Migraine & Headache Feature Archive

Surgical, Nonsurgical Treatments for Chronic Migraine: Evidence and Relevancy

Surgical, Nonsurgical Treatments for Chronic Migraine: Evidence and Relevancy

There are many procedural treatments for migraine that are effective and safe, including peripheral nerve blocks, trigger point injections, botulinum toxin injections, and sphenopalatine ganglion blocks.

Approved in Migraine, CGRP Antagonists Also Promising in Cluster Headache

Approved in Migraine, CGRP Antagonists Also Promising in Cluster Headache

Cluster headache and migraine are distinct primary headache disorders that are associated with substantial pain and disability.

Neuroimaging in Headache Disorders: When Is It Necessary?

Neuroimaging in Headache Disorders: When Is It Necessary?

The use of neuroimaging as a diagnostic tool remains at the discretion of the clinician, necessitating more research to improve clinical understanding of primary and secondary headaches.

Hemicrania Continua: Diagnosis and Treatment

Hemicrania Continua: Diagnosis and Treatment

Hemicrania continua, one of the trigeminal primary headaches, causes intense unilateral pain for ≥3 months.

Migraine Treatment in the ED: Overcoming Our Penchant for Opioids

Migraine Treatment in the ED: Overcoming Our Penchant for Opioids

There is significant evidence that opioids are not the right treatment of choice for migraine in the emergency department.

Persistent Poststroke Headache: Finding Its Place in Stroke Aftercare

Persistent Poststroke Headache: Finding Its Place in Stroke Aftercare

The continued observation of this delayed headache syndrome may point to a different pathophysiology from tension-type headache or acute poststroke headache.

Pediatric Migraine and Obesity: What We Know and Where We're Going

Pediatric Migraine and Obesity: What We Know and Where We're Going

Data in children do support an association between pediatric obesity and headache disorders in general, but more research is needed to confirm the association specifically with pediatric migraine.

Identifying Intracranial Hypertension in Children: Added Challenges

Identifying Intracranial Hypertension in Children: Added Challenges

Pediatric neurologist Lalitha Sivaswamy, MD, discusses challenges in diagnosing primary intracranial hypertension in pediatric patients.

Tumor-Related Headache: Path to Diagnosis, Treatment Isn't Always Obvious

Tumor-Related Headache: Path to Diagnosis, Treatment Isn't Always Obvious

Headaches are a common occurrence in the general population and are often present in patients with an underlying brain tumor, although it is not yet clear to what degree they are related.

Managing Comorbid Migraine and Mood Disorders: A Synergistic Approach

Managing Comorbid Migraine and Mood Disorders: A Synergistic Approach

People with migraines and comorbid mood disorders often need treatments that address both conditions, as well as management of sleep, stress, and lifestyle issues.

Addressing Rare Headache Disorders: Acute Confusional Migraine

Addressing Rare Headache Disorders: Acute Confusional Migraine

Acute confusional migraine has not been specifically studied and many clinicians remain unaware of the condition, which may result in underestimation of the prevalence.

Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Hormonal Contraceptives and Migraine: Is It Time to Revisit Stroke Risk?

Current oral contraceptive products contain lower doses of estrogen than those used in the past, prompting reconsideration of risks and benefits.

Confronting Postdural Puncture Headache in Clinical Practice

Confronting Postdural Puncture Headache in Clinical Practice

Nonpharmacological strategies, including bed rest, have a lack of evidence supporting their use in the treatment of postdural puncture headache.

Addressing Migraine That Mimics Stroke

Addressing Migraine That Mimics Stroke

Neurology Advisor spoke with Dr Peter McAllister about how to best discern migraine with aura from stroke.

Managing Pediatric Migraine: Current Therapies and Future Directions

Managing Pediatric Migraine: Current Therapies and Future Directions

Migraine is highly prevalent in children and adolescents, affecting almost 10% of children between 5 and 15 years old and 30% of adolescents between 15 and 19 years old.

Peripheral Nerve Blocks for Headache Disorders: Expert Roundtable

Peripheral Nerve Blocks for Headache Disorders: Expert Roundtable

Although high-quality studies on the use of peripheral nerve blocks for the treatment of headache disorders are scarce, results observed in clinical practice support their use.

Headache in Older Adults: Unique Causes and Treatments

Headache in Older Adults: Unique Causes and Treatments

It is important for clinicians to quickly and accurately determine potential underlying causes and to prescribe treatments that take into account comorbidities and medications that older patients may be taking for them.

Overlapping Headache and Sleep Disorders: Which Comes First and How to Treat?

Overlapping Headache and Sleep Disorders: Which Comes First and How to Treat?

Clinicians discuss the clinical implications of headache and comorbid sleep disturbances.

Sphenopalatine Ganglion Stimulation for Refractory Cluster Headache

Sphenopalatine Ganglion Stimulation for Refractory Cluster Headache

Emerging evidence suggests that sphenopalatine ganglion stimulation may be an effective treatment for refractory cluster headache.

Evaluating Headache in the Elderly: Primary vs Secondary Causes

Evaluating Headache in the Elderly: Primary vs Secondary Causes

Given the unique challenges presented by aging, new cases of headache in older adults should be evaluated carefully for a differential diagnosis of primary headache and to exclude underlying causes of secondary headache.

Growing Number of Genetic, Neuroimaging Markers for Migraine With Advances in Research

Growing Number of Genetic, Neuroimaging Markers for Migraine With Advances in Research

Advancements in research have led to the identification of a growing number of genetic and neuroimaging markers of migraine.

Managing Headache During Pregnancy: Expert Insight

Managing Headache During Pregnancy: Expert Insight

Headache screening should be a routine part of a prenatal visit so that if and when a patient presents with an attack, a suitable plan of action is already established.

Erenumab for Episodic Migraine Prophylaxis: Current Evidence

Erenumab for Episodic Migraine Prophylaxis: Current Evidence

The monoclonal antibody erenumab has shown favorable results regarding efficacy and safety for the prevention of migraine.

OnabotulinumtoxinA for Tension-Type Headache: Research vs Real-Life Settings

OnabotulinumtoxinA for Tension-Type Headache: Research vs Real-Life Settings

Despite its prevalence, tension-type headache is often complicated by overlapping symptoms and a weak understanding of tension-type headache etiology.

Migraine and Multiple Sclerosis: What Is the Link?

Migraine and Multiple Sclerosis: What Is the Link?

Increasing evidence suggests a relationship between migraine and multiple sclerosis that is beyond comorbidity and may help clarify the pathophysiology of both disorders.

Occipital Nerve Block, an Effective Option for Pediatric Headache

Occipital Nerve Block, an Effective Option for Pediatric Headache

Peripheral nerve blocks for pediatric headache treatment are associated with significant benefit and minimal risk.

Current and Emerging Behavioral Treatments for Migraine: Expert Q&A

Current and Emerging Behavioral Treatments for Migraine: Expert Q&A

Some patients with migraines prefer nonpharmacological approaches to treatment and for these patients, evidence-based behavioral treatments may be at least as effective for migraine prophylaxis as medication.

Incidental Findings on Brain MRI for Pediatric Headache

Incidental Findings on Brain MRI for Pediatric Headache

Although a range of incidental findings may be observed on MRI obtained in pediatric headache, they are rarely indicative of a serious underlying condition.

Expert's Insights Into Coverage Gap for Cluster Headache Oxygen Therapy

Expert's Insights Into Coverage Gap for Cluster Headache Oxygen Therapy

A recently published article exposes a gaping hole in the access to an effective first-line therapy for a portion of patients with cluster headache in the United States.

Examining the Link Between Migraine and Gastrointestinal Disorders

Examining the Link Between Migraine and Gastrointestinal Disorders

A recent study provides a comprehensive summary of the relevant published studies linking migraine and gastrointestinal or related disorders.

Patent Foramen Ovale Closure for Migraine: Weighing Risks and Benefits

Patent Foramen Ovale Closure for Migraine: Weighing Risks and Benefits

There is a suggested link between migraine and the presence of patent foramen ovale, with the suggestion that PFO closure surgery might be a preventative measure against future migraine attacks, but what are the consequences?

An Overview of Current Cluster Headache Treatment Options

An Overview of Current Cluster Headache Treatment Options

Cluster headaches are considered the most severe headache type and the most difficult to treat. In 2016, the American Headache Society released new evidence-based guidelines for the treatment of cluster headache.

Migraines and Gastrointestinal Disorders: Examining the Connection

Migraines and Gastrointestinal Disorders: Examining the Connection

A recent study by Doulberis and colleagues provides a comprehensive summary of the relevant published studies linking migraine and gastrointestinal or related disorders.

Pediatric Episodic Syndrome Linked to Migraine: Expert Q&A (Part II)

Pediatric Episodic Syndrome Linked to Migraine: Expert Q&A (Part II)

Almost 10% of pediatric patients with migraine also experience various episodic syndromes. Physicians Amy Gelfand and Diana Lebron weigh in on what to look for to help you find the right diagnosis.

Pediatric Episodic Syndromes Linked to Migraines: Signs and Symptoms (Part I)

Pediatric Episodic Syndromes Linked to Migraines: Signs and Symptoms (Part I)

Nearly 10% of pediatric patients with migraines also experience episodic syndromes involving symptoms such as vomiting, vertigo, or gastrointestinal pain.

Is Modern Urban Design Triggering Headaches?

Is Modern Urban Design Triggering Headaches?

The design of buildings has been departing further and further from the rule of nature; more and more stripes appear decade by decade, making the buildings less and less comfortable to look at.

Hemiplegic Migraine: Leveraging Genetic Susceptibilities to Identify Treatment Targets

Hemiplegic Migraine: Leveraging Genetic Susceptibilities to Identify Treatment Targets

While migraine is often triggered by environmental factors such as stress, impaired sleep, and menstruation, recent findings have shed light on the significant genetic influence associated with the disorder.

Arteriovenous Malformations-Related Headache Identification, Treatment

Arteriovenous Malformations-Related Headache Identification, Treatment

The mechanisms underlying the link between unruptured AVM and headache are unclear, and it is difficult to differentiate AVM-associated headaches with headaches of other origins.

Vestibular Rehabilitation an Effective Treatment for Vestibular Migraine

Vestibular Rehabilitation an Effective Treatment for Vestibular Migraine

Vestibular rehabilitation was found to ameliorate headache, dizziness, and psychological factors in patients with vestibular migraine or a combination of tension-type headache and dizziness.

Female Reproductive Stages and Migraine

Female Reproductive Stages and Migraine

The estimated overall prevalence of migraine is 18% in women and 6% in men, and the rate is as high as 37% among women during the reproductive years.

Homeostasis-related Headaches

Homeostasis-related Headaches

Although the underlying pathophysiology of homeostasis-related headaches is not yet clearly defined, the nervous and endocrine systems are thought to be involved through the maintenance of homeostasis.

Ten Steps to Successfully Treat Chronic Daily Headache

Ten Steps to Successfully Treat Chronic Daily Headache

A recent article outlined a 10-step program to assist clinicians in diagnosing and treating chronic daily headache.

Diagnosing and Treating Medication Overuse Headache

Diagnosing and Treating Medication Overuse Headache

Non-medication approaches such as biofeedback and cognitive behavioral therapy may be helpful adjunct therapies and may help with more long-term coping strategies.

Research Update on Alternative Migraine Treatments

Research Update on Alternative Migraine Treatments

Spinal cord stimulation, neurotechnology, acupuncture, neurostimulation: all effective in treating migraine, headaches.

Functional Neural Connectivity Underlying Pain Experienced in Migraine, Dysmenorrhea

Functional Neural Connectivity Underlying Pain Experienced in Migraine, Dysmenorrhea

Results from studies evaluating various pain modalities indicate alterations within and between resting state functional networks.

Guidelines for First-Line Treatment for Acute Migraine in the Emergency Department

Guidelines for First-Line Treatment for Acute Migraine in the Emergency Department

New guidelines for treatment of migraine in the ED seek to reduce opioid prescription.

Headache Red Flags for Primary Care

Headache Red Flags for Primary Care

Although most primary headaches can be managed by PCPs, some headaches warrant referral to a specialist.

Can We Make Football Safer?

Can We Make Football Safer?

Changing the stigma around and frequency of injury in football requires a collaborative, educational effort involving all stakeholders.

Psychiatric Comorbidities Common in Children With Chronic Headache

Psychiatric Comorbidities Common in Children With Chronic Headache

Children and teens with chronic headache pain and suspected of having an underlying psychiatric disorder should be screened for anxiety and depression.

Concussion Diagnosis: Keeping Your Head in the Game

Concussion Diagnosis: Keeping Your Head in the Game

Why is identifying concussion still such a grey area for sports medicine specialists?

What You Should Know About Concussion, the Film

What You Should Know About Concussion, the Film

Dr Conidi discusses some of the major points addressed in the blockbuster film that could impact clinical practice.

Migraine Preventive Medicine: A Research Update

Migraine Preventive Medicine: A Research Update

There is much promising research ongoing in the world of migraine prevention and treatment.

Peripheral Nerve Stimulation: A Possible Last Resort for Intractable Headache

Peripheral Nerve Stimulation: A Possible Last Resort for Intractable Headache

The Clinical Pain Advisor reviews a recent study in Pain Physician supporting the efficacy of an implanted peripheral nerve-stimulating device for chronic intractable headache. Although this device is not yet FDA approved, it may be a last-resort treatment for patients who have not had success using other types of therapy.

New Options for Migraine, Headache Management

New Options for Migraine, Headache Management

New delivery methods of medication and newer molecular entities for treatment offer hope for headache management.

How Migraines Alter The Aging Brain Process In Women

How Migraines Alter The Aging Brain Process In Women

Researchers compared the insular cortex of 46 female migraineurs to 46 women without migraine. The report concluded that the thinning of the cortex that normally occurs with age did not occur in the migraineurs.

Podcast: What You Should Know About Migraine Subtypes

Podcast: What You Should Know About Migraine Subtypes

Even though there's a variety of migraine subtypes on the books, there are two major subtypes: migraine without aura (characterized with specific features and associated symptoms) and migraine with aura (transient neurological symptoms that proceed or accompany a headache).

Filling In The Map On Migraine

Filling In The Map On Migraine

The future for people with migraines looks promising.

Calcitonin Gene-Related Peptide May Affect Migraine Treatment

Calcitonin Gene-Related Peptide May Affect Migraine Treatment

Genetically-engineered CGRP antibodies have proven effective in initial trials at reducing migraine days.

Sign Up for Free e-Newsletters