Delaware Back Pain & Sports Rehabilitation Centers

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Latest Advances in Migraine Treatments: A Guide

November 1, 2024

Migraines affect millions of people across the world. These recurring, throbbing headaches do not discriminate by age. They often strike both adults and seniors alike. Understanding what triggers migraines, the different types, and the latest migraine treatment options can impact how individuals manage them.

Let’s learn more about migraines so you can take control of your life.

Understanding Migraine Statistics and Triggers

According to the Centers for Disease Control (CDC), approximately four percent of the American population suffers from migraines. These painful episodes happen most to people aged 18 to 44. However, they can persist into older age. More women than men typically suffer from the pain, visual disturbances, balance problems, and nausea characteristic of these primary headaches.

A long list of factors and conditions may trigger migraines, including:

  • Stress and excitement (even happy events).
  • Changes in the weather.
  • Hormonal fluctuations, such as those associated with menopause.
  • Hunger resulting from skipping meals.
  • Changes in day-to-day routines.
  • Certain foods, such as aged cheese and chocolate, along with beverages containing caffeine.
  • Bright and/or flashing lights.
  • Loud noise.

Identifying and avoiding these triggers is a long-standing and proven strategy for avoiding or minimizing migraines.

Types of Migraines

Migraines are highly individualized. They come in various forms and affect people in many different ways. That said, here are the most common types of migraines:

  • Migraine with aura, characterized by visual disturbances or other neurological symptoms which occur before the headache pain actually starts
  • Migraine without aura, the most common type, lacks the warning phase before the pain begins
  • Chronic migraine, which occurs more than 15 days a month
  • Vestibular migraine with dizziness and balance issues but often without a headache
  • Ocular migraine with visual disturbances, such as blind spots or flashes of light, in one eye.
  • Hemiplegic migraine, which can cause temporary paralysis on one side of the body (this often is mistaken for a stroke)
  • Status migrainosus, which is a severe and prolonged migraine lasting longer than 72 hours.

Some individuals may only experience one type of migraine. Others may have multiple types or may even experience different types at different times.

Latest Treatments for Migraines

Medical advancements have introduced several promising treatments for migraines. These treatments include medications which produce the best results when taken ahead of the start of migraine symptoms. Here are some examples.

CGRP Inhibitors and Other Newer Drugs

Calcitonin gene-related peptide inhibitors are a new class of injected drugs. They prevent migraines by blocking the protein responsible for inflammation during an attack.

Ubrelvy is an oral medication which works to treat migraines after they begin. Qulipta prevents their onset, and Nurtec can either treat or prevent migraines.

Botox Injections and Other Medications

Botox treatments, used for cosmetic rejuvenation of the face, can also reduce the frequency of chronic migraines. Botox is a highly purified form of the toxin which causes food poisoning (Clostridium botulinum).

Interestingly, the FDA has approved a nasal spray to counteract migraine symptoms. Also, some people benefit from traditional over-the-counter pain relievers. Anti-nausea drugs, such as Reglan, can help if the individual experiences an aura.

Additional Treatments for Migraines

Migraine patients have found hope and relief in a number of other treatments. Your specific care plan will be based on a physical exam, review of medical and family history and imaging as needed.

Additional treatment options are:

  • Acupuncture, the placement of very thin needles at specific points on the body
  • Biofeedback, a relaxation technique to control physiological functions, such as breathing and heart rate
  • Supplements, such as magnesium and CoQ10
  • Massage therapy
  • Chiropractic adjustments to align the spinal column and relieve pressure on spinal nerves

Can You Avoid Migraines or Reduce Their Frequency?

While some migraines are inevitable, many can be managed or even avoided by:

  • Identifying and avoiding migraine triggers
  • Staying in a darkened, quiet environment if you feel a migraine starting
  • Following a balanced diet rich in magnesium and riboflavin and avoiding processed foods, especially those with MSG, a common food additive
  • Staying physically active to reduce stress levels
  • Being well hydrated
  • Keeping a diary of symptoms

Keeping a journal to record your migraine symptoms, when they happen and what you believe may trigger them can help you and your healthcare provider fine-tune your care plan.

Can a Chiropractor Help with Migraine Treatment?

Chiropractic care has shown promise in reducing the frequency and severity of migraines. By improving spinal function and relieving stress on the nervous system, a chiropractor can help enhance your overall health and well-being.

Can a Physiatrist Help with Migraine Treatment?

Physiatrists, specialists in physical medicine, pain and rehabilitation, offer valuable insights into managing migraines. They work to improve function and quality of life by addressing the physical aspect of pain through non-surgical methods.

Migraine Treatment in Dover, DE

At Delaware Back Pain & Sports Rehabilitation Centers, our team of pain management specialists and chiropractors help people of all ages deal with pain, poor neuromuscular and spinal function, and more. If you believe you have migraines or tried treatments with other providers with no success, come see us.

We will listen to your symptoms, medical history, and treatment goals. We perform onsite testing to fully understand your problem and devise the best treatment plan.

Delaware Back Pain & Sports Rehabilitation Center has eight locations throughout Delaware. Call the location nearest you to arrange your personalized consultation or request your appointment here.

We look forward to serving you!

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Foulk Road
2006 Foulk Road, Suite B
Wilmington, DE 19810
Phone: (302) 529-8783
Fax: (302) 529-7470

Smyrna
29 N. East Street
Smyrna, DE 19977
Phone: (302) 389-2225
Fax: (302) 389-1003

Riverside
700 Lea Blvd., Suite 102
Wilmington, DE 19802
Phone: (302) 764-2615
Fax: (302) 762-4076

Dover
1006 College Road, Suite 201
Dover, DE 19904
Phone: (302) 730-8848
Fax: (302) 730-8846

Omega
87 Omega Drive, Building B
Newark, DE 19713
Phone: (302) 733-0980
Fax: (302) 733-7495

Milford Office (Air Park Plaza)
915 North DuPont Blvd, Suite 104
Milford, DE 19963
Phone: (302) 491-4487
Fax: (302) 491-4635

Glasgow
2600 Glasgow Avenue, Suite 210
Newark, DE 19702
Phone: (302) 832-8894
Fax: (302) 832-8897

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Staffed by certified physiatrists, chiropractors, psychologists, and therapeutic rehabilitation specialists, we provide pain relief for many types of bone, joint, nerve conditions. Our interventional pain management specialists (PM&R) treat closed head injuries, stroke, concussion, whiplash, dizziness, headaches, sciatica, disc problems, back & neck pain, joint stiffness, sleep apnea, muscle spasm, fibromyalgia, arthritis, neuritis, bursitis, and more.  We also treat job related injuries and injury from auto accident, sports or a fall at home.  As experts in Pain Medicine, our doctors provide surgical and non-surgical solutions including trigger point injections, epidural injections, nerve block, spinal cord stimulation, intrathecal spinal pump implant, PRP therapy, Graston® technique, Prolotherapy and more.  Serving Wilmington, Newark, Middletown, Smyrna, and Dover, Delaware.