by Dr Robbins | Dec 17, 2002 | Uncategorized
The main abortives for clusters remain: triptans (Imitrex, Maxalt, etc.), oxygen analgesics lidocaine nasal spray ergots. Triptans do work the best, particularly Imitrex injections (many cluster sufferers get by with 2 or 3mg, which is half of a vial). Oxygen,...
by Dr Robbins | Dec 14, 2002 | Uncategorized
Caffeine is a ‘double-edged’ sword. Too much (or in some very sensitive individuals, any) will cause headaches, while some will help headaches. Caffeine is used as an ‘adjunct’ to certain analgesics (65mg of caffeine in Excedrin, 32mg in...
by Dr Robbins | Dec 14, 2002 | Uncategorized
As with fibromyalgia, irritable bowel syndrome (IBS) is seen in higher percentages of headache patients than in others. IBS may present with a myriad of symptoms, from constipation/diarrhea to acid reflux to gastritis. The key from a physician’s standpoint is...
by Dr Robbins | Dec 13, 2002 | Uncategorized
The question always arises as to who truly needs an MRI. With routine headaches, and no neurological symptoms or signs, the usual dictum is that scans are not absolutely necessary. However, I would never fault any physician who does a scan on all headache patients. ...
by Dr Robbins | Dec 12, 2002 | Uncategorized
I try and encourage people to exercise 15 or 20 minutes (at least) daily, on average. Walking, treadmill, bike, etc., even in 10 min. chunks of time, are the usual. While some people get ‘exercise-induced’ headaches, the majority may benefit from exercise....
