Spring is generally associated with positive feelings. However, there are people who are very concerned about this time of year: people who suffer from cluster headaches and their families. Episodic cluster headaches are now particularly likely to break out with a new period, often lasting weeks. The day after the beginning of spring - March 21st - was therefore declared Cluster Headache Day.
Spring begins when the sun is exactly vertically above the equator. Everything is set up precisely: On this day, the sun rises exactly in the east, it is directly in the south at noon and it sets exactly in the west. The duration of the day and night are also exactly the same at the beginning of spring.
Just as migraines seem to know when it is the weekend, occurring most frequently on Saturdays and Sundays, cluster headaches seem to know when spring begins. For cluster headache information, see Cluster Headache Knowledge and the video below. Wolfgang Q. and his wife Kathrin tell you what it means to suffer from cluster headaches:
Pain-nameless, suicide headache
Wolfgang Q. (39) electrician and his wife Kathrin. Diagnosis: cluster headache for twenty years
Kathrin: Before our wedding a year ago, I had experienced a few cluster attacks with my husband, but the last phase of pain was worse than anything before. The attacks occurred up to eight times within 24 hours, mostly at night. I hardly recognized him because his whole personality changed. He became very aggressive, like a caged animal pacing back and forth restlessly. I was scared out of my mind! He never attacked me, but pushed me away and wanted to be left alone. The cats also noticed this and hid. I wasn't afraid of him, but I was afraid of him. Sometimes he also cried a lot.
Wolfgang: Yes, that was really hell. Of course, when the cluster started about twenty years ago, I didn't know what was going on. The pain was in the left temple, especially when the air was dry and lasted thirty to sixty minutes. During the attacks, which occurred during working hours during the day, I would quickly run to the door. Somehow this always worked without attracting attention, for example by taking fewer breaks or not writing down one or two overtime hours. I tried to keep my nerve, but once the thread broke, I became very, very angry, and unfortunately my wife felt the same...
Kathrin: I begged you to go to the doctor!
Wolfgang: I had that behind me a long time ago! For example, the ear, nose and throat specialist. He operated on the nasal septum and the turbinate, and after that there was peace and quiet for a while. But then it started all over again. I became a big Thomapyrin fan and over the years I financed at least one luxury car for its owner through my pill consumption. Now I know that regular painkillers don't help, but back then I popped a handful. When the attack is over, you think the drug helped and take it again next time. I also instinctively did something that is now expensively prescribed: oxygen therapy. Regardless of the wind and weather, I went out on the balcony at night and just took a breath, concentrating completely on breathing.
Kathrin: One Sunday we drove to the Baltic Sea, and on the way back you had this attack. You simply drove to a bus stop on this busy federal highway and jumped out of the car. I sat there and turned on the hazard lights. I was in a panic that you might throw yourself in front of the next bus!
Wolfgang: Up there on the country road I just couldn't do it anymore. It was bright sunshine and heat is really bad. I just wanted to be in the shadows!
Kathrin: Another time you almost beat up a police officer...
Wolfgang: We were traveling in the car while half the city was closed due to a major event. When the attack came, I stood somewhere on the edge where I wouldn't interfere with anyone. As soon as I stood, a police officer like Django came towards us. I was about to attack him, but I pulled myself together and kept going. I stood again at the next intersection.
Kathrin: You turned off the engine and just walked away. That was so terrible! I felt so alone and helpless and vowed never to ride with you during a period of pain again. I don't want to have any trouble with the police!
Wolfgang: The police officer wasn't actually that bad.
Kathrin: But you were so aggressive!
Wolfgang: I just wanted to escape from the sun into the shade. It was a relief for me, but you felt let down.
Kathrin: I just didn't have any strength left. You can't be seen today, but back then you looked like death. You couldn't sleep at night, there was no understanding at work, you had to go to assembly at times and you cried at home. It was all so terrible! At some point I thought: it's over now, I'm not going to do this anymore! I knew this couldn't be a normal headache. So I ran from one bookstore to the other and read migraine books over and over again for hours. Until I came across the word cluster. The symptoms were in the book: the watery eyes and the runny nose and this restless feeling. I thought: that fits and went to my internist…
Wolfgang: …who referred me to a specialist. For the first time I got a remedy that really helped. I was still having four to five attacks a night, but then I would turn on the light, give myself an injection, and go back to sleep. That was already a huge improvement over what was before.
Kathrin: I then found contact with the self-help group online, and within twenty-four hours they got us an appointment at the pain clinic, where you were given this long-term medication...
Wolfgang: ...that has kept me pain-free for a month and a half now. The previous bad phase lasted seven months. You can imagine what that means for social life! You don't want to do anything anymore and you won't be invited anymore because your friends don't know how to deal with it. Many people want to help and come up with the craziest things. Reyki or distant healing by fax, laying on of hands or laying cards... It's not that you don't try everything possible, but it always depends on who makes the suggestions. In the self-help group we exchange ideas and try the craziest things. The group has created notes for relatives, friends and bosses on which the illness is briefly explained in an appropriate tone. That's very helpful.
