Florus Relief ad: I Was Diagnosed With IIH At 32 After A Spinal Tap. I'm 40 Now. My Neuro-Ophthalmologist Never Asked Me About The Headaches I Had Before The Diagnosis.
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I was diagnosed with Idiopathic Intracranial Hypertension at 32. I'm 40 now. Turns out the pressure inside my skull was real, but nobody in eight years of Neuro-Ophthalmology appointments ever asked me the question that would have changed everything: how often had I been having headaches BEFORE they measured the pressure? For eight years, I "managed" a condition using the wrong map of what was actually driving it. Eight years of Diamox. Acetazolamide. Twice a day. The pills made my hands tingle constantly. They changed the taste of everything carbonated. They dehydrated me so completely that I had to carry a water bottle everywhere or my head would spike in pressure by mid-afternoon. Eight years of "weight loss as treatment." My neuro-ophthalmologist told me at every appointment that losing 10 percent of my body weight was the single best intervention for IIH. I lost 22 pounds in the first year. Then 14 more. My IIH did not improve. My neuro-ophthalmologist told me to keep losing. Eight years of quarterly visits to a neuro-ophthalmologist to monitor my optic nerves for swelling. Fundus photos. OCT scans. Visual field tests where I had to click a button every time I saw a dot flash on a screen. My papilledema fluctuated between mild and moderate, never resolving. Eight years of being handed a new modality: a longer-acting diuretic, a stricter salt-restriction plan, a topiramate trial for pressure reduction, a referral to a bariatric surgeon for weight-loss surgery, an offer of an optic nerve fenestration procedure to save my sight if the pressure kept threatening my vision and told to "give it time." I did everything they asked. I lost 36 pounds total across those eight years. I stopped drinking anything caffeinated. I stopped eating sodium. I bought a scale and I weighed myself every morning. I did the topiramate for four months. My cognitive function tanked. I forgot words in the middle of sentences. I stopped it against my neurologist's recommendation because I was going to lose my job if I couldn't remember the names of my direct reports. I had two therapeutic lumbar punctures, spinal taps, where the doctors drained cerebrospinal fluid to relieve pressure. Each one gave me three or four days of relief. Then the pressure came back. I was scheduled for a VP shunt consultation in year six: a permanent surgical implant to drain fluid from my brain to my abdominal cavity. I chickened out the week before because the risks were too high and the reversibility was zero. I saw a neurosurgeon in Baltimore who charged $3,800 for a consult about optic nerve fenestration: a surgery where they cut into the optic nerve sheath to release pressure and save the vision I was slowly losing. I put it off. I did not want brain-adjacent surgery. I felt like I was crazy. My lumbar puncture pressures were high. My papilledema was documented. My IIH was real, per every test they ran. But every single day, my head hurt in ways that Diamox and weight loss and everything else was not touching. By the time my alarm went off, my head was heavy. Not just achy, heavy. Like someone had put a helmet full of water on me overnight. I would sit on the edge of the bed and take my morning Diamox and wait for the wave of tingles to pass through my hands and feet. Getting through breakfast was a production. Bending over to feed my dog made the pressure surge behind my eyes. Coughing made the pressure surge. Sneezing was catastrophic. I had learned to catch sneezes in my throat before they let go. By 10 a.m. I would be at my desk with a Sudafed (my neuro-ophthalmologist said it was okay for the daily pressure headache), a water bottle, and my Diamox. I would already be timing my next dose. By 2 p.m. my vision would start to blur. My eyes would strain to focus. I would sit in front of my monitor and I could not remember the last time text on my screen had been sharp. By 4 p.m. I would be counting the hours until I could go home and lie down flat, elevate my head on three pillows, and let my CSF drain out of my skull as much as gravity would allow. And the math never stopped. If I fly, my ears will not equalize and I will lose the flight and the two days after to a pressure attack. If I run, the impact will spike my pressure and I will vomit. If I have sex with my husband, the exertion will send me to bed for four hours after. I stopped saying yes to anything that involved altitude change, physical exertion, or bending over. My best friend's bachelorette in Denver. My son's swim meets, because the pool humidity triggered pressure attacks. My anniversary hike with my husband, we had done a big hike every year, because I could not tolerate the elevation gain anymore. I would be in a work meeting and my vision would start to gray out around the edges and I would have to excuse myself and sit in the bathroom with my head between my knees. I also had what I called my "bad head days" about three or four times a month. They were different from the daily pressure headache. They were sharper. One-sided. Behind my right eye. Light sensitivity. Sometimes nausea. Sometimes I'd throw up. Nobody ever asked me about those bad days in eight years. Not my neuro-ophthalmologist. Not my neurologist. Not the neurosurgeon. The bad days were considered part of the IIH picture. Nobody differentiated them from the daily pressure. I looked fine on the outside. Inside my head had been full of fluid for eight years and my vision was slowly deteriorating. Then a woman in my IIH support group posted something that broke the whole story open. Her name is Gabriela. She is 36. She had been diagnosed with IIH at 26. She had spent eight years on Diamox, on weight loss protocols, on optic nerve monitoring. Then last year her Migraine coach had explained something no neuro-ophthalmologist had ever explained. Gabriela wrote a long post. The trigeminal nerve, when chronically sensitized, causes vasodilation and neurogenic inflammation in the meninges, the membranes surrounding the brain. Neurogenic inflammation increases CSF production and reduces CSF absorption. In other words: a chronic trigeminal cascade can cause elevated intracranial pressure. In some cases, it IS the cause. Not every IIH case is trigeminal-driven. But a significant portion, the ones that never respond fully to standard IIH treatment, are actually chronic Migraine driving the elevated pressure through neurogenic inflammation. You treat the pressure downstream. It comes back because the trigeminal is still firing upstream and continuing to produce the inflammation that raises the CSF pressure. I read Gabriela post six times. Then I DMed her. She sent me the coach's information. The coach's name was Allison. Allison was a former neurology PA who had watched too many IIH patients cycle through Diamox and weight-loss protocols without lasting improvement before she certified as a Migraine coach. Allison got on a Zoom with me. She asked me all the questions. Yes I had the bad head days. Yes they were one-sided. Yes light sensitivity. Yes nausea. Yes vomiting sometimes. She said, "You have chronic Migraine driving neurogenic inflammation that is elevating your CSF pressure. Your IIH is real. But its cause has never been screened for." She told me about Florus. Topical. Magnesium glycinate, wild peppermint, menthol crystals, chamomile, feverfew. Three application points. Millimeters from skin-to-nerve. Seconds. I ordered the bottle from Allison's kitchen table on our Zoom call. First time I felt a bad day starting was a Wednesday afternoon. Pressure spiking behind my right eye. My vision starting to gray. Eight years of muscle memory said take Sudafed, lie flat, elevate my head. I rolled Florus across my temples, behind both ears, and at the base of my skull instead. Within seconds I felt the cooling reach somewhere deeper than skin. The pressure did not spike. My vision cleared. I sat at my desk and I read text on my monitor without squinting. Week 1: Two bad-day starts caught with Florus. Both stopped. Week 2: My baseline pressure headache reduced. My vision was sharper in the afternoons. Week 3: I bent over to tie my shoe without a pressure surge. Week 4: I caught a sneeze mid-sneeze instead of catching it in my throat. Week 8: I went for a lumbar puncture. My pressure had dropped from the 32 cm H2O it had been for eight years to 24 cm H2O. Still elevated but significantly better. Week 12: My neuro-ophthalmologist reduced my Diamox dose. My papilledema had improved. She asked what I had changed. I told her about Allison. About the trigeminal cascade. About neurogenic inflammation and CSF dynamics. About the topical. She listened for the whole appointment. She was quiet for a long time. Then she said, "I'm going to start asking every IIH patient I see about headache character. This is the missing screening question in our field." Six months in: my pressure has stabilized at 22 cm H2O, the upper end of normal. My papilledema has resolved. I am off half my Diamox. I have not had a bad head day in eleven weeks. My vision is stable. I have not needed the optic nerve fenestration. I do not have idiopathic intracranial hypertension in the way I was originally told I did. I have IIH that is being driven by chronic Migraine that finally got treated at the source. If you have IIH. If you are on Diamox. If you are being monitored for optic nerve damage. If you have been told to lose weight, drain your CSF, or consider a shunt. If you also have "bad head days" three or four times a month that are different from your daily pressure headache. I am not saying all IIH is Migraine-driven. I am not your doctor. I am saying I spent eight years having my CSF pressure treated when nobody had asked me about the underlying condition that was making the pressure elevated. Florus. Skin to nerve in seconds. Three application points. Five ingredients. 7,405 five-star reviews. 90-day money-back guarantee. 👉 Every migraine tool you have works downstream of the source. Here's what works at it: https://florus.com/blogs/news/every-migraine-tool-you-have-works-downstream-of-the-source-here-is-what-works-at-it You don't have to keep waiting for the shunt. P.S. Allison still coaches. She takes new IIH clients. She refused any referral fee from me. She said the only payment she wanted was for me to write my story. P.P.S. The Amazon knockoffs are fragrance oil in a tube. They will not affect neurogenic inflammation. Only real Florus. florus.com only. P.P.P.S. I hiked with my husband last month. Two thousand feet of elevation. First time in eight years. My eyes stayed clear. My head stayed clear. He stopped halfway up and looked at me and said "Melissa", like my name was something he had almost forgotten how to say. I said "Miguel" back and we kept climbing.

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- Jan 30, 2026 · 10 months
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- Health › Health Conditions › Pain Management
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