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As a medical professional and a headache specialist, from me you will get information on new treatments or a "hot topic" in headaches.
You will also get patient scenerios, how they were managed and you can ask the expert your own questions by clicking the button on the nav bar.
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Mar 12, 2010, Neck Shoulder Back Pain
Hi, I have a headache almost everyday. Some days I feel dizzy and my head feels very heavy. At night I experience horrible ear pain,both ears are affected.What
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Mar 11, 2010, Depression Warning Signs: What Are The Signs Of Clinical Depression
If you know the depression warning signs you might be able to head off symptoms of severe depression. Maintained by a medical professional.
Mar 10, 2010, Headache Back Of Head
Hi, I have been having a headache at the back of my head. It usually starts in the mornings but can happen also at work. I work in a nursing home and
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Mar 9, 2010, What Causes Headaches
For the past couple of weeks, I've had headaches daily. These headaches do not last all day they just seem to come and go as short-lasting pains to the
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Mar 9, 2010, Sinus Headache Symptoms
My name is Nina, 28, working mother of 2 kids.I have had headaches everyday for at least 3 years. At first I was prescribed anti-biotic, which helped
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Mar 8, 2010, Migraine Triggers
Migraine triggers range from stress, depression and anxiety to food and hormone changes. Maintained by a headache specialist.
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Mar 7, 2010, Vitamin D Deficiency Symptoms
Vitamin D deficiency symptoms can be caused by not eating foods with Vitamin D. Maintained by a medical professional.
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Mar 4, 2010, Vitamin B12 Benefits
Vitamin B12 benefits range from maintaining memory to helping combate fatique. Maintained by a headache specialist in neurology.
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Mar 4, 2010, Recurring Headache Causes
There are many recurring headache causes, some are stress, some are medical conditions. Maintained by a headache specialist.
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Feb 27, 2010, Pain In Back Of Head
I have been having a pain in the upper left side of my head for over six months. I went to the doctor and they had me get two trigger shots. That has not
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Feb 25, 2010, Occipital Nerve Blocks For Chronic Headaches
Below is a copy of my recent newsletter about occipital nerve blocks and the occipital stimulator.
I have some exciting newer news about treatment of migraines and cluster headaches.
As we start to approach the spring months, cluster headaches will start to arise and those with chronic cluster headaches will suffer even more. Many times I will treat with starting verapamil once or twice day dosing, plus steroid for a week or two to break the headaches.
But what happens when nothing works?
The feeling at the present time, is that if a patient has failed on numerous medications and even botox for migraine headache then that person should consider occipital nerve blocks or stimulators.
The first step is an occipital nerve block. So what is that? Well it is similar to other nerve blocks. A small amount of steroid is mixed with a numbing agent, such as lidocaine, and injected around the nerve.
The occipital nerves run up the back of your head, just under the skin. The method is important as blocking these nerves has been shown in headache research over the last few years, to feedback into the brain and dampen headache pain.
If you are currently under a neurologist's care, this is an easy procedure that can be done in the office. You might want to discuss this with your doctor on the next visit.
So what does the nerve block have to do with the occipital stimulator? If you respond to the block, but then it wears off and the headaches return, you might be a good candidate for a stimulator.
First of all, start with your neurologist and ask for the nerve block. Then start talking to your doctor about the procedure. Be proactive and find out if he or she knows about any pain management doctors in your area doing the stimulators.
Don't just wait! You can always call a few pain management doctor offices and ask yourself if they are doing this.
Metronics and Boston Scientific are VERY hands on with these devices. They contact patients and walk them through alot of the necessary forms and procedure aspects. Many times the technical specialist for the company is in the OR during the procedure (with your permission). They also have a list of doctors in your area doing the prodcedure.
The official names for these devices are neurostimulators as they over stimulate nerves to deaden pain when used in the spine and can feedback to the brain for headaches.
Here is the Medtronics site neurostimulator information.
Here is the Boston Scientific site neurostimulator information.
Good luck, and remember there are always new research methods being developed for headache.
Mary Kay
Feb 24, 2010, Headache Back Of Head
I get headaches almost everyday in the back of my head and it's from like anywhere between where my neck meets my head to where my eyes would be if they
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Feb 24, 2010, Constant Headaches
(these constant headaches are) daily, unexplained headaches that are debilitating and getting worse. what is it and how can i make it go away? I've had
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Feb 22, 2010, Post Traumatic Headache
I have a friend that had a car accident a month later headaches started and she was feeling weak loss of appetite and weakness and she was even blacking
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Feb 20, 2010, Causes Of Migraine Headaches
my doctor says that i have blood vessels that have narrowed and i am not getting enough blood to my brain. i also have occipital neuralgia and arthritis
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Feb 16, 2010, TMJ Symptoms Causing Headache
can these headaches be brought on by tmj? ..cause my pain starts in the jaw area and go's to the neck and top of my head area ..i have sleep apena and
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Feb 16, 2010, Vitamin B12 Injections: Vitamin B12 Shots
Vitamin B12 injections, or vitamin B12 shots, are one option to start getting vitamin B12 benefits. Maintained by a medical professional in neurology.
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Feb 14, 2010, Valentine Headaches
How to avoid Valentine headaches..are you and your valentine stressed out over your headaches?
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Feb 13, 2010, Chronic Daily Headaches Migraines
I have been suffering from headaches since childhood. I am 44 now and they are much worse. Last year I went 15 days out of the year without a headache.
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Feb 10, 2010, Odd Headaches
Hello, I am trying to figure out what kind of headache I keep on having so that I can treat it accordingly. Everyone I have talked to doesn't know what
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Feb 8, 2010, Head Pain
hi i am having headache that last any where from 20 min to hours,some times days of off an on headaches. Sometime it starts in my eye or all over. My head
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Feb 7, 2010, Vitamin B12 Deficiency Symptoms
Vitamin B12 deficiency symptoms present as neurological symptoms and if severe can cause brain and nerve damage. Maintained by a headache specialist in neurology.
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Feb 4, 2010, What Does Vitamin B12 Do?
What does vitamin b12 do? Signs of vitamin b12 deficiency can include headache, migraines, numbness, tingling and memory loss. Maintained by a headache specialist in neurology.
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Feb 4, 2010, Vitamin Deficiency Symptoms
Vitamin deficiency symptoms can range from physical to emotional. For example, vitamin D overdosage can be as bad as vitamin D deficiency. Maintained by a headache specialist in neurology.
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Feb 3, 2010, Child Migraine Everyday
My 9 year old daughter has a headache almost everyday. I took her to the doctor today he thinks she has migraines. I am very worried; the headache is mostly
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Jan 31, 2010, Headache
i always have headache and i always need a pain killer for it, its getting too much now. how can it be stopped? Answer: Hi Ralph, Without more information
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Jan 29, 2010, Intractable Migraines
I've had migraines since I was about 4 years old (I called them eye-aches)and would have severe nausea with them. I'm now 54 years old and am getting
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Jan 29, 2010, Migraine lasting over a month
Hi, my name is Janice and I am 21 years old with new onset headache. It started Dec 25,2009 and continues to this day (Jan 28,2010) I went to the emergency
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Jan 24, 2010, Headache In Children
my 12 year old son has headache everyday...he has had blood test for lupas and varios others with all normal return, including eyes check.... any
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Jan 24, 2010, Severe Headache
I have suffered from headache with crawling feeling feeling on the left side of my head for many years. Now the pain has gone to the top of my head
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Jan 23, 2010, Daily Headache Over A Year
My name is Mary, 30 yr old mother of three. In 12/2008 I began having daily almost constant headaches ranging in pain from 1-10. Mainly left sided,
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Jan 23, 2010, Pediatric Familial Hemiplegic Migraines
I am the mother of a 3 1/2yr old boy who we believe is suffering from what we believe is FHM(familial hemiplegic migraine). He was initially
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Jan 19, 2010, Needle Free Sumatriptan Injectable- Sumavel Is Here!
Well it is finally here! For those of you who have always wanted a truly fast acting triptan for your migraines, but hate the thought of a needle, the answer is here.
Sumatriptan (generic form of Imitrex) is now available in a needle free injectable.
It really is a very easy system to use. Pull the cap off, pull down a plastic latch, put up to your skin and press. There is a soft "woosh" and the sumatriptan is on it's way to abolish that migraine.
I just received a demonstrator injector today..the samples or coupons should be available soon.
The link is to the Zogenix website, the makers of the product which is called Sumavel DosePro.
This should be a great option to avoid the sting of injections. After all, the pain of a migraine is enough to deal with don't you think?
Mary Kay
Jan 17, 2010, Reoccurring Headache Same Spot
I am 22 years old and was diagnosed with a panic disorder about a year ago, ever since i have been experienceing a recurring headache in the left
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Jan 16, 2010, Bad Headache
For about a week now a patient has had a very bad severe headache and went to the doctor. The doctor took blood work and it all came out normal and
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Jan 15, 2010, Headache After Sleeping
It remains a few hours. It is severe headache, unable to read any thing. Pressure goes to the head. I am suffering from it for the last 20 years. I
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Jan 15, 2010, Daily Occipital Headaches
I am a 31 y/o female with daily occipital headaches times 6 months. I was first diagnosed with tension headaches by my primary care physician. The
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Jan 15, 2010, Recurring Headaches
Hi, Until maybe the last few months or so, 95% of my headaches could be cured simply by drinking a bottle of water, indicating they were brought on
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Jan 13, 2010, Female Migraineurs May Be Resistant To Aspirin
A recent study was released by the National Headache Foundation regarding women who take aspirin. The study was done at two centers, the University of Washington, and in Sweden.
Many women in their 30's,40's and 50's are placed on low dose aspirin for stroke prevention. Most doctors believe this is enough, and recommend it as migraine can increase the risk of stroke.
This study of 650 people, demonstrated that 24% of female migraineurs on aspirin are resistant at that dose. What does this mean? It means the aspirin is not working to thin the blood the way it should.
If it is working then the patient is "sensitive".
We perform aspiring sensitivity testing in our practice. It is a simple blood test offered at major stroke centers, but unfortunately is not a standard test you can get at a lab.
Ususally when patients are resistant, I double the dose and restest in a few weeks. With very few exceptions, patients will become sensistive but it is a dose response between 162mg to rarely 650mg per day.
Clearly this is an area of concern to people with migraine headache symptoms and who may have other stroke risk factors such as smoking, obesity or birth control pills. Even family history of stroke is a risk factor.
If you are concerned, talk to your doctor. There may be a stroke center in your area offering this test. Someday it may become a standard test but for now you have to find it.
Good luck! Mary Kay
Jan 10, 2010, Headache Nasal Congestion
DEAR MAM, I HAVE HAD A HEADACHE PROBLEM FROM MORE THAN 3 YEARS AND I HAVE NASAL BLOCKING PROBLEM FOR 6 MONTHS. I HAVE DONE NASAL SURGERY LIKE
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Jan 6, 2010, Headache While Sleeping
Hi, I've had headaches for about a year (not a usual headache person). Been ok for a few months, was on amitryptyline until Oct. This week headaches
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Jan 6, 2010, Inositol for headache
I've had constant daily tension-type headaches all my life. Bilateral, usually centered in the temples; sometimes extending to behind the ears. Usually
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Jan 4, 2010, Glasses causes migraine
Everytime i put on a pair of glasses prescription or sunglasses i get a really bad migraine what causes this Answer: Hi Rebecca, Without more
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Jan 2, 2010, Noni tea for migraine
Hi Mary Kay, You have a great site with lots of great information. As a quick one I suffered from Migraines, but a trip to Fiji in 2004 I bought a
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Dec 30, 2009, Tylenol Side Effects
What are the tylenol side effects and can they be related to tylenol dosage? Maintained by a headache specialist.
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Dec 30, 2009, Tylenol Dosage: Causes of Tylenol Side Effects
Tylenol dosage can be a bit confusing if you have other medical conditions like migraine. What are the tylenol side effects? Maintained by a headache specialist.
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Dec 28, 2009, Ibuprofen Side Effects
What are the ibuprofen side effects and can they be related to ibuprofen dosage? Maintained by a headache specialist.
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Dec 28, 2009, Ibuprofen Dosage: Causes of Ibuprofen Side Effects
Ibuprofen dosage can be a bit confusing if you have other medical conditions like migraine. What are the ibuprofen side effects? Maintained by a headache specialist.
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Dec 28, 2009, Headache during sex
I am a 21 year old male, who about 3 years ago had sex and started to have extremely painful headaches, that is pounding and its deep into my neck and
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Dec 18, 2009, Burning Headache
I woke up last night with a headache I have never encountered before. A ring around my skull was burning. It was a severe sharp, burning ring around
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