I have officially been 30 percent disabled for six months. I tried to talk to my employer about my condition, but he doesn't want to hear about it. The problem is that you can't tell from looking at me. I then take my pack with the syringe, which I always have with me, into the toilet and then everything is fine again. It works within three minutes.
Kathrin: The only positive thing about this misery is that I didn't have time to think much about my own illness. I would rather go through the cancer surgery and all of it again than what I had to experience with you. Seeing my beloved partner suffer was very, very terrible for me. I have never cried as much as I have in these seven months. You really wanted to get out, but that wasn't possible. I have to be honest: in this phase I would have liked to work overtime because I knew that now I would be back in this mill. The worst were the nighttime attacks. Now we are enjoying the pain-free period, but I am very afraid of the next attack.
Wolfgang: This is a big burden for you, I know. I wouldn't have gotten through this without you, and I wish more family members would come to the group meetings. Then you could talk to other people affected.
Kathrin: Of course, the best place to talk about it is in a group. Other people don't want to hear about it. I once tried this with a work colleague with whom I have a very close relationship, but she refused to do so. My husband and I talk about it a lot and try to be enough for each other.
Wolfgang: During the attacks I sometimes thought about our love and tried to console myself with it. Today I no longer have any ambition to jump from the balcony and I have you to thank for that. As long as I lived alone, the despair was greater, as was the thought about what I might have done to be punished like this. When you sit on the bed at night with this pain, the strangest thoughts come: “Why do I have this of all conceivable illnesses? Am I being punished for breaking off contact with my parents years ago?” You help me. I feel at home with you. You mean everything to me. Getting through this terrible year has made me stronger. I'm not afraid of the next cluster phase either, because now I have these injections that will help me.
Kathrin: It’s different for me. The memory of the period of pain is still very strong in me and I am very afraid of the next one.
Wolfgang: You are afraid that the illness will become chronic. Then there is hardly any help because the painkillers I take are not for long-term use.
Kathrin: Frankly, I doubt that you've gotten any stronger. Well, you now have the injections to help you, but you're taking too much. Who knows what they do to the body and whether it will stop working at some point? There is still a lot of excitement in me and I wait every day for it to start again. I still can't believe that you'll be fine for a long time. (Tears come to her eyes). It's so terrible when the man you love feels so bad! I'm grateful that it's been quiet for weeks now, but I'm always afraid it'll start again!
I can only confirm everything described here from my own experience.
It was the same for me when the cluster really started that I visited countless doctors: ENT, ophthalmologist, dentist, went to the radiologist for an MRI. All without results. My family doctor finally referred me to a neurologist. A disease very similar to the cluster was diagnosed here. However, the medication I was given made the attacks, which I was now getting up to 10 times a day, much worse. Everyone around me, both at work and at home, just watched completely helpless when I went through one attack, I was completely unable to do my job. It wasn't until 3 years later that I sought advice at the pain clinic in Kiel. Here, a chronic cluster headache was immediately recognized. I was immediately prescribed other medication and oxygen. And what should I say? The attacks decreased noticeably. However, they didn't disappear. I was in Kiel in 2009. I hardly ever had an attack-free period, but if you consider that I previously had between 8 and 12 attacks a day lasting between 30 and 90 minutes, and then another 2 per quarter, then that is a huge improvement in my life. Then came the 2014 World Cup. A time that completely changed my life.
Needless to say, the World Cup was very emotional. But the fact is that none of the medications worked. Not the prophetic ones, not the oxygen ones, and not the emergency ones. For this reason, I unfortunately didn't see much of the World Cup. I had attacks during this time, peaking at 15, and with an intensity that I had never had before. Once my partner grabbed me from the window where I wanted to jump. Another time, during an attack, I became so sick that I vomited. About 14 days after the World Cup, the spat was over. I had now given up the medication completely. And with the oxygen I noticed that it only suppressed the pain for the duration of the inhalation. After 15 minutes, however, the pain returned unabated. And every attack of pain threw me more and more off track. And suddenly, after I contacted the clinic in Kiel again, the attacks stopped.
All of this was almost 2 years ago now.
I no longer take any medication or oxygen. But I am free. Free from attacks. Only very rarely do I have a hint of an attack. But this disappears again after 5 minutes at the latest. I have no idea what happened. The only thing that is certain is that I have lived without any real attacks for almost 2 years. And that's a life I wish for everyone.
However, the World Cup and the attacks I had during this time have left their mark.
As with every attack, the entire left side of my face was affected. The left eye was also swollen shut each time. I think the attacks were so severe that the eye never really recovered. Because I can't really open this eye anymore. To outsiders it looks like I had a stroke. Now everything starts again from the beginning. The ophthalmologist sends me to a neurologist. And he wants to know exactly and wants an MRI of the skull. This appointment is in a few days. I'm afraid of the outcome.
At this point I wish Wolfgang really quick help. I wish Kathrin the strength that is necessary and the understanding that Wolfgang is at least as helpless as she is. With the difference that Wolfgang is in unbearable pain.
With kind regards to all fellow sufferers and those around them
Lars Baer