The Sucky Part About Having a Chiari Malformation
When the neurologist admits that she can't tell whether the vertigo is causing the ubiquitous headaches, or whether the headaches triggered this current vertigo episode. I can honestly say it is not a lack of knowledge on that front, it is a labyrinth of issues that are so interconnected that even the most seasoned neurologist can't definitively answer this one.
Thing is, the headaches are nearly always a part of my days, that I never stop to consider that they're causing other problems. The only thing I have notices is that the constant neck and shoulder pain (that hovers at a 5 or 6 on that Likert scale) have been strangely absent since this whole episode started.
I think the biggest surprise is that this doctor, who I am not really fond of, was actually rather decent and displayed a modicum of compassion-which she has not shown one shred of in the past. She even offered up a prescription for valium for next week's MRI, when last year, she told me I didn't NEED them. Maybe it's the fact that I'm symptomatic and it's obvious it's bad.
Heck, she gave me a note to not go back to work. Alas, the impending deadlines convinced me to not use it.
Upshot is an increase in the meclizine, a steroid, use my migraine medication on any and all headaches, even ones I am convinced won't improve with it, and go back in two weeks if there is no improvement in my situation.