Recently I have been receiving many patients with cluster migraines, and in their personal experience of living with the beast every day. These patients say this: It wakes me up from a deep sleep and beats my head so hard with a hammer that the pain is always around me and I feel a nail fighting its way into my brain, its end connected to a power source and a constant stream of electricity through the nail increasing my pain. I felt as if my sinuses had been washed with acid, my temples began to swell and heat up, a burning pain came from the bottom of my cheeks, my upper jaw was aching vaguely, but none of this could outweigh the pain from my eye, except for the nail that fought its way into my brain, and I seemed to feel a heat-producing metal ball rolling around in my eye, causing me pain. What made me even more powerless in the face of this situation was that there was no medication, no special circumstances, nothing to give me relief. I was sinking in this pain, unable to see a single ray of light. Are cluster headaches really that bad? I think the answer would be yes. Cluster headache is one of the more serious of all headaches and belongs to one of the vascular headaches. It is a severe headache that is usually felt by patients without aura, so it is not too much for patients to describe it as a nail. It headache is mostly seen in one side of the eye, and is also accompanied by conjunctival congestion, tearing, eyelid edema, or nasal congestion, nasal drip, and sometimes pupil narrowing and flushing, which can make patients show fidgeting, and usually have regular attacks. In the face of the treatment of such conditions, we usually use drugs to relieve pain in the early stages, and in the later stages, when drug therapy gradually loses its effect, we can use surgery for treatment.