Neurologist Questions Migraine

I've been suffering from migraines for the past 3 years. What should I do?

For the past 3 years, I've been suffering from frequent migraines. I have tried so many different treatments, but the migraine still manages to come back. No matter what I do. What should I do?

6 Answers

See a neurologist. Migraines are easy to treat. You may need to change your lifestyle, take vitamins, and take correct medications for headache.
Hello,

First, you need to make sure it is a migraine headache. After that, you can see a migraine specialist because there are different types of migraine headaches and a treatment plan needs to be implemented.
Good luck.

Thanks,

Mohammad Reza Bolouri, MD
1. Ensure the diagnosis is correct.
2. Ensure no rebound headache from caffeine or triptan overuse.
3. Remove environmental, temporal, food, hormonal, medication and exacerbating causes from any other medical conditions if possible.
4. Find an abortive that works. Dont wait to use it. This is either a triptan (by oral or nasal or injection route depending on need) or an analgesic (acetaminophen or non-steroidal (in tablet or solution or nasal or injection route depending on need), or rarely an opiate used alone or in combination. Some trial and error is needed. Repeat the triptan if the headache is still there at 2 hours, even if mild.
5. If headaches are frequent a prophylactic either alone or in combination is necessary from options among antihypertensive or anticonvulsant or antidepressant or CGRP/receptor blocker or botulinum toxin classes.
There are many reasons for persistent migraines. Most important is lifestyle. Patients with migraine tend to be overly conscientious and hard driving. They overdo on assignments, then, when they can let down afterwards, the migraines come on. Avoiding excessive driving prevents this. Another is the trigger category. You have to see what triggers you have: foods, drinks, movements, stresses, etc. Then avoid them. Don't try to suffer through. Another is unconscious sabotage of their medicines. Meds felt to be not needed until too late, wrong meds taken, don't take meds as ordered when taken! Accomplish these 3 things & you will be amazed. Take meds exactly as prescribed. Avoid narcotics - they usually don't work or can cover up the pain without addressing the underlying inflammation. Get a good neurologist to pick the meds you need.

Good luck!
Migraines require trying lots of treatments more often than not- Look into agents like Trokendi, and if serious enough, Botox is a very solid option.
Migraines are caused by a variety of issues. Most common are related to chemical sensitivity such as acidic food or Allergies/sensitivities of food groups. Other factors include hormonal imbalance. I would caution that people thinking a headache is a migraine may want to get clarification that they are in fact having migraines since treatments for each are typically much different.