Hi Nate...post traumatic headache can have a daily headache that is global, or on both sides of the head. Pain in the back of the head may be related to the whiplash type of injury that also occurs and could be occipital neuralgia or radiating pain from the neck.

The drug of choice for post traumatic headache is amitryptaline but the doses have to be a bid higher than what is used for migraine..50-150mg per day. I start by using low dose and moving the patient up slowly every few weeks..important to stick with it as it takes 90 days for the brain to catch on and start to settle down. Low dose Topamax (again tapered up) is combined with this..

If you headaches are very severe at this point you might respond to a week or two of steroid to break the cycle..then you taper off the steroid..important too to treat mood. Depression and anxiety only make headaches worse!

Unfortunately, alternative methods don't work too well when headaches are post traumatic and severe. Great for migraine but not this until you improve a bit.


Good luck..
Mary Kay