@jobby99 - A headache near your eyebrows is most likely coming from your trigeminal nerve as it runs across the forehead at eye brow level then down into the nose.
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Yeah, unfortunately I don’t think I can stay away from caffeine so still getting some headaches. Still much improved after the auricular-temporal neurectomy that caused pain from just being on a pillow. I believe there are five locations that headache surgeons evaluate for contributing to headaches. Common trigger point locations
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Frontal: (i may consider this one)
Pain above the eyes and/or on the forehead, often treated with surgery involving the corrugator and depressor supercilii muscles.
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Temporal: (i did this one)
Pain over the temples, treated by releasing the zygomaticotemporal (ZT) nerve.
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Rhinogenic:
Pain inside the nose that can extend behind the eyes, which may be treated with a septoplasty or turbinectomy.
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Occipital:
Pain on the back of the head that can radiate forward, treated with decompression of the greater occipital nerve
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Since you’ve been diagnosed w/ ES, @jobby99, you could save yourself multiple other surgeries by having a styloidectomy(ies) as there’s a good chance that would provide recovery from your present nerve symptoms. I had pretty significant trigeminal nerve & occipital pain symptoms that resolved once my styloids were gone. My TN pain was in my nose, forehead, temples, sinuses, & teeth. My occipital pain was the slowest to go away & took more than a year but it did finally leave.
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Yes, I think you are correct. I am feeling like I can breathe better and don’t seem to be triggering headaches with caffeine 2 days post-op from my trans-cervical styloidectomy. I just have seroma fluid left over from it in my neck.
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The surgeon who handles peripheral nerves that lead to headache does not get as good a result for the eyebrow/forehead area (only about 50%) headaches probably because they are a symptom of a larger problem like ES. He does get good results with the nerve release by the ears (auricular-temporal). It would be nice if ES surgery might just takes care of all facial pain. The auricular-temporal facial surgery was not painful and could not even see a scar by my ear on one side. They are good at hiding it.
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Thank you for this information. It will be helpful for others looking for peripheral nerve pain help if ES surgery doesn’t take care of it.
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