New Daily Persistent Headache

Posted by llee @llee1, Dec 1, 2011

I was diagnosed with New Daily Persistent Headaches at Johns Hopkins headache clinic in Baltimore last August. I am hoping to find more information on these kinds of headaches. I have found very little actual research information on them, and some of the information I have found is inaccurate.

The first neuro I went to must not have been familiar with this type of headache, as I have all of the symtoms, but he never diagnosed me with NDPH. For those of you unfamiliar with this type of headache, let me tell you what I do know. First of all let me say that I got a headache the first week in June in 2010, and it has never gone away. It does not always hurt in the same place, or in the same way, or to the same extent. That makes it nearly impossible to describe to a doctor because it sounds crazy. I kept apologizing to my first neuro for not being helpful when he asked questions, and I gave him this bizaare set of answers. Finally being correctly diagnosed was huge to me. At least I knew what I had and that there were other people with this type of headache.

The headache pain goes from moderate to severe; I often have migranous headaches but migraine meds do not phase NDPH. NDHP are not migraines. It would be nice to have migraines where at least most people have some type of success with medication. I have easily tried 40 different medications. My doc at Johns Hopkins said that this is the most difficult type of headache to treat; less than half of all sufferers ever find any kind of medication that will ease the pain. For bad and really bad days I have to take oxycodone or apply a fentanyl patch. Not only are these substances highly addictive but they also cause rebound headaches which are far worse than the orginal one was. Most days (and nights) I just try to get through them. I don't really have any options.
I was an English teacher. Last year I had to take 6 months off. I went back this year, but I only made it though the first quarter. I am on short-term disability now with no option to return to my job of 29 years.

I would love to see discussion of this type of headaches on the board! I also wanted to post this in case anyone who reads this may be suffereing from this type of headache. To be classified at NDPH, the headaches must have been continual for at least a 3 month period- no time at all headache free. They say that 80% of people with these headaches can tell you the exact time they began. Have you been give a lot of different medications and none of them phased your pain? It seems like a lot of doctors don't know anything about this headache. Both my GP and my first neuro were clueless. They may need you to educate them.

Interested in more discussions like this? Go to the Chronic Pain Support Group.

@katcollins

I was diagnosed with migraine associated vertigo. It sounds very similar to many of the symptoms people on this thread suffer with. I’m so sorry for all your pain. I have some other things going on as well, but I am still undergoing testing. I’ve been unable to work for two months now. I wish you all the best in your health journeys.
Kat

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I am sorry, Kat. It is now 3 yrs/7 mos with this headache. There has to be an answer for us.

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@mikaylar

I am sorry, Kat. It is now 3 yrs/7 mos with this headache. There has to be an answer for us.

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I’ve had migraines for years. I suffer more days than not weekly. I am sorry you are suffering. I am also experiencing difficulty walking, standing, thinking clearly, driving, as well as widespread nerve pain, and pins and needles throughout my body. A Neurologist at Cornell believes this is all from the migraines. Although, two different Neurologists do not think they are related. I am at a loss.
Kat

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@katcollins

I’ve had migraines for years. I suffer more days than not weekly. I am sorry you are suffering. I am also experiencing difficulty walking, standing, thinking clearly, driving, as well as widespread nerve pain, and pins and needles throughout my body. A Neurologist at Cornell believes this is all from the migraines. Although, two different Neurologists do not think they are related. I am at a loss.
Kat

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10 different doctors will tell you 10 different things. I pray for some calm comfort for you.

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@mikaylar

I am sorry, Kat. It is now 3 yrs/7 mos with this headache. There has to be an answer for us.

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mikaylar, our headaches must have started around the same time. Mine started 7/29/19. Not a fun thing for us to have in common. (hugs)

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@mikaylar

10 different doctors will tell you 10 different things. I pray for some calm comfort for you.

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It is very frustrating. I have been out of work for months with all these symptoms. I am able to deal with the pain and numbness, but the dizziness and balance struggles are much harder to manage on a daily basis.
Best of luck to you,
Kat

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@katcollins

It is very frustrating. I have been out of work for months with all these symptoms. I am able to deal with the pain and numbness, but the dizziness and balance struggles are much harder to manage on a daily basis.
Best of luck to you,
Kat

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Try to look into vestibular headaches. That's what my PT is saying now - the dizziness & nausea could be the key.

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@mikaylar

Try to look into vestibular headaches. That's what my PT is saying now - the dizziness & nausea could be the key.

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Are you doing vestibular therapy specifically? My PT has been working on my neck and back since my fusion in March 2022, and also muscle strengthening since January 2023 when all my other symptoms became debilitating. The doctor I saw yesterday suggested aquatic therapy as well as vestibular and balance therapy.
Enjoy your day,
Kat

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@katcollins

Are you doing vestibular therapy specifically? My PT has been working on my neck and back since my fusion in March 2022, and also muscle strengthening since January 2023 when all my other symptoms became debilitating. The doctor I saw yesterday suggested aquatic therapy as well as vestibular and balance therapy.
Enjoy your day,
Kat

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Was doing cervicogenic PT, but now I do more vestibular since I get the nausea & lightheadedness. She brings on nausea, then I lie down until I get back to baseline, then continue. She still works on my neck and I do balancing maneuvers. I feel terrible all the time. I am sorry for us.

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@mikaylar

Was doing cervicogenic PT, but now I do more vestibular since I get the nausea & lightheadedness. She brings on nausea, then I lie down until I get back to baseline, then continue. She still works on my neck and I do balancing maneuvers. I feel terrible all the time. I am sorry for us.

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Have you tried migraine medication? The pain management doctor prescribed one for me that is an as needed medication. I will try it after I adjust to Lyrica, since he suggested I switch from Gabapentin. Best of luck to you,
Kat

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@katcollins

Have you tried migraine medication? The pain management doctor prescribed one for me that is an as needed medication. I will try it after I adjust to Lyrica, since he suggested I switch from Gabapentin. Best of luck to you,
Kat

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I have tried every migraine medication, including infusions and off-label medications. Seems many people have taken many medications with no luck. The side effects of each are not usually ones you can live with.

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