Category Archives: Headaches
Sumatriptan (Imetrix) 85 mg plus Sodium Naproxen (like Aleve or Anaprox) 500 mg gave 29% – 2 hour painfree response and 24% sustained 24 hour painfree response yet 62% were satisfied/very satisfied.
82% of cases diagnosed as sinus headahces will respond significantly to tryptans.; but take heart – I think it could be a double crunch
Two cases of cluster headahces with drropy eye. Droopy eye rapidly disappeared with occipital nerve block confirming association of cervical and trigeminal systems
Quick Fix For Headaches – Repeated Nerve Supraorbital, Infraorbital, and Occipital Nerve Blocks – and What To Do For The Very Bad
Series of 3 simple eyebrow, just below eye and bottom of skull posterior injections can give long-lasting relief of headaches. Now, just to get family doctors to pick up a syringe…
Good pic on how neck, scalp, occipital nerves, trigeminal nerves and face all impact on migraines and lady with nummular headache in posterior scalp ended up activating this convergence.
Three simple questions have a sensitivity of 53.8% and a specificity of 88.9% for cluster headache.
Have a case of lancinating severe jabs to right top of head. She had them before but they have recently returned. There was no trigger zone, no tenderness, and occipital, temporal and supraorbital nerve trunks were nontender. Write up on subject … Continue reading
Repeated OnabotulinumtoxinA shots can reduce chronic migraine headache frequency from 20 headaches/month to 10/month.
Easy Control For Bad Menstrual Cramps, Restless Legs in Fibromyalgia, and Occipital Migraines – Using Ivory Scent Oil
Ivory Scent oil patches were found to give quick relief for menstrual cramps and when applied to leg, for restless legs My Daughter and I are doing a survey of women with Fibromylagia. If you have Fibromyalgia, could you be … Continue reading
39% of chronic migraine cases will achieve over a 50% improvement with adjustable occipital stimulation – but not with static stim
Is Fibromyalgia a Mast Cell Disease – like some “somatization diseases” such as migraine, TMJ, irritable bowel, and interstitial cystitis
WOMEN WITH FIBROMYAGLIA! NEED HELP WITH SURVEY, PLEASE CLICK HERE —————- Sorry – trying to change fonts has duplicated some areas… It is become increasingly clear that so-called “somatization” “psychosomatic” diseases are associated with abnormal concentrations of mast cells – guardians … Continue reading
Study compared the two agents and found their effects comparable except topiramate offered better some quality of life
After having a spinal, persistent headaches can occur from leaking spinal fluid through the hole requiring an injection of partient’s blood to be injected to “dural patch” the hole. Now was case resolved by just injection local into back scalp … Continue reading
Repeated IV infusions of DHE (dihydroegotamine) is the standard treatment for breaking transformed migraines (into chronic daily headaches). Unfortunately, arranging patient to be seen every 8 hours is just not viable in our community. Now a continuous infusion protocol may … Continue reading
Afraid the “College” will get on your back for giving opioids to someone with chronic headaches? Can’t get your doctor to listen that you have no quality of life with your headaches? Well here are some guidelines (Not rules – … Continue reading
5.5 % of children with migraine were found to have elevated tTGA antibodies. They were considered Potential Celiac Disease [CD] despite normal duodenal biopsies. It is suggested “These patients might develop villous atrophy on repeated biopsies performed 1–4 years later … Continue reading
Cases with “sinus headaches” but negative workup were found to respond to tripans used for migraines 82% of time. 31% cases didn’t by into idea migraine and refused to be part of the study from the start – maybe, however, … Continue reading
A new wonder of technology has created a new suboccipital stimulator at 1/12th the size of previous! It has been found useful for chronic one sided headache called chronic hemicrania for which indomethacin has been the mainstay of treatment
Recent article found both regimens below equal efficacy: prochlorperazine 10 mg and diphenhydranate 25 mg intravenously metoclopramide 20 mg and diphenhydranate 25 mg intravenously “Three quarters of subjects in both arms would want the same medication for their next migraine.”
Chronic daily headahces has to be the bane of most doctors frustrated by fact use of painkillers will potentially only make things worse. Now it looks like Mexiletine may help but …the patient has to be prepared to accept side … Continue reading
Some years ago, I came across a graph, that explained some migraine treatments options. I found it handy to show patients but have upgraded it. The original graph was this: Therapeutic gain of migraine prophylaxis compared to placebo. Graph shows … Continue reading
Over three minute pressure to occipital arteries can greatly relieve migraine pain in over 1/2 of cases; almost sounds too good to be true.
Recent findings that mast cells may trigger migraines has significant implications on cause and treatment. Mast cells play a key role in Peripheral Sensitization – Neurogenic Inflammation where tissues become overly tender and swollen. They are, however, a cornerstone of … Continue reading
Dural leaks can be following an epidural injection gone subarachnoid, but can occur spontaneously primarily in the Thoracic Spine. The headaches are usually better at night when lying down and worse when one gets up. If the dural leak is … Continue reading