Headache and Caffeine

Whether in coffee, caffeine pills, or combination analgesics, it’s important to limit your total caffeine intake. The maximum amount of daily caffeine varies from person to person, depending on sleep patterns, the presence of anxiety, and sensitivity to possible...

The Concept of Acceptance

Acceptance of the pain as an illness is a very important concept. There are actually scales that measure a person’s degree of acceptance. The road to acceptance of a chronic illness can be littered with many wrong turns along the way, searches for instant cures....

How Patients View Their Headaches

Patients with chronic daily headache may view their situation in black and white terms; on a return visit to the doctor, they will state, “Well, I still have a daily headache.” They need to accept that going from moderate or severe headaches (7 on a scale...

How Forgetting Is Good For Your Brain

We all have that moment… trying to remember the name of the person we are talking to.  It may be on the tip of our tongue, but we just can’t recall it.  Studies show that forgetting not only enables the brain to conserve energy, it also strengthens our...

New Drugs For Migraine

We need newer preventives; …none are all that close, unfortunately. Cambia is a powdered (mix in water) form of diclofenac (an nsaid, like ibuprofen), gets into the system pretty fast. Sumavel is a nice, needle free injection of sumatriptan (Imitrex), very fast...

Refractory Headaches

Refractory headache basically is “what to do for difficult, frequent headaches when things have not easily worked”. I started the Refractory Headache Section of the American Headache Society 11 years ago; we have spent a decade defining refractory...

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