Tag Archives: Chronic Migraine

The Aftermath of a Migraine – Stage 4 – Postdrome



So I’m over stage 3 of the migraine, the horrible miserable pain and now I’m on day 2 of the hangover.  I seriously feel like I have been for a wild night on the booze and then run over by a bus!  The worst thing is I am trying not to take any more pain killers as I don’t want to get into a cycle of rebound headaches.

The pain isn’t really bad but it’s just there all the time and very annoying.  When I cough or move my head too quickly it feels like my brain is banging around onto my skull.  A couple of paracetamol would really help but I’m scared to take any more pain killers as I have been stuck in the rebound headache cycle before and it’s not pleasant.  I’m just trying to ride it out.

I’m hoping that by tomorrow I will be feeling a lot better, this little quote says it all, you really do have to recover from a migraine and it can take days – oh joy!

Here is a bit of info on the Postdrome stage for those who don’t know anything about it.


The postdrome stage of a migraine attack is the fourth and final stage. Most people would think that the fourth stage would be a huge sigh of relief and in some cases it could be but the final stage still brings about several different symptoms that can be painful and hard to cope with. Coming down from the third stage of a migraine is exhausting, the pain and misery that was had during the third migraine stage can leave a person feeling weak. The postdrome migraine stage is the fourth and final stage of a migraine.

The postdrome migraine stage has several linger side effects and symptoms such as the extreme fatigue, muscle soreness, head pain and bouts of cognitive confusion. The postdrome migraine stage consists of mild head pain that lingers for a spell. The side effects and symptoms of the postdrome stage often linger for two or three days after the third migraine stage has disappeared.



Chronic Migraine



Saw the neurologist with regards to my chronic headaches yesterday.  It was a good appointment; the doctor was very thorough in the history she took and in examining me.

The first thing she said to me was “what’s wrong with your eyes” LOL I get that all the time.  She checked the backs of my eyes and that was fine in the right eye but my cornea in the left eye is hazy from the inflammation so she couldn’t see the back of that one, but I know they are fine because my eye doctor checked herself a couple of weeks ago so the neurologist was happy with that.

I have empty sella syndrome which means ……

In empty sella syndrome, the sella turcica (the bony structure at the base of the brain that houses the pituitary gland) enlarges, but the pituitary remains normal-sized or shrinks. People with empty sella syndrome have a defect in the tissue barrier that normally keeps the cerebrospinal fluid around the brain separate from the sella turcica. As a result, cerebrospinal fluid puts increased pressure on the pituitary gland and the walls of the sella turcica. The sella turcica may enlarge, and the pituitary gland may shrink.

With that and my chronic headaches the neurologist has scheduled an MRI for me just to be on the safe side but she feels that I have chronic migraine and there is nothing sinister going on.

We discussed pain relief options but unfortunately because of the amount of other meds I take drug interactions stop me from taking a lot of stuff that they would normally prescribe.  She did prescribe Lyrica taken daily and Maxolon to take with aspro clear to be taken at the first sign of a migraine.

Headaches have been really good lately, but that may be because I am taking regular pain killers for my eyes so one hasn’t had a chance to develop. I’m already on so many meds that I am not going to start taking the Lyrica unless the headaches start coming back every day.

So all in all a positive outcome, will see what the MRI says but looking good at the moment.