Treating Difficult Headache

Treating Difficult Headache

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...
Migraine Headache Surgery

Migraine Headache Surgery

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...
Heather’s Migraine Case Continues

Heather’s Migraine Case Continues

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...
Migraine Case History Continuation

Migraine Case History Continuation

  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....
Case History of Chronic Migraine Part Two

Case History of Chronic Migraine Part Two

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...

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