Hi. I started having severe headaches a year ago with neck pain. At that time, I was seeing a chiropractor. He was afraid that the bulging disc in my neck may have ruptured. Long story short, it hadn't, but was still slightly bulging. Plus I have degenerative disc disease as well as arthritis in my neck. I have been seeing a neurologist for just under a year and have been diagnosed with cervico genic migraines. I have tried nortriptylin ( unsucessfully) ; Gabapentin worked wonderfully until after taking it for 3 weeks my throat swelled up. I am now on Topamax and was kinda happy with it, but am still experiencing migraines. My doctors really don't tell me much and I really haven't found much online. Is there anyone who knows about this? I currently don't have health insurance and am waiting on a hearing date for disability, and I do have an attorney. Any information would be greatly appreciated. The topamax 75 mg doesnt seem strong enough and 100 mg is way to strong..

Hi Dolores,

Yes, I get cervicogenic headaches, migraines, and now that I review the definitions, I spose some of what I get are also cervicogenic migraines. Basically, it means migraines originating from disorders in the neck/cervical spine.

Have you tried any meds in the triptan class?
Not all triptans are alike, and just because the first half dozen don't work doesn't necessarily mean that another won't. I have acceptable results with rizatriptan (Maxalt), which recently went generic.

If I can catch it early enough, I can also get relief from myofascial triggerpoint massage and/or other acupressure points. IMO, both are worth trying. Some folks also get results with accupuncture.

What is it you're not finding online? I find a lot of info via goggle.
cervicogenic migraine

There is also a headache forum here.

Doc