by Sue Robbins | Aug 30, 2015 | Migraine
It is important to minimize medication. While pharmacothreapy may be the cornerstone of treatment, we don’t want to rely solely on medication. Addressing triggers may help (particularly stress and sleep). It “takes a village” to help a severe pain...
by Sue Robbins | Jul 31, 2015 | Migraine
Dr. Robbins weighs in on the subject of migraine headache surgery, by reviewing the article “A Critical Evaluation of Migraine Trigger Site Deactivation Surgery,” by P. Mathew, published in Headache, 2013. The excellent article by Mathew, “A Critical...
by Sue Robbins | Jul 27, 2015 | Migraine
What other preventive medicines are possibilities Dr. Robbins? When we initially see a complicated headache patient, our list of possible medications take into account a number of factors, including all of the comorbidities: psychiatric, medical, and...
by Sue Robbins | Jul 26, 2015 | Migraine
Which abortive medication would you consider Dr. Robbins? Most daily headache patients take 2 or 3 abortive medications. They may have something for milder daily headaches, a migraine medication, and an “escape” analgesic for the severe migraine....
by Sue Robbins | Jul 22, 2015 | Migraine
The case history of Heather continues…. A referral to a good psychotherapist would be beneficial, as would biofeedback by a skilled therapist. Psychiatric referral would be a reasonable choice as well. For the neck pain, physical therapy may be helpful, at least...