Doctor insights on:
Intractable Migraine Headache
Also called cephalalgia, is pain anywhere in the region of the head or neck, & can be a symptom of a number of conditions affecting those areas. It originates from pain-sensitive structures such as cranium, muscles, nerves, vessels, subcutaneous tissues, eyes, ears, sinuses & mucous membranes. It is non-specific symptom & can be primary such as tension ha, or secondary ...Read more
Various ways: Some respond just to rest in a quiet place, other also with addition of ice to the head in various spots, some with pressure applied to the temples, gently to closed eyes, or to several spots in this back of the neck or head. Some to gentle pulling of the hair. Others need medication. Taking 3 excedrine when you know you are getting the migraine might abort it. Others need tryptans. ...Read moreSee 2 more doctor answers
Spreading depression: We believe that migraine proceeds from the back of brain forwards with a neuronal inhibition starting over the occipital lobe, and mediated by changes in the brain stem, especially locus ceruleus. The visual process is not retinal, but brain mediated, and the term is called "spreading depression of leao". ...Read moreSee 2 more doctor answers
Abortive Therapy: For more severe attacks, an abortive medication such as dihydroergotamine (DHE), sumatriptan (Imitrex) or one of the newer triptan medications is often prescribed. Recent research findings suggest that the efficacy of treatment may depend more on the phase of the migraine attack at which the medication is administered rather than the specific medication. ...Read moreSee 2 more doctor answers
Consider Botox: You may want to consider having your doctor/headache specialist see if Botox can be approved for your migraine headaches. If it works you could have significantly less migraines for at least 3-4 months at a time. Many times people's migraines are cut in half if not more. The use of your oral migraine prevention medications and abortives are much more helpful and reduce occurrences even better. ...Read moreSee 2 more doctor answers
No.: Migraine-specific medications are designed to work for migraine headaches. Depending on the medication, they may provide little or no relief for other forms of headache and instead, only expose the patient to unnecessary side effects or complications. Check with the physician that manages your headaches as to his/her advice for treating common cephalgias. ...Read moreSee 2 more doctor answers
Cannot: Formerly there were specific criteria and symptoms by which migraine headaches were defined and diagnosed. In recent months the collegial body of neurologists decided that any "severe" headache qualified as "migraine". This flip flop indicates that the etiology (cause) continues to be mysterious, and beset with theory and speculation. ...Read moreSee 2 more doctor answers
Severity: Migraines can be on one side or all over. They are less frequent than tension headaches, but more severe. They happen about once a month. Some people have an aura before a migraine (flashing lights or blind spot). Migraines frequently come with vomiting. Bright lights and noise usually make migraines worse. Lying down and sleeping often relieve the pain. They may occur in other family members. ...Read moreSee 1 more doctor answer
Migraine Strategy: Determine any environmental triggers and work toward eliminating them. Optimize your internal environment with good nutrition and stress reduction. Medications are effective. If you have more than 2 disabling headache days per month take a preventative medication daily (anti-convulsant, anti-hypertensive, anti-depressant) and use a triptan as needed. ...Read moreSee 1 more doctor answer
A head pain which is usually recurrent, and often in variable locations and severity, associated with few or all the following symptoms; fear of light, fear of sound, nausea, vomiting, bright or dark spots floating in front of eyes, tingling and numbness of one side of face or body. All ...Read more
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