What if youve already had a neurological evaluation, but still have headache?
Over the last 25 years I have evaluated several thousand patients with severe head pain. In many cases, this has caused years of incapacity and led to major intrusions into the usual routines of work, family activities, and the other pleasures of life. I appreciate the fact that headache can, literally, destroy a career, or a family, or a life. I also understand that many of the medications used to treat head pain can cause major side effects. If you find yourself in this severe category, no doubt you have seen a variety of specialists, had many tests and other evaluations, and tried a wide variety of drugs and other approaches. For many patients, those whose evaluations do not disclose clear-cut problems such as brain tumors, aneurysms, cervical spine problems, and post-traumatic disorders, these diagnostic procedures still have great value: they rule out, to the extent possible, a life-threatening problem.