Chronic Migraine

What do we mean by “chronic migraine”?? Episodic migraine is migraine that occurs less than 15 days a month; less than 15 days a month of any sort of headache. Episodic migraine may be 1, 2, 6,9 headaches a month, but certainly not daily or most days. Most...

Refractory Headaches

Refractory means “difficult to treat”…where the headaches have not responded to the usual minstrations..this is a common situation. Previously, I had published several studies(in our Archives) on long-term effects of daily headache preventives:...

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...

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