Did a cervical epidural on my 38 yo F patient, history of migraines, IV drug abuse now sober. It’s been 2 weeks and she called today to say she has a headache, no relief of her radicular arm pain and that it’s worse. I looked at her images, good needle placement. Didn’t get to talk with her, called back and no answer. Would you suspect the peak Onset of the steroid causing her HA? I would think this would be more of an acute thing. Plan on ruling out PDPH- doubtful about this, and infection vs meningitis. Thoughts?