spine and throughout the body. And your veins feel like they're throbbing. Getting a thunderclap headache can end the cycle and then you have to avoid triggers to keep it from starting back up. But removing all triggers might be able to calm your head back down again w/o enduring the horrible tch. Calcium channel blockers are supposed to help but my daughter couldn't tolerate the verapamil prescribed to her (we wanted nimodipine, but they gave her that). Try taking everything vasoconstricting out of your diet - ssris, NSAIDS, foods high in vitamin A like sweet potatoes and carrots, triptans, certain acne meds, coffee, antihistamines, hormone irregularities, check every herb or tea you ingest ... dandelion root and mint are both vasoconstricting. You can take vasodilators like coconut water or magnesium, but check you BP to make sure it doesn't go too low. Safe headache meds are Tylenol, feverfew and probably aspirin / Willow bark (they aren't vasoconstricting but they block a vasodilator in your body). You can buy magnesium sulfate (Epson salt) that is good grade and take 1-2 teaspoon as a good non prescription calcium channel blocker. Taking baths with Epson salt helps but avoid water that is too deep or too warm, because immersing yourself in warm water is a bad trigger.

Did a virus precede your head pain cycle? My daughter has mecfs / long COVID and are certain that this was the root cause, but there is barely any research on the link.

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Profile picture for matthew9324 @matthew9324

Thank you for responding. It means a lot. Being able to talk to someone who actually listens really helps.

The symptoms started out as occasional brain fog around a year ago. It was odd, as I could sometimes tell the brain fog came from the back of my head. Eventually, the brain fog became constant. I thought my ADHD meds stopped working, so I started keeping track of those.

This summer the symptoms advanced, now the back of my head often feels under pressure with the constant brain fog. Then I knew there was no way this was my meds (since I wasn’t taking them during summer).

I have only been able to talk to my doctor once about the issue, as he retired. He believed it to be depression. I believe the issue caused that, but that it’s separate from my issue. I’ve started therapy around a week ago.

I’ve talked with a nurse practitioner three times. They order multiple blood tests and refer me to different people (neurologist, hematologist, and a rheumatologist for some reason).

I have been to a neurologist twice. They tell me it’s just migraines. The meds they give me don’t work. Nurse practitioner agrees it’s just migraines. I feel my opinion + symptoms is disregarded by both.

I’ve gotten several blood tests checking for possible headache causes. Magnesium, testosterone, vitamin B, vitamin D, Iron, thyroid, and a couple others I can’t recall. My brain MRI comes up negative.

I tried a chiropractor, but I only went for a couple meetings since I’m rather skeptical of chiropractors. No change in my symptoms.

Next thing I plan on trying is occipital nerve blocks from the neurologist. Since my symptoms seem to come from the back of the head, it could be some weird case of Occipital Neuralgia (weird in that it isn’t painful, only feels like pressure). I’ve talked with someone online who has ON and ADHD. Just like me, they experienced brain fog first and thought their medication stopped working before they got any other symptoms. Also, they could tell their brain fog came from the back of the head too.

If the nerve blocks work, I’ll consider further steps. If they don’t work, I might try to get imaging of my cervical spine and, if any issues are spotted, get them solved through physical therapy or other means.

Thank you. I will try to give updates as best I can.

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@matthew9324 Hi, did you develop these symptoms after recovering a virus? They resemble what my daughter, who has long COVID, has been going through. It sounds like reversible cerebro vasoconstriction syndrome and PRES. They are caused by vascular / circulatory constrictions and it can be stopped by removing all triggers and supposedly calcium channel blockers (they just crashed my daughter). Take EVERYTHING vasoconstricting out of your diet. Nsaids, coffee, ssris, antihistamines, triptans, teas and herbs that are vasoconstrictive (even mint tea, CK everything). Food grade magnesium sulfate is an over the counter calcium channel blocker that's maybe more tolerable than the prescription ones. This is what worked for her. Her entire body is decompressing now. Tinnitus has faded down, spinal pain and base of skull just about gone, hands are less painful to use. Her severe cognitive symptoms have all been rapidly fading.

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Profile picture for fourleaf @fourleaf

October 1 2020 cxvid hit me. Since then 24 x 7 headaches and migraine with auras, pressure on brain (atmospheric pressure relate), brain on fire, brain fog, dizzy, tension headaches (PT Dry Needling fixed) blah blah blah

My head pain/ symptoms puzzle has many pieces.
The last year I’ve been working with Neurology and now I’m looking to add working with Immunology (cell level).

Here are a few papers I’ve found recently that are making sense.
Papers -
12/11/2024 - Persistence of spike protein at the skull-meninges-brain axis may contribute to the neurological sequelae of COVID-19 (Graphic abstract very interesting)
8/16/2025 Comparative Analysis of Long COVID and Post-Vaccination Syndrome:
2/19/2025 - A small number of people report chronic symptoms after receiving COVID-19 shots. A new study provides clues for further research.
10/19/2023 (video) Harlan Krumholz and Akiko Iwasaki (Rishi Shiah, Lilo Wu, and Adith Arun) discuss preliminary findings and answer questions from LISTEN participants.
I listed the Symptoms Long Covid – PVS post-vaccination syndrome (very interesting)
8/25/2025 Immunologist: Hope for ME/CFS and post-Covid, research needed
Akiko Iwasaki "... She sharply rejected views that ME/CFS or post-COVID might not be somatic illnesses."
2/19/2025 - A small number of people report chronic symptoms after receiving COVID-19 shots. A new study provides clues for further research.

