Migraines Headaches, Learn about its Symptoms and Cure
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Preventive Medication and the American Migraine Communications Study
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The American Migraine Communications Study (AMCS) recently highlighted the need for improved communication between patients and healthcare professionals. Typically, physicians and patients discuss the frequency of their attacks and ignore other important factors such as the degree and duration of impairment with each migraine. Physicians should not ask closed-ended questions limited to migraine frequency. Several open-ended...
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The Various Forms of Acute Migraine Therapy
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There are several different routes of administration for acute migraine therapy. Especially in patients with migraine upon awakening, severe nausea or vomiting with migraine, or sudden severe pain with migraine, the speed and effectiveness with which a migraine medication works is critical. I am going to focus on the“triptan” medications since these...
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Migraine Prevention
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There are many reasons to use medications or other strategies to try to reduce the frequency of migraine headaches. When an individual can identify a trigger for his or her migraines, such as certain foods or liquids, menstruation, or other exposures, these circumstances can possibly be avoided to reduce migraine events. If abortive medications are not tolerated, cause side effects, or are ineffective, migraine prevention medications should be...
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Ask the Expert: Post Traumatic Migraine
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Dear Dr. Haplea,I was working at a State Prison and was attacked by an inmate. He hit me on the back of my head and I have had migraines ever since. I have seen many doctors but nobody can help me; they put me on morphine for 3 years but it did not help, and now I am on Relafen 500mg but it does nothing. I go to bed with headaches and wake up with headaches. What other alternatives are out there? Should I be taking a different course of...
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Ask the Expert: Migraine with Aura
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Dear Dr. Haplea,I've been suffering from "occular" migraines, or migraines with aura for about two years. I get no headache at all; the aura comes on with no warning, lasts about twenty minutes, and is followed by two to three days of absolute exhaustion. During the exhaustion phase, I am non-functioning. I need to sleep about 16-18 hours a day. For the last year, the episodes have occurred once or twice a month, usually during the first two...
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Ask the Expert: Indocin and Lyrica Side Effects
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Dear Dr. Haplea,I have been prescribed Indocin and Lyrica to help me with rebound. I have a migraine about 25 days out of the month, which Zomig zmt will take care of, but I need to stop the overuse. What I have read about Indocin is that it can cause sudden heart attack or stroke without warning, which could result in death. And what I'm reading on Lyrica is that it causes major weight gain suddenly (I don't need any help with that as I fight...
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Preparing for a Doctor's Visit: Know Your Migraines
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When it comes to your migraines, there are many pieces of information that you should share with your doctor. To help categorize your headaches as migrainous or non-migrainous, you should be prepared to outline a typical headache from start to finish. You may have symptoms prior to the onset of your headache that let you know that a headache is coming, such as mood changes, upset stomach, visual disturbance, sensory loss, or other symptoms. ...
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Occipital Nerve Block for Migraine Headaches
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Earlier this year it was reported at the annual meeting of neurologists (The American Academy of Neurology) that treating migraine headaches with occipital nerve block was effective. Occipital nerve block is a procedure where anesthetic agents (lidocaine and bupivacaine) are injected near the occipital nerve on the back of the head near the base of the skull on the side of the migraine headache. Within five minutes after the nerve block, 60%...
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Does Migraine Surgery Work?
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Over the years there have been reports of people who have migraine headaches and also have a small hole across their heart called a patent foramen ovale (PFO), and that surgical closure of the PFO (for reasons other than treating migraine headache) resulted in fewer migraine headaches. Is this really true or just anecdotal? A recent study specifically looking at whether closure of a PFO could alleviate migraine headaches has caused quite a...
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Vertigo and Migraine
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Vertigo (dizziness) is a frequent symptom that accompanies migraine headache. Vertigo can occur during the aura phase, headache phase, or vertigo and headache can occur as separate isolated episodes. Rarely vertigo can be the only manifestation of a migraine attack (migraine-equivalent or aura without migraine headache). If an individual has chronic recurrent attacks of unexplained vertigo, the diagnosis of migraine should be considered. The...
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