You seem to have some OCD/anxiety problems have you considered the headaches are made worse and self perpetuated from overthinking and stress? Tension headaches can be quite painful and entirely brought on by stress.
Yeah they're not as far as I'm aware. I wasn't having a very stressful day when that headache hit. Today was horribly stressful the entire day and my head's been fine.
I do think maybe a chiropractor could help. I've often noticed my neck feeling stiff when these headaches present, but it's hard to say. I eliminated my wisdom teeth. I just don't know why they came back at all, they were my sinuses at first, and turns out they never were from my wisdom teeth. I got surgery in May 2022 and after that, no headaches or tinnitus. Tinnitus came back bad sometime after the first week of August, by the middle of the month I was in mental breakdown mode after a strange trip to the cape with some friends who I've mostly outgrown (also had an extremely intense and negative shroom trip that left me with HPPD for 2 months). Most people wouldn't have managed that trip as well as I did, I think.
I have C-PTSD so maybe that's somehow a factor. Skeletons everywhere, cartwheeling, kaleidoscopic skeleton patterns moving all over the place, things flashing colors. I didn't plan this trip at all, which was my first mistake, but I also was the only one tripping alongside my other 3 friends who weren't, so I felt very isolated and overwhelmed by the whole experience of being dragged around to do functional things like shoot hoops or go to a restaurant. And it just went on and on, 12 hours at least until I was clear headed again.
Then right after that my oldest brother was getting married, I just felt like I was being dragged around like a zombie. I'm an introvert so I'm easily overwhelmed, so this whole thing with going to cape cod, coming back, relatives coming in, wedding rehearsal, wedding, post-wedding, it was just draining me. I was hospitalized briefly in September and was generally very stressed in October, though I did spend time with family in Nebraska and while out there, anything that bothered me here, such as the tinnitus, didn't matter as much.
The headaches began in late November, the exact same period they struck in 2021, starting with a pulsating pain from my wisdom teeth that migrated upward. This really turned out to be due to my maxillary sinuses being so overfull that they were pressing down on the roots of my molars hard. Soon enough other molars would hurt, feeling like they could just pop out of my gums from the pressure. It's very strange, I mean my wisdom teeth themselves likely hurt the most because they're the closest to the sinuses but still, for this pain to come back at the exact same time a year later is fucked up. Mind you, August through this period I wasn't having headaches and was often immensely stressed. June and July I was at so much peace with my silence, summer, new sinuses that let me taste and smell 100%. Life was good, too good, it's like somewhere in the back of my mind I knew it wouldn't last.
That's how it was in 2021 before my headaches got bad. I had tinnitus then, but it was 50% less than what it is now, and that was really the only issue I had. I was largely habituated to it and it didn't bother me that much. But I had this feeling, like "something is brewing" and by the night of Thanksgiving it presented itself, the horrible headache, just as it did the following year. The only difference is that my headaches actually went away before I even got surgery. I'd take like a few Tylenol and 1 aspirin if I had a mild headache and that was it. I can throw everything at a bad headache now and it won't do much. DMT does reduce headache pain by a lot though, and caffeine in the mix as well. Ultimately I'm really not sure what the fuck is going on or how unreal it is that I began to have headaches exactly at the same time period. I wasn't even that stressed around the time at least compared to prior months.
One thing is certain though. These really, really bad headaches only seem to strike if I have intense sleep paralysis episodes. Not always, but the only time I've gotten them is after these, and I wouldn't need to nap after work if I'd just go to fucking bed earlier. I have to experiment with this, fix my sleep so I get 6h30m at least and skip the naps. I've been part time for awhile so I let that be an excuse to get less sleep and just nap it off later. My body basically doesn't even allow this anymore though, I'll reach a half sleep and that's where these horrible episodes of sleep paralysis stem from. This didn't really begin happening until around November either. Of all the supplements I take, the only thing I could think of that could maybe be fucking up my sleep rhythm is valerian root.