I am 30 years old man from India suffering from daily persistent headache for years from the onset concentrated on centre of forehead. NO FEVER, NO VOMIT, , MRI SCAN is normal.Its generally Pulsating/ throb. headache sometimes worse, but never goes always, it is daily headache from the onset, no change in nature of headache for last 10 years, no sinus problem , No overusage of analgesics medicine as have not used any medicine for last three years and tried message therapist ,aqua pressure, acupuncture , but again no change in nature of headache. Affecting my concentration & career as it is persistent headache daily always for last 10 years. Generally throbbing Concentrated on frontal forehead .Headache even after a sound sleep of 10 or more hours



I have tried medicines as prescribed by Neurologist with absolutely no help. Cap. Fulanrizine (calcium channel blocker) Tab. Vosograine (ergotamine, caffeine, and prochlorperazine) Tab. wysolone (Predinosolone ) Cap. Betacap propranolol Tab. Alprax (Alprazolam) Tab xenobid (Naproxen) Tab suminat (Sumatriptan) Tab. Amixide (chlordiazepoxide and amitriptyline) Tab.Ciplactin (cyproheptadine) Tab. Rantac, Tab. Epilex (Sodium volporate ), indomethacin, gabapentin .

also one Injection Botox ,......
Supraorbital Diagnostic Nerve Bloc ,,,, but no change in nature & severity of headache


. Now I am very dejected . what could be the cause , what is this type of headache and how to cure plz help .

Has the neurologist/ENT specialist ruled out the possibilities of a migraine problem? Have you been to a psychiatrist? This could be a tension headache or a symptom of depression. Are you mentally fine otherwise? Do you face symptoms like lack of sleep/sleeping too much and still not feeling fresh, fatigue, loss of apetite/too much apetite, feeling sad all the time (not just because of the headache but for matters that concern your personal life)? Did you ever get hurt badly by anything in your forehead?

My ENT doctor told me sometimes (very rare) the CT Scan is unable to catch an infection of the sphenoid (by the way, there are four pair of sinuses, maxillary,frontal,ethmoid, and sphenoid) sinus. He told me that he himself has handled a few such cases where the CT scan showed absolutely nothing but when the endoscope was inserted through the patient's nose, surprise! surprise!!, there was pus in the sphenoid sinus!!! When an ENT surgeon performs FESS (Functional Endoscopic Sinus Surgery) he inserts an endoscope through the nose. With the help of the endoscope, he can view the conditions of the sinuses. I am not sure if the endoscope can be used at other times (other than during surgery). Ask your doctors (especially ENT) about this. Good Luck!