Center for Neurology and Sleep Medicine
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Migraine

Unlike other headaches, the characteristic feature of migraine is that it interferes with daily activity and lowers your energy levels. Migraine often causes a pulsating headache on one side of the head, but occasionally it causes more diffuse or generalized pain in the front or back of the head. Migraine is commonly associated with dizziness, light and sound sensitivity, nausea and sometimes vomiting. Migraine attacks often last for hours and the pain gradually increases in severity over time if not treated. When migraine attacks occur infrequently (e.g. every 2 weeks), strong pain killers taken at the beginning of attacks is usually the treatment of choice. When the attacks become more frequent (e.g. more than 8 migraine days per month), it is time to start preventive treatment that will stop the attacks from coming and make them less painful.

Do you have migraine?

Migraine is an extraordinarily common illness that affects millions of men, women and children (nearly one in four households include someone with migraine). Although a common illness, nearly half of all migraine sufferers are never diagnosed and the majority of migraine sufferers do not seek medical care for their illness. Do you suffer from severe headaches? If so, have you considered seeking medical attention to determine if your pain is categorized as migraine? To help you determine if you suffer from headache or migraine, read and watch the features below and also please use the quiz at the bottom of the page.

Is my migraine a brain or blood vessel problem?

Video describing how migraines originate and how they are related to your brain’s blood vessels.

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  • Migraine Tests

    mri Usually there is no need for tests to diagnose migraine, as it is often clear from the clinical history alone. In some occasions, the doctor may suspect an underlying cause and may order an MRI scan (magnetic resonance imaging) and/or an EEG (electroencephalogram). Some lab tests may also be ordered in particular situations.

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Treatment Methods

  • Trigger Avoidance

    Migraine_Triggers_Infogram While medication can reduce the frequency of headaches, avoiding common triggers can help you live  a migraine-free life. Some of the migraine triggers are common, but others may be rare or not immediately obvious. The doctors at migraine care clinic can help you in identifying and managing your migraine triggers.

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  • Drug Treatments for Migraine

    getty_rm_photo_of_pillsIn_spoonThere is a wide variety of drug treatments for migraine, ranging from pain killers to drugs that attempt to prevent the attacks. Our doctors will be able to advise you on the best medications that suit your case.

    Many migraine patients have already tried a lot of these treatments and have become resistant to them or suffer significant side effects (e.g. stomach pains and weight gain). In this case, non-drug treatments may be the best choice.

  • Botox for Chronic Migraine

    botox or hyaluronic acid injection

    Botulinum toxin or Botox (the same one used in cosmetics) is a very successful treatment for chronic migraine. It is applied around the head and results in significant reduction in migraine attacks and severity for many months after a single treatment session.

    At Neuro Med migraine care clinic we specialize in non-drug therapies for chronic migraine that are safe, effective and free from side effects of medications. Botox is the most effective of these therapies.

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  • Brain and Nerve Stimulation

    dcsBecause migraine is caused by abnormal electric signals in certain areas of the brain, it is possible to bring about significant relief from attacks and also prevent further attacks by modulating (modifying) the activity of nerve cells in the brain.

    By applying very low voltage currents to the head for 20 minutes, non-invasive brain stimulation makes changes to the pain centers in the brain, thus stopping your migraines from starting.  It is safe and painless and often a single course of therapy will provide relief for weeks and months to come.

    Nerve Stimulation using a device worn on the head also brings about relief from migraines by gently stimulating the nerve terminals on the head. It is a soothing and safe alternative to pain killers.

Other Headaches

  • Tension Headache

    headache-pregnancyTension headaches are one of the most common forms of headaches. They may occur at any age, but are most common in adults and adolescents.

    If a headache occurs two or more times a week for several months or longer, the condition is considered chronic. Chronic daily headaches can result from the under- or over-treatment of a primary headache.

    Rebound headaches are headaches that keep coming back. They may occur if you overuse painkillers.

    Tension headaches occur when neck and scalp muscles become tense, or contract. The muscle contractions can be a response to stress, depression, a head injury, and anxiety.

  • Cluster Headache

    A cluster headache begins as a severe, sudden headache. The headache most commonly strikes 2 to 3 hours after you fall asleep. However, the headache may occur while you are awake. The headache tends to occur at the same time of day.

    The pain occurs on one side of the head. It may be described as:

    • Burning
    • Sharp
    • Steady

    The pain may occur in, behind, and around one eye. It may:

    • Involve one side of the face from neck to temples
    • Quickly get worse, peaking within 5 to 10 minutes