Cost of Botox

The cost of Botox, unfortunately, just went up.. from about $390 per 100unit vial to approx $417 a vial. The cost of Botox does limit it’s use;  the average patient now recieves 50 to 100 units per treatment.  In the earlier days, we used lower doses.  I do...

Sansert No Longer Available

Novartis Pharmaceuticals announced Dec. 2002 that Sansert (methysergide) is no longer going to be available in the United States.  This will create problems for those who have found that the only preventative med that is effective is Sansert.  With most discontinued...

Acupuncture and Headache

There have now been a number of ‘placebo-controlled’ trials of acupuncture for headache patients.  The placebo is done utilizing ‘sham’ acupuncture.  Unfortunately, the majority of the trials have failed to demonstrate efficacy for acupuncture...

Clenching and Grinding

The question always comes up.. how much does clenching/grinding add to people’s headaches… and the answer is quite complicated.  Some feel it often IS the problem, while others feel it is vastly overstated as a contributing factor for headaches.  I believe...

Long-acting Opioids

I will be discussing this important subject quite a bit in the next few months.  In addition, we will have a lot on the very important subject ‘What to do when Nothing works’.  Long-acting opioids (Kadian, methadone, oxycontin, MS Contin, Duragesic patch)...

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