12/11/2024 - Persistence of spike protein at the skull-meninges-brain axis may contribute to the neurological sequelae of COVID-19
https://www.cell.com/cell-host-microbe/fulltext/S1931-3128(24)00438-4
Highlights
SARS-CoV-2 spike protein persists in the skull-meninges-brain axis in COVID-19 patients
Spike protein is sufficient to induce brain pathological and behavioral changes in mice
Spike protein enhances brain vulnerability and exacerbates neurological damage in mice
mRNA vaccines reduce, but do not eliminate, the spike burden

Summary
SARS-CoV-2 infection is associated with long-lasting neurological symptoms, although the underlying mechanisms remain unclear. Using optical clearing and imaging, we observed the accumulation of SARS-CoV-2 spike protein in the skull-meninges-brain axis of human COVID-19 patients, persisting long after viral clearance. Further, biomarkers of neurodegeneration were elevated in the cerebrospinal fluid from long COVID patients, and proteomic analysis of human skull, meninges, and brain samples revealed dysregulated inflammatory pathways and neurodegeneration-associated changes. Similar distribution patterns of the spike protein were observed in SARS-CoV-2-infected mice. Injection of spike protein alone was sufficient to induce neuroinflammation, proteome changes in the skull-meninges-brain axis, anxiety-like behavior, and exacerbated outcomes in mouse models of stroke and traumatic brain injury. Vaccination reduced but did not eliminate spike protein accumulation after infection in mice. Our findings suggest persistent spike protein at the brain borders may contribute to lasting neurological sequelae of COVID-19.
Graphic abstract - Click paper link for graphics – very interesting

8/16/2025 Comparative Analysis of Long COVID and Post-Vaccination Syndrome:
https://www.medrxiv.org/content/10.1101/2025.08.14.25333639v1
“Question - What are the similarities and differences between long COVID and post-vaccination syndrome (PVS)?

Findings In this cross-sectional study of 682 individuals, machine learning models identified distinct symptoms between long COVID and PVS. Long COVID was characterized by brain fog, altered sense of smell, and shortness of breath, while PVS was associated with burning sensations, neuropathy, and numbness.”

Feb 19, 2025 - A small number of people report chronic symptoms after receiving COVID-19 shots. A new study provides clues for further research.
https://news.yale.edu/2025/02/19/immune-markers-post-vaccination-syndrome-indicate-future-research-directions
“COVID-19 vaccines have been instrumental in reducing the impact of the pandemic, preventing severe illness and death, and they appear to protect against long COVID. However, some individuals have reported chronic symptoms that developed soon after receiving a COVID-19 vaccine. This little-understood, persistent condition, referred to as post-vaccination syndrome (PVS), remains unrecognized by medical authorities, and little is known about its biological underpinnings.”
(click link to read more)

10/19/2023 Harlan Krumholz and Akiko Iwasaki (Rishi Shiah, Lilo Wu, and Adith Arun) discuss preliminary findings and answer questions from LISTEN participants.
https://medicine.yale.edu/ycci/listen-study/video/
The Yale LISTEN Study Town Hall: October 2023

The entire Town Hall is very interesting, here are 4 sections I found enlightening.

8:00 minute - Difference in Percent of Participants Experiencing Symptom (Long Covid – PVS post-vaccination syndrome; Note: the graphic chart is informative)

Long Covid –

Memory problems, Changed sense of smell, Brain fog, Shortness of breath, Cough, Sore throat, Excessive fatigue, Difficulty speaking properly, Changed sense of taste, Fatigue, Congested or runny nose, Phantom smells, Runny nose, Phlegm in back of throat, Headache, Constant thirst, Night sweats, Hypersomnia, Confusion, Insomnia, Hair loss, Dry scalp or dandruff, Dizziness, Throat pain or discomfort, Postnasal drip, Exercise Intolerance, Wheezing, Swollen hands or feet, Cold/burning lung sensation, Changes in voice, Phantom tastes

PVS -
Loss of hearing, Suicidal thoughts, Feelings of impending doom, Palpitations, Tinnitus, Numbness, Internal vibration, Neuropathy, Burning sensations

16:00 minute - Implications
18:33 minute - Hypothesis
37:00 minute - Hope next 6 months

(continue)

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@fourleaf Hi, look up rcvs (reversible cerebro vasoconstriction syndrome) and pres. They describe all of your symptoms and can be triggered by sars COVID. There is new research out that looks at the link (due to COVID causing endothelial dysfunction). Treatment - cut everything vasoconstricting from your diet. Ask your doc about calcium channel blockers (which may or may not help). Bathe in Epson salt, supplement with gentle vasodilators but keep an eye that your BP doesn't drop too much. Magnesium sulfate. Avoid warm bathes. No NSAIDS (look up full list if vasoconstrictors. Safe pain relief meds - Tylenol, feverfew, aspirin, Willow bark, the muscle relaxer tzanadine.

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sounds like your neck and your posture needs attention. The head is like a bowling ball as we age with the muscles no longer able to do their job. You have to get a good kinseologist and MFR therapist to diagnose you and refer you for proper attention. Botox will relax the neck muscles so they don't tug on the head. Also your digestive problems may be caused by medication. Mine definitely ARE! You need to stay in care with a PCM who will support you on your journey. It sounds like most of your stuff can be cured but you aren't getting the support you need. Also the neuralgia - so very very painful! mine was actually caused by a cracked tooth unbeknownst to my expensive dentist until it cracked! It was extracted and the pain of 4 months immediately abated. See an eye doctor and have your eye lid muscles checked. I had a "tuck" on the eye weighty muscle and my vision is MUCH improved. who knew! You have a lot, and you will need to spend some time with different doctors. Aging can be a burden!

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