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Showing content with the highest reputation on 07/20/2020 in all areas

  1. Yeh right after I wrote this I did some research. I think it had to do with my right eye having more of an astigmatism then my left I guess it’s common with people with that problem. I guess it’s correlation doesn’t mean causation. I appreciate getting back to me though. I’m glad I have a place I can go and ask questions and people get back to me. I appreciate it
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  2. Seigfried, I was just reading this for another reason, and saw this info about an apparent way of treating HC. Maybe it doesn't fit for PH, but I felt I should mention it. https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-019-1986-y ".... Patient 1, an 82-year-old Caucasian woman, presented with hemicrania continua with a partial Horner’s syndrome that was present for 2 years. She was unable to take indomethacin as she was on anticoagulation. After a C2–3 diagnostic facet injection, not only did she become pain free but her ptosis completely resolved. She then underwent a radiofrequency facet neurotomy with complete alleviation of head pain ...."
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  3. Siegfried, would it be worth it to try any of these supplemental or alternative treatments? https://americanheadachesociety.org/wp-content/uploads/2018/05/Hemicrania_Continue_June_2015.pdf "There are alternative medications that can replace indomethacin if needed, but unfortunately they are not perfect for treating hemicrania continua. Sometimes they can supplement a lower dose of indomethacin if that is all that is tolerated. Melatonin is a natural hormone with a chemical structure similar to indomethacin. A few people have had a complete response for their HC with melatonin alone, but more often they have been able to get relief with a lower dose of indomethacin while taking the melatonin. Alternative medications that may replace indomethacin, if it cannot be taken at all, include gabapentin, topiramate, verapamil, and cox-2 inhibitors (anti-inflammatories less likely to cause stomach bleeding). Even onabotulinumtoxinA, commercially known as Botox (Allergan, Irvine, CA, USA), has been tried in cases where other options failed or were not tolerated. Nerve blocks, injected at the back of the head on the same side as the pain, can be performed with long-acting anesthetics. Rarely, a nerve stimulator is placed with leads extending over the back of the head or neck, providing continuous low-level stimulation to the area."
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