Any advice would be appreciated. 2 months ago I had a L5/S1 Laminectomy/Discectomy and 1 month ago I developed a sudden, severe and dibilitating headache. The symptoms are in my sinus, base of skull and severe pain in forehead. I also feel intense pressure pushing out towards the top of my head. The headache is also very positional. It gets much worse when I am upright but almost completely goes away when I lay down for about 20 min or so. I have had this for about 1 month and 1/2 now and feel like I am at least "coping" w/ the pain better but the pressure is always there. Now I can sit up for an hour or two w/o feeling like I am going to die...so maybe it's healing. My surgeon saw something he thought could be fluid on my post op MRI but he thinks conservative treatment is best and he wants me just "wait it out". So far I have been to the ER for a caffeine drip, steriod IV's, tried bed rest for 72 hrs...I am getting pretty frustrated because I was hoping to get blood patch and my surgeon doesn't think it would work in my situation. I have tried to get a 2nd opinion but no other neurosurgeon will see me b/c I just had back surgery. He also will not give me any more pain med's b/c he wants to wean me off my caffeine pills. I am only taking 2 a day and I don't know if I will be able to function at all because my head hurts so bad. I have to go back to work or I will lose my job and I have a baby to take care of so any advice is greatly appreciated.