Chronic Migraines

Chronic migraines are a neurological condition characterized by recurrent, severe headaches that occur for at least 15 days per month, with headaches lasting for at least 4 hours per day, for a duration of 3 months or more. Here are the symptoms and treatment options for chronic migraines:

Symptoms of Chronic Migraines:

1. Moderate to severe headache pain, often throbbing or pulsating in nature.
2. Headache typically affects one side of the head and may shift sides during different episodes.
3. Sensitivity to light (photophobia), sound (phonophobia), or smells.
4. Nausea or vomiting.
5. Visual disturbances, such as seeing flashing lights or zigzag lines (aura), though auras are not present in all migraine episodes.
6. Fatigue and exhaustion, even after the headache subsides.
7. Difficulty concentrating or cognitive impairment (known as “migraine brain fog”).
8. Neck pain or stiffness.

Treatment of Chronic Migraines: The treatment approach for chronic migraines usually involves a combination of strategies to manage and prevent migraine episodes. It’s essential for patients experiencing chronic migraines to work closely with our pain specialists to develop an individualized treatment plan. Here are some treatment options Eisenhower Clinic provides:

1. Acute Treatment: These medications are taken during a migraine attack to relieve pain and associated symptoms:
   • Over-the-counter pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen sodium.
   • Triptans, a class of prescription medications specifically designed to target migraines.
   • Anti-nausea medications to alleviate associated symptoms.
2. Preventive Treatment: These medications are taken regularly to reduce the frequency and severity of migraine episodes:
   • Beta-blockers, such as propranolol or metoprolol.
   • Antidepressants, like amitriptyline or venlafaxine.
   • Anti-seizure medications, such as topiramate or valproate.
   • Botulinum toxin (Botox) injections, which can be effective in preventing chronic migraines.
3. Lifestyle Modifications: Making certain lifestyle changes may help reduce the frequency and severity of migraines:
   • Identifying and avoiding triggers, such as certain foods (e.g., aged cheese, processed meats), specific smells, stress, or hormonal changes.
   • Establishing regular sleep patterns and ensuring sufficient rest.
   • Engaging in regular exercise and stress-reduction techniques like meditation or deep breathing exercises.
   • Maintaining a consistent eating schedule and staying hydrated.
4. Complementary Therapies: Some individuals find relief through alternative treatments that complement medical interventions:

• • Acupuncture, which involves the insertion of thin needles into specific points on the body.
  • Biofeedback, a technique that helps individuals gain control over bodily functions and manage stress.
  • Cognitive-behavioral therapy (CBT), a form of talk therapy that helps individuals cope with migraine-related stress and improve overall well-being.

It’s important to note that the effectiveness of treatments can vary among individuals, and it may take time to find the most suitable approach. Regular communication with our painspecialist and keeping a headache diary to track symptoms and triggers can aid in refining the treatment plan and achieving better migraine management.