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-   -   Triggering headache when reading. Any solutions? (https://www.neurotalk.org/headache/177520-triggering-headache-reading-solutions.html)

Trach 10-05-2012 09:05 AM

Triggering headache when reading. Any solutions?
 
Over the past year or so, I realized reading, both from an IPad and print media, can trigger a headache. Sometimes I can read for just a few minutes and then occasionally I can read much longer. When I read, my left ocular nerve (i think it's the nerve) right above my eyebrow starts to swell.

My opthamologist said my eyesight with correction is fine. My neurologist recently said reading is a common headache trigger, and I just need to accept it. I have an appointment with a neuro opthamologist next week.

Since I have given up so many things in life with chronic illnesses, reading is one of my last remaining passions.

I have been diagnosed with ON and TN. I also have a connective tissue disorder (which is probably the cause of my headaches) and orthostatic intolerance/neuro cargenic syncope.

Have any of you experienced this problem? Any suggestions/advice would be greatly appreciated.

Dr. Smith 10-07-2012 12:08 AM

I get headaches from computer vision syndrome (among other causes), and I can get them from reading books, but that's often a matter of time (several hours) unless another trigger is also at work. Sometimes it's difficult to pinpoint an exact trigger when several things may be going on/contributing at once.

Doc

EE03 10-07-2012 09:52 AM

Quote:

Originally Posted by Trach (Post 919965)
Over the past year or so, I realized reading, both from an IPad and print media, can trigger a headache. Sometimes I can read for just a few minutes and then occasionally I can read much longer. When I read, my left ocular nerve (i think it's the nerve) right above my eyebrow starts to swell.

My opthamologist said my eyesight with correction is fine. My neurologist recently said reading is a common headache trigger, and I just need to accept it. I have an appointment with a neuro opthamologist next week.

Since I have given up so many things in life with chronic illnesses, reading is one of my last remaining passions.

I have been diagnosed with ON and TN. I also have a connective tissue disorder (which is probably the cause of my headaches) and orthostatic intolerance/neuro cargenic syncope.

Have any of you experienced this problem? Any suggestions/advice would be greatly appreciated.

Have you tried to get audio books? Its not a solution, but at least you'll get to read without the headaches. If you would care to share, what sort of connective tissue disease are you dealing with? I have TN and ON and Sjogrens. Some docs say the Sjogrens can affect nerves and others don't pay it much attention and its also considered a connective tissue disease.

Trach 10-07-2012 11:56 AM

Headaches when reading/computer vision syndrome
 
Doc,

Thank-you very much for your reply. Have you found any solution to computer vision syndrome?

TRach

Dr. Smith 10-07-2012 04:06 PM

Quote:

Originally Posted by Trach (Post 920593)
Doc,

Thank-you very much for your reply. Have you found any solution to computer vision syndrome?

TRach

Yeah, get off the blasted thing for a while. ;)

For some (like my DW) computer glasses work; prescriptions ground especially for that in-between range.
http://www.allaboutvision.com/cvs/computer_glasses.htm

Doc

Trach 10-07-2012 08:53 PM

Connective Tissue Disease
 
Quote:

Originally Posted by EE03 (Post 920566)
Have you tried to get audio books? Its not a solution, but at least you'll get to read without the headaches. If you would care to share, what sort of connective tissue disease are you dealing with? I have TN and ON and Sjogrens. Some docs say the Sjogrens can affect nerves and others don't pay it much attention and its also considered a connective tissue disease.

If the neuro opthamologist cannot help me, I will definitely switch to audio books. My problem is sometimes I can read longer than others - both regular books/magazines and my IPAD.

I don't mind sharing at all- I have Ehlers Danlos Hypermobility (HEDS)which I discovered was the cause of my dysautonomia. I saw many docs on my 30 year journey of headaches and was finally diagnosed by a geneticist. I recommend anyone with intractable headaches (especially if you have autonomic problems) to read about the various types of Ehlers Danlos. I cannot post a link yet - not enough posts. There is an excellent NIH article by Dr. Howard Levy and other excellent articles by Dr. Pocinki.


Thanks for the advice!

Trach 10-22-2012 12:20 PM

Update on neuro opthamologist
 
I wanted to update anyone who may be interested headaches triggered when reading.

The neuro opthamologist I saw was the first doctor who thoroughly understood my headache issues, dysautonomia, and ehlers danlos hypermobility. Since I had not had a MRI in a few years, he ordered a MRI to rule out EDS related issues such as chiari, tethered cord, excess fluid, brain settling, and some other possible issues. Thankfully, my MRI was clear. My eyesight is also not the problem. The doctor said my headaches are nerve related (which is how my neuro has been treating me).

On my last visit, the doctor changed my effexor xr prescription to Pristiq, because he said Pristiq is better for nerve pain around the eye. So far I can tell somewhat of a difference. I have an appointment in two weeks for injections around my eye. The doctor is not sure yet what type. He talked about Botox, but I am somewhat leery as Botox treatment for headaches did not work on my daughter and regular Botox did not work on my sister. I think I will ultimately end up with a nerve decompression for one nerve above my eye.

The good news is that the doctor said that my EDS pain medicine nucynta is not contributing to my headache.

That is all I have for now. Baby steps but progress. :)

Dr. Smith 10-22-2012 03:39 PM

Thanks for the update.

Botox was once suggested for my headaches as well, but apart from not being covered by insurance (at the time), in researching, I found that they are a temporary fix at best. First, because they only last a few months (after which the treatment must be repeated) and again because patients build a tolerance to them, so after several sets of injections (everyone is different, so the number can vary) they don't work at all anymore.

I hope whatever you try is more efficacious than that.

Doc

Trach 10-22-2012 09:44 PM

Botox for treatment
 
I totally agree with you. There is a new research study out that indicates Botox is not nearly as effective as originally thought for headache treatment. So I don't even want to try the treatment. My sister was told she was among the 1% that Botox did not work on so I assume my family must have a metabolizing issue. It's happened several times with my sister, my daughters, and myself (EDS/dysautonomia related).

Once again, thank you for your input. Although this doctor is the first doctor to understand all of my health issues - EDS, dysautonomia, and headache issues, the doctor concerns me because he does not spend very much time with me. I have seen him for a total of 10 minutes but went through extensive testing on the first appointment. He recently left a prestigious medical school and went out on his own, so I assume he is increasing his caseload to pay for to offices. I am going to press for alternatives than Botox.

Thanks again!


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