Botox: A Surprising and Effective Migraine Treatment

Nobody can truly understand the debilitating effects of a migraine until theyexperience one for themselves. Where a bad headache can cause quitehigh levels of discomfort, painkillers are usually effective at easing this typeof pain away to nothing. A migraine on the other hand can cause severe andimmobilising pain, nausea, muscle spasms and can also affect […]

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What are cluster headaches?

Cluster headachesare characterized by periods of severe, shooting pain. Often appearing suddenly and without warning, they are followed by a period of time free of pain. They are a rare neurological disorder that strikes only 0.5% of the general population, more often affecting men than women. Cluster headaches have been linked to the patient’s biological […]

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Menopause & Migraine

About thirty percent of women experience an upsurge in their migraines with the arrival and first few years of menopause, but ultimately the post-menopausal woman is likely to have fewer and less serious migraines than in her earlier life. With respect to headaches, the menopausal period is of course complicated by the possible use of […]

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Period Headaches & Treatment

Treatment options for menstrual migraines begin with over-the counter (OTC) medications, and in particular non-steroidal anti-inflammatory drugs (NSAIDs). These will bring relief to some percentage of women, especially for associated non-headache symptoms. As with migraines not associated with the menstrual cycle, including those in men, OTC medications do not always bring relief for the migraine […]

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Headaches in Women

On an overall life-time basis, women are more apt than men to suffer from headaches. However this varies with type of headache as well as with age. More women than men suffer from migraine and tension-type headaches (TTH), while men predominate in cluster headache pain, the least common type. It is not clear why more […]

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MOH (Medication Overuse Headaches) Relapse

Studies indicate that up to 45% of patients can relapse to MOH, even after initial improvement and back-transformation from chronic to episodic pain is achieved. Predictors of relapse include the type of primary headache and the type of drug overused. Patients suffering from more than one type of headache relapse more often and tension-type headaches […]

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Prevention of headache and MOH (Medication Overuse Headaches)

Of course, in the vast majority of cases, withdrawal of a problematic medication should be accompanied by the beginning of preventative medications, taken on a daily basis. In fact, this course of treatment should be considered in all cases of frequent headaches and migraines. Possible preventative drugs include: antidepressants, such as amitriptyline/Elavil; anticonvulsants (‘neuronal stabilizing […]

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Medication Overuse Headache (MOH): The Rebound Headache

Gentle yet thorough questioning of a patient’s headache and medication taking habits will usually suggest whether MOH should be suspected or not, especially if the frequency of the headaches continues to increase “in spite of” medication use. Basically, the drug or drugs involved need to be stopped, but the approach to this will vary. Abrupt […]

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Medication Overuse Headaches (MOH)

A large percentage, perhaps a majority, of daily headaches may be due to medication overuse – so-called “rebound headaches.” This phenomenon was first described in 1982 by Dr. Lee Kudrow, father of popular actress Lisa Kudrow, who has suffered from cluster headaches herself. We note that medication overuse headaches and chronic headaches often have a […]

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Migraine Prophylaxis

This begins with the identification and avoidance of triggers, as discussed above, but by no means ends there. Growing clinical evidence and experience suggests that migraine headaches can often be prevented by prophylactic medications. These are sometimes in the anti-convulsant class of medications, such as channel-blockers often used for epilepsy treatments. They can also be […]

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