Neurologist was to fast shold i see another 1

Hi guys. I am 28 year old male with no medical problems and according to family doctor and Neuro i am in good shape. I have been hawing headaches for over 5 years they come and go but they are always there I believe they are called ice pick headaches. My pain is described as sharp 3 second burst of pain that is in a shape of a line going across my head behind my ear. It can be any where on my head mostly top and around my eyes. I did my blood work and doctor told me that my blood work is wary good. I just seen my Neurologist on Apr 24th after 2 months of worrying and waiting. But i was surprised how fast i was out of the office. He preformed some testes and asked me some questions, what he told me is that my headaches are cosed by muscle tension around my ears that is cosing the problem. I usually have like 10 pains a day that wary in severity but its nothing that i cant handle or when i am working which is labor job lifting heavy granite stone i would get full headache after like 8 hours of work with pressure My other work is graphic designer. Or if i am not sleeping well or if i turn day in to night. When i have full headache i don't get sharp pains at all. What i was thinking that my neurologist would perform some type of scan to see if there is anything there like tumor that might be source of the problem. I have also seen a eye doctor and everything is fine i don't have any vision problem. I am just wondering how come test was so fast. I mean he did not even offer to help me with pain he just told me to stop worrying and to do yoga. Simplest way to explain my problem have you ever seen the surface of the sun on tv there is always something going on, that how my head fells like there is something always going on and i do focus on my head all the time. What do you guys think should i see another Neurologist

Thanks guys

Ann thanks you so much for your response, i live in Hamilton Ontario Canada, my question is how can i find a Headache Specialist? Do i only go through my family doctor or do i find one on line close to my home and ask my family doctor to set me up with the appointment or do i directly call Headache Specialist office. I mean can i chose the specialist i like to see? i am not sure how it works.

Thanks again Ann

You should definitely see another neurologist if you're unhappy with your treatment but it doesn't sound like you have anything to worry about. You have two jobs, one of which is hard labor? That seems fairly likely to cause muscular tension that could easily cause headaches. From your description, it doesn't sound like you're too horribly affected by the pain (I think you said so at least...), having 3 second shots of pain every 2-3 hours, adding up to about 30 seconds of head pain a day? I totally understand why this would worry you, but if it isn't having a significant negative effect on your life then it's very unlike to be anything that you need to concern yourself with unless that changes. You may have had a bad doctor but it's equally likely that he concluded that there's no indication that anything worrisome is happening to your body other than the pain that you say isn't a problem.

Personally, I have had headaches for 5½ year, but with severe pain every second of every day. I've had incredibly extensive testing and we haven't found anything else wrong with me--if I weren't in horrible pain constantly (with some nausea, etc) that I contrastingly find unbearable then there would be absolutely no reason that any doctor wouldn't do some simple tests and send me on my way. It seems like the doctor probably reacted appropriately in accord with your level of complaint. It's not common for any doctor to request any more advanced testing than you received without more troubling symptoms. No ethical and intelligent doctor would order advanced and expensive testing unless a patient were having significantly bothersome symptoms or if the doctor had any reason to think that you are at any significant risk of developing such symptoms in the future. It's also very unlikely that any insurance provider would agree to pay for more advanced testing if it seemed unnecessary.

But, again, it is absolutely your decision if you feel concerned enough to see another doctor. Two doctors' evaluations are more reliable than one, but don't necessarily expect to have extensive testing ordered.

One thing you may want to consider though: if you agree that there's a chance that you have a problem with muscular tension or other physical or mental stress then you may want to consider seeing a specially trained psychologist that can train you in biofeedback or other relaxation techniques. Any of these things would help reduce these potential problems (and possibly reduce your bursts of pain directly). Biofeedback is especially useful as you learn to effectively relax your entire body while being connected to simple monitoring to measure your muscle tension and other factors and train you to be able to mentally reduce them, provided that you put regular effort into practicing. To me, that seems like the direction that I would look if I were in your place.

I hope that you continue to be healthy!
Ben

I totally understand the impulse :) And you're very welcome.

Ben