If these are ruled out, empirical therapy for possible migraines needs to be instituted like topamax
for prevention of migraine attacks and trial of triptans like
sumatriptan in the event of an attack to check if these abort the headaches.
If these measures do not help, you need to be investigated for multiple sclerosis. The symptoms of multiple sclerosis are loss of balance, muscle spasms, numbness in any area, problems with walking and coordination, tremors in one or more arms and legs.