I am wondering how to differentiate chronic migraine from MOH?
For years I had episodic migraines. On December 2,2015 I ended up in the ER with the worst migraine of my life. The severity has decreased since then, but I have had daily headaches ever since that worsen as the day goes on. Typically they are 2 in morning, and increase to 5 by night (laying down relieves pain somewhat-they are worse upright at end of day).
They are very different from my episodic migraines. More dull, constant and less light and food sensitivities.
When the headaches became daily, I was on clonzapam, lyrica, baclofen and diclofenac for cfs, fibromyalgia,Ehlers Danlos and autoimmune disease. I was also getting Botox cosmetically between my brows to hide my pain from my kids. I had significant muscle and back pain. But only a few migraines a year. I stopped the diclofenac a year ago (in event of MOH) with no real improvement. I also stopped cosmetic Botox. I am weaning off baclofen slowly. But still daily headache. My quality of life is poor.
I have not taken a single pain reliever in 8 months.
While my doctors have dismissed MOH, I still wonder whether any of my meds may be causing the daily headaches?
Can one get chronic migraine abruptly, as I did?
I have not had nerve blocks, but get complete headache relief from novacaine for dental procedures as well as when lidocaine was placed on my sphenoganglion for an endoscope of my sinus. However, the headache returns when block wears off.
I am considering Botox but a bit nervous it could make me worse?.
Any feedback would be greatly appreciated!