Delaware Back Pain & Sports Rehabilitation Centers

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Migraine Headache

  • Introduction
  • Anatomy
  • Causes
  • Symptoms
  • Diagnosis
  • Treatment
  • Prevention
  • Am I at Risk
  • Complications
  • Advancements

Introduction

Migraine headache pain can be severe and accompanied by nausea, vomiting, and sensitivity to odors, light and sound.  If untreated, migraine symptoms can be so severe that people need to lie down for a few hours or days.  Although there is no cure for migraines, there are a variety of effective treatments including medications to relieve symptoms, medications to prevent episodes, and lifestyle changes that can help.
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Anatomy

Researchers suspect that migraines may be caused by a nerve impulses (trigeminal nerve) that sends signals about pain and also causes the blood vessels (arteries) that send blood to the head to open wider (dilate) and cause pain. 
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Causes

Migraines are a type of primary headache, meaning that they are not caused by an underlying medical condition.  The precise cause of migraine headache is unknown; however, researchers suspect that it involves changes in the way the trigeminal nerve functions and certain brain chemical fluctuations.
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Symptoms

Migraines cause moderate to severe pain.  The pain may occur on one side or both sides of your head.  Your pain may get worse with exercise or activity.  The pain may pulse or throb.  You may have nausea or vomiting.  You may be sensitive to odors, light or sound.  Some people experience an aura before a migraine begins.  An aura may include seeing flashes or zigzags of light, feeling pins and needles in an arm or leg, or weakness or speech problems.  Some people experience other symptoms (prodome) such as feeling tired, irritable, depressed, thirsty, or energetic or cravings for sweet food. Migraines can last from hours to days and may recur. 
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Diagnosis

Your doctor can diagnose migraine headache by reviewing your medical history and symptoms.  Your examination may include imaging tests, such as CT scans or MRI scans, to rule out more serious conditions.  You may be asked to keep a record of your headaches for your doctor to review.
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Treatment

There are a variety of medications to help relieve the symptoms of migraines.  Migraines are treated with over-the-counter or prescription pain-relieving medications.  Your doctor may prescribe preventative medications as well. 
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Prevention

Your doctor may prescribe medication to help prevent migraines from occurring.  You may help prevent migraine headaches by:

• Avoiding the triggers that cause your migraines, such as alcohol or specific foods
• Perform regular aerobic exercise
• Ask your doctor about possible alternatives if you take estrogen medication
• Establish regular sleep patterns
• Practice relaxation techniques

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Am I at Risk

Triggers and Risk Factors for Migraines:

• Hormonal changes associated with menstruation, pregnancy, menopause, or hormonal medication
• Not eating or skipping meals
• Certain foods including alcohol, aged cheese, chocolate, fermented food, pickled food, marinated food, or MSG
• Stress
• Bright lights or glare
• Certain odors or scents
• Changes in sleep pattern
• Intense physical activity such as exercise or sexual activity
• Certain medications
• Weather, seasons, pressure, or altitude changes

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Complications

Untreated migraines can be disabling and interfere with work or social activities.
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Advancements

BOTOX® injections, acupuncture, biofeedback and behavior therapy can be used to help prevent migraines from occurring.  Recent research indicates that taking headache medications early, at the onset of the headache, can shorten the headache duration.
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This information is intended for educational and informational purposes only. It should not be used in place of an individual consultation or examination or replace the advice of your health care professional and should not be relied upon to determine diagnosis or course of treatment.

The iHealthSpot patient education library was written collaboratively by the iHealthSpot editorial team which includes Senior Medical Authors Dr. Mary Car-Blanchard, OTD/OTR/L and Valerie K. Clark, and the following editorial advisors: Steve Meadows, MD, Ernie F. Soto, DDS, Ronald J. Glatzer, MD, Jonathan Rosenberg, MD, Christopher M. Nolte, MD, David Applebaum, MD, Jonathan M. Tarrash, MD, and Paula Soto, RN/BSN. This content complies with the HONcode standard for trustworthy health information. The library commenced development on September 1, 2005 with the latest update/addition on February 16, 2022. For information on iHealthSpot’s other services including medical website design, visit www.iHealthSpot.com.

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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.