Alleviating Headache and Pain in GWI With Neuronavigation Guided rTMS

Criteria for veterans with Gulf War Illness headaches and pain: Inclusion Criteria: * Male or female between ages 18-65 * CDC Criteria for GWI * Kansas Criteria for GWI * International Headache Society Criteria for Migraine HA w/o aura * Average Headache Exacerbation Intensity \>3 on 0-10 NPRS * Average Overall Daily Muscle Pain Intensity \>3 on 0-10 NPRS * Average Overall Daily Extremities Joint Pain Intensity \>3 on 0-10 NPRS * Headache Exacerbation/Attack ≥ 3 times/week, lasting \>4 hrs in past 3 months Exclusion Criteria: * Pregnancy * History of pacemaker implant * Any ferromagnetic (e.g. bullet fragment, shrapnel, device implant) in the brain or body that will prohibit the patients from having a brain MRI * History of dementia, major psychiatric diseases, or life threatening diseases * Presence of any other chronic neuropathic pain states such as Complex Regional Pain Syndrome or Painful Peripheral Neuropathy * History of seizure * Pending litigation * Low back pain with mechanical origins such as lumbar radiculopathy or radiculitis or lumbar facet arthropathy * Lack of ability to understand the experimental protocol and to adequately communicate in English * History of Traumatic Brain injury * Chronic Tension or Cluster Headache * Ongoing Cognitive Rehabilitation or Treatment of PTSD Criteria for healthy veterans without Gulf War Illness headaches and pain: Inclusion Criteria: * Male or female between ages 18-65 * Served at least 30 consecutive days in the Persi…