We offer evaluation and management of the following headache disorders:
We offer extensive therapeutic treatment options including:
- Lifestyle management
- Botulinum toxin injections
- Occipital Injections
- Trigger point injections
There are many ways to manage Chronic Migraine. Acute Medications are taken when a migraine or headache is starting or has started. It helps to stop or reduce pain but doesn’t necessarily prevent headache or migraine. Preventive Medications are taken to help prevent headaches and migraines from occurring. Botox is a preventive treatment and FDA approved for Chronic Migraine (15 or more headache days per month, each lasting 4 hours or more). If you have Chronic Migraine, a preventive medication like Botox may be an option for you.
What is Migraine?
Migraine is a chronic and
episodic disorder, characterized
by headache attacks.1
Recurrent headaches lasting 4-72 hours
One-sided, pulsating, moderate-to-severe pain
Decreased ability to function in everyday situations
Often 2 of these 3 key associated symptoms are also
present during an attack: 1
Nausea and/or vomiting
Sensitivity to light (called photophobia)
Sensitivity to sound (called phonophobia)
Other symptoms may include sweating or cold hands,
diarrhea, pale skin color, and scalp tenderness or pain
from touch or pressure (such as a necklace touching
skin, hair brushing, or shaving). is kind of pain is
Migraine Is Very Common –
Your Are Not Alone
Migraine a-ects nearly 30 million people in the US. 2
12% of people 12 years and older
More common in women (17% vs 6% in men)
Nearly 25% of migraine su-erers frequently
lose time at work, home, or in social settings due
More than 50% of su-erers have difficulty
functioning or require bed rest during a
What Can You Do to Help Yourself?
Track your symptoms with a headache diary
Keep a headache diary — and share the results with
your healthcare professional. A free downloadable
diary is available on the NHF Web site at
Record frequency, severity, and duration of attacks
Keep track of treatment(s), outcomes, and
Identify and avoid possible triggers
Diet and eating schedule
Exposure to lights, sounds, or smells
Menstrual cycle — for women
Discuss your symptoms with your healthcare
Diagnosing migraine depends on clear communication
with your healthcare professional. -ere is no test to
show that you have migraine — diagnosis is made
by discussing the history of your symptoms. Often,
tests that are conducted are done to rule out other
Schedule a visit with your healthcare professional,
and be prepared for your visit. Keep a headache diary,
and consider completing a MIDAS questionnaire, a
short list of questions designed to help measure the
impact of migraine on your life (available online at
www.headaches.org/pdf/MIDAS.pdf) before your
visit. Be ready to:
Describe the severity and type of pain, its specific
location, and duration of attack
Describe how you feel before, during, and after
Discuss other symptoms, including nausea and
vomiting and sensitivity to light and/or sound
Treat early for best outcome.
Treat at the first sign of an attack — don’t wait!
Keep medications with you when you go out or travel.
Consider preventive therapy if you have frequent
or severe attacks.
What are the available options for
RE FOR Figure excerpted Wanted medication Had because Had ADMINISTR Sumatriptan injection, Nasal Injectable Transdermal (investigational)
Oral Orally tablet
How Do You Take Your Medicine?
How you take your medication — orally, by injection,
or by nasal spray — may be important, especially if
you experience nausea or vomiting with an attack.
People with migraine often delay treatment for migraine
— from minutes to hours. Nearly 40% of the
time, treatment was delayed for more than a full hour.8
Nausea is the second leading cause for patients to delay
taking medication greater than 1 hour.
TRE ATMENT OPT IONS IN MIGR AINE
Identify and avoid triggers; maintain
healthy sleep, diet, and exercise habits;
Relaxation training, hypnotherapy,
management, acupuncture, nutritional
supplements, physical therapy, massage
Triptans, ergotamine derivatives,
over-the-counter and prescription*
Antiepileptic drugs; beta blockers,
calcium channel blockers, tricyclic
Acute therapies are taken to stop an attack once it has begun. Preventive therapies are taken daily,
whether or not a headache is present, to reduce the frequency or severity of attacks.
*Prescription pain relievers are not commonly used.
For lists of potential triggers and more information
about managing your migraine, you can visit
www.headaches.org. Speak to your healthcare
professional about all your treatment options.