Category: Headache & migraines

Occipital headache

A common type of headache is experienced in the back of the head, often shooting up the scalp and perceived as “back of the eye”. It is important to recognize because there are targeted pain interventional treatments that can be very effective. Occipital headache Occipital headache is headache experienced on the back of the head,…

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Anti-CGRP therapy for migraine

CGRP plays a key role in central chronic pain by mediating “neurogenic inflammation”. In this process, sensory nerves which usually carry electrical signal from the body instead broadcast inflammatory signals into it. CGRP is the most important of the inflammatory signals. Treating CGRP can be helpful for chronic migraine & pain. Neurogenic inflammation Small sensory…

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Treating pain at nerve-body interface

Small sensory nerves throughout the body gather information & interact with the body directly. This nerve-body interface underlies many diseases. In chronic pain, nerves cause “neurogenic inflammation” by activating blood vessels, skin, & immune cells. This is the site of action of many pain treatments. Key nerve-body interfaces Neural-vascular: Sensory nerves open blood vessels. This…

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Stylohyoid (Eagle’s) syndrome

Entrapment of nerves by the “stylohyoid complex” is an uncommon cause of neuropathic jaw & neck pain. This can be due to congenitally long styloid processes, or scarring after surgery or traumatic injury. The stylohyoid complex connects the hyoid bone — important in swallowing & tongue movement — to the head. Made of tough cartilage & bone, the complex…

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Medication overuse headache

Headache medications taken too regularly can paradoxically cause a new headache, called medication overuse headache (MOH), that is constant, over & above the primary headache. The treatment is to stop the medications & treat the primary headache. Central sensitization Using rescue headache medications every day changes the balance of neurochemistry (in particular serotonin) in the…

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Botox for migraine headaches

Botox injections once every 3 months can help reduce migraine sufferers by reducing headache frequency & severity. The Protocol Botox is injected in small doses to at least 31 spots around the head & neck. Benefits Botox takes effect 1–2 weeks after injection, and lasts for 10–12 weeks. By profoundly reducing tone & tension in…

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