If your condition is unusual, complex or suddenly becomes severe, tests to rule out other causes for your pain might include: If you have migraines or a family history of migraines, a specialist trained in treating headaches, known as a neurologist, will likely diagnose migraines based on your medical history, symptoms, and a physical and neurological examination. Thanks for your time and we wish you well. Never hesitate to ask your medical team any questions or concerns that you have. And together, the patient and the medical team can manage the disease of migraine. Learn about migraine, join patient advocacy organizations, share your journey with others, and become empowered through advocacy and efforts to shatter the stigma of migraine. This is why I prescribe advocacy to all of my patients. And to best manage this disease, patients need to understand the disease. You might have migraine and we can treat migraine. Please talk to your healthcare professional about your symptoms. If you have headaches where you have to rest in a dark room, where you might get sick to your stomach. Many people living with migraine have not even talked to a doctor about their symptoms. The best way to partner with your medical team is to, number one, get a medical team. How can I be the best partner to my medical team? And it is important for you to speak with your doctor about which option is best for you. However, there are many different preventive treatment options. These onabotulinum toxin A injections are administered by your doctor once every 12 weeks to reduce the frequency and severity of migraine attacks. Yes, that is an option for the preventive treatment of chronic migraine. Should I consider neurotoxin injections for migraine? For them, there are non-medication options for treating pain, such as biofeedback, relaxation techniques, cognitive behavioral therapy, as well as a number of devices that are non-medication options for treating migraine pain. However, for some individuals, despite preventive treatment, they may still have migraine symptoms more frequently throughout the week. With preventive treatment, we can reduce the frequency as well as the severity of attacks so that you're not having attacks more than two times per week. This is why preventive treatment is so crucial. What should I do on the days I can’t take my rescue medication? They might be once a month injections or other injectable medications delivered once every three months. Those preventive treatments might be daily medications. Those individuals need a preventive treatment regimen to reduce the frequency and severity of attacks. If they used rescue treatments for every attack, it could potentially lead to other complications. But there are other people who are having frequent migraine attacks, maybe two or three times a week. There are some people who only need a rescue or an acute treatment for migraine because they have infrequent migraine attacks. There is a wide range of disease severity in migraine. Do I need daily treatment if I don’t have daily attacks? Disabling symptoms are not just the pain, but also the sensitivity to light and sound, as well as the nausea and vomiting. In fact, it is the second leading cause of disability worldwide. Migraine is highly disabling for some individuals. Because it's abnormal function in the setting of normal structure. And that is why migraine doesn't show up on an MRI. An MRI of the brain solely tells you about the structure of the brain but tells you very little about the function of the brain. Migraine is a disease of abnormal function within the setting of normal brain structure. And I'm here to answer some of the important questions that you might have about migraine. Amaal Starling, a neurologist at Mayo Clinic.
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