MIGRAINE PAIN DOCTORS

Our migraine pain doctors at Spine and Wellness Centers of America use evidence-based treatments to treat chronic migraine pain using Non-Surgical or Minimally Invasive pain relief techniques backed by science. No one should feel like they have to live with chronic migraines.  

Schedule your Chronic Migraine Pain Care appointment today 

Services from a professional pain care specialist can help you identify migraines and develop a precise treatment plan. Our doctors at Spine and Wellness Centers of America (SWCA) are here to answer all your migraine questions. Contact us today to learn more or schedule your appointment

Stages of a Migraine

Migraines are often referred to as attacks because of their progressive nature causing the headache to develop in stages (prodrome, aura, headache, postdrome.) 

  1. Prodrome is basically a warning stage where your mood is affected. You may feel high or low, happy or irritable. Your senses may also feel heightened, leaving things smelling or tasting off, and your body may feel tense and tired. 

  2. Aura generally occurs a few minutes to an hour prior to headache, but they can occur during or after some migraines. You may experience blind spots or see odd patterns or flashing lights around shapes. Motor and verbal auras are less common. 

  3. The headache stage is the pain stage. It’s characterized by throbbing, pulsating, pounding, drilling, and/or burning head pain. The suffer may also feel very stiff and be very sensitive to light, sound, and odor stimuