Initiating Discussions About Chronic Migraine and the Next Steps: Dolores Santamaria, MD
The director of the Headache Center at Allegheny Health Network provided perspective on the process of identifying a patient with chronic migraine and initiating a proper treatment plan. [WATCH TIME: 7 minutes]
WATCH TIME: 7 minutes
"For some patients, when I ask, ‘why are you here,’ they say headache evolution, and some will say migraine evolution. That’s a big difference. Some already call them migraine either because they were diagnosed prior or because they read."
Chronic migraine, which impacts on average less than 3% of the global population, typically evolves from episodic migraine, suggestive of progressive neurological disorder. With an average of at least 15 headache days per month, this type of disorder imparts a significantly greater burden than episodic migraine with disability scores reported to be nearly twice as high. Combining medicine with behavioral measures and lifestyle can often be the most effective way to handle migraines.
At the first sign of migraine, taking a breaking, turning off the lights, sipping a caffeinated drink in small amounts, can all be useful tips. Eating habits can also influence migraines. Being consistent with the times patients eat at, not skipping meals, logging a food journal, and avoiding foods that trigger migraines, are also tactics used to lessen the severity. For
Santamaria, director of the Headache Center at
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