Down Dog it, Migraine Warrior!

We need all the angles we can come up with to fight against migraines, especially when they are frequent and hard to treat. In a study from researchers in India called Effect of yoga as add-on therapy in migraine (CONTAIN): A randomized clinical trial, subjects with migraine and 4-13 headache days per month were randomized […]

Who needs a migraine after surgery?

For those with migraine, the presence of many potential triggers can be a daily minefield.  There are avoidable triggers (certain foods, drinks, activities or habits) and there are unavoidable triggers (menstrual cycle, weather or external stress.)  It’s pretty obvious that something like surgery could be a migraine trigger.  Really any physiologic disruption can trip the […]

The migraine / anxiety connection.

A recent article in the journal Headache called  Untangling the Association Between Migraine, Pain, and Anxiety: Examining Migraine and Generalized Anxiety Disorders in a Canadian Population Based Study, looked at the association between generalized anxiety and migraine headaches. The DSM V definition of Generalized Anxiety Disorder (GAD) is paraphrased as follows: Anxiety or worry over […]

Narcotic the loser in an acute migraine trial.

A clinical trial called Hydromorphone Versus Prochlorperazine + Diphenhydramine for Acute Migraine compared 2 treatment strategies for patients with severe migraine headaches, being treated in an Emergency Department setting.  The subjects were randomized to the narcotic hydromorphone (Dilaudid) 1 mg vs. prochlorperazine (Compazine) 10 mg and diphenhydramine (Benadryl) 25 mg all given intravenously.  The trial was stopped […]

Video killed the blog star.

Well, as we know radio is still around and so will be this blog. I have made some educational videos, mostly to promote conditions that I see in my White Plains, NY part-time neurology practice as well as in my regular practice in Norwalk, Connecticut. So far topics are:  Migraine, Parkinson’s Disease, and Stroke. They can be seen […]

A Study on Misdiagnosis of Multiple Sclerosis

I read an article called MS Misdiagnosis in the Era of McDonald Criteria, which reported on a presentation at the 2016 American Academy of Neurology meeting by researcher Dr. Andrew Solomon. The presentation was on a pilot study that started by asking a group of multiple sclerosis (MS) experts to recall examples of when they […]

Menopause means fewer migraines? Not so fast..

Migraine headaches, which are more common in women than men, are often hormonally influenced.  Menstrual migraine – migraines that occur regularly during menstruation – is a common phenomenon.  It’s probably the rapid fall in estrogen levels that triggers the migraine. It’s commonly thought, and often observed, that migraine frequency reduces after menopause -when estrogen levels […]

Control migraines with lifestyle regularity.

A study presented at the 17th Congress of the International Headache Society looked retrospectively at 100 subjects with chronic migraine (daily headaches) and 100 with episodic migraine.  The chronic migraine sufferers had about 25 headaches per month and the episodic migraine subjects had about 5-6 on average. All subjects were advised to follow a schedule of […]

Migraines can be triggered by: Lack of stress!

When I see a patient with migraine we talk about trigger-avoidance before talking about medications.  There are many potential triggers for migraine headaches, some of which, like certain foods, drinks, or activities, can be avoided.  The list is different for each person.  Then there are potential triggers that cannot be avoided, including low barometric pressure, […]

The arsenal for a migraine attack

There are headaches and there are headaches.  Almost all of us get them from time to time.  Rarely does it mean something is wrong inside the cranium.  My mentors always told me beware of headaches that are “First, Worst, or Cursed.”  Meaning if a person has lived their life without a single headache and then […]