• Chronic Migraine,  Migraine,  Science/Research

    Four Ideas For When A Headache Specialist Isn’t An Option

    If you have had chronic migraine for any length of time, you have heard some version of this…’you need to see a headache specialist.’ It’s a true statement. However, when the number of headache specialists in the United States is up to a whopping 569 to treat approximately four million chronic migraine patients…scheduling to see one of these specialists can feel like scoring slightly better odds than spotting a unicorn. The reason why we as a community are always talking about headache specialists is because migraine is a significant problem. Let’s break down some facts about migraine so we can all be on the same page. According to the World…

  • 20 Questions to Ask Your Headache Specialist #migraine #headache
    Medication,  Migraine,  The Treatment Pie

    20 Questions to Ask Your Specialist

    When we finally get an appointment to see a headache specialist or a neurologist, it is important to be as prepared as possible. We may have had to wait months for this appointment. Using that time to gather the necessary information to make the appointment as productive as possible is essential. Make sure that you know your migraine and your history well enough to communicate the information to the doctor. *Use a headache diary – I like Migraine Buddy because it is simple and I can keep track of my attacks on my phone. It will also allow you to print reports that can give you a snapshot of what…

  • Medication,  Migraine,  Rebound

    Rebound FAQ’s

    What prescribed meds contribute to rebound? Simple analgesics – Prescribed NSAIDs (i.e. indomethacin, naproxen) Combination pain relievers (i.e. Fioricet) Triptans (i.e. sumatriptan, rizatriptan) and ergotamine medications (i.e. DHE) Opioids (i.e. tramadol, hydrocodone, codeine, oxycodone) What over-the-counter meds cause rebound? Simple analgesics – NSAIDs (i.e ibuprofen, naproxen) acetaminophen, aspirin Combination pain relievers (i.e. Excedrin Migraine, Excedrin, Goody’s Headache Powder) Does Aleve cause rebound? How about Tylenol? Yes, for both medications.  They are simple analgesics. Why would my doctor prescribe meds that would put me in rebound? Doctors want to help their patients feel better. Many are not aware of the risk of rebound, especially if they are general practitioners. Some doctors…

  • 6 Steps To Escape Rebound Headaches #MedicationOveruse #Migraine
    Medication,  Migraine,  Rebound

    6 Steps To Escape Rebound Headaches

    If you are reading this, you suspect or know that you are in rebound and are considering what it might take to escape rebound headaches. I’m not going to sugar-coat it. The process is miserable. If you are in rebound, many attempted treatments may not work to get migraine under control. So, educate yourself about what to expect and how to optimize the process so you can get prepared and find your motivation. You are not alone in this. Many of us have been in a terrible rebound cycle at least once. The good news is that there is a good chance you will go back to your baseline, episodic frequency once you are ‘on the…