Migraine Tip of the Month: Providing a Clear History: How to Avoid Babbling
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Constructing a management strategy for effective treatment of migraine inevitably…
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Latest News
Book Review: The End of Migraines: 150 Ways to Stop Your Pain
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The recent advances in our understanding and management of migraine have collided with the exponential growth of…
Read MoreBook Review: So Much More Than a Headache
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For a headache subspecialist, reading about headache for pleasure is something of an oxymoron…
Read MoreDoctor on Call: Acute Migraine Treatment: When Side Effects Limit Effectiveness
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Samuel, a 23-year-old male in the midst of a marketing internship and living in Nashville, writes…
Read MoreLetter from the Editor
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With the exception of the tragedy of 9/11, there has been nothing in my lifetime to approximate how much, how rapidly and how pervasively the viral pandemic has changed our behavior and perspective…
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After the Revolution
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How has the bounty of new migraine therapies changed migraine treatment?
Read MoreConcussion and Post-traumatic Headache
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The clinical spectrum of headache following head trauma: from trivial to tragic
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Letter from the Editor
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While management of headache always has suffered from a “supply/demand” problem, the ongoing pandemic has served to highlight and aggravate that imbalance. Given the prevalence of headache in our society—and the prevalence of migraine in particular—there are simply too many citizens in need of headache management but too few providers available to meet that need. Again, COVID-19 has served to highlight this mismatch.
Read MoreDoctor on Call: First Migraine Prescription
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“I recently had a terrible experience trying my first prescription medication for migraine. Although I have had migraine since childhood, not until recently did I decide to go see a doctor for help and try something besides my usual recipe of Excedrin and lying down in a dark room.”
Read MoreOccipital Nerve Blocks: Miracle therapy or glorified placebo?
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Over the past two decades, this author has performed occipital nerve blocks (ONBs) over 10,000 times for the treatment of headache. The patients receiving those blocks have been a varied lot, but most have had “cervicogenic headache“, a term surprisingly unpopular with a number of headache specialists but nevertheless adequate for its descriptive value if not its specificity.
Read MoreVestibular Migraine: Where Headache and Dizziness Intersect
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Learn how migraine and “dizziness” may be clinically and biologically linked.
Read MoreMigraine Treatment of the Month, Nurtec ODT: Standing Out from the Crowd
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Since May 2018, within a period of just under two years, seven new medications for migraine treatment have received FDA approval and are available for routine clinical use. Our “Migraine Treatment of the Month” features the newest of the seven: rimegepant (Nurtec ODT; Biohaven Pharmaceuticals).
Read MoreMigraine Tip of the Month
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As has been stressed in previous issues, an effective treatment strategy cannot be developed in the absence of an accurate diagnosis and, in the case of migraine, an accurate assessment of the patient's migraine burden. In evaluating headache and assessing migraine burden, the healthcare provider depends almost entirely upon the history provided by the patient.
Read MoreOf What Good is Migraine?
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Why has the process of natural selection not excised this particular portion of the human genome? Of what earthly good can migraine be to the individuals afflicted or to the community at large? As many as 12% of the general population is actively afflicted with the disorder. Why?
Read MoreThe Patient's Perspective
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A 31-year-old female student describes her experience with migraine and Nurtec.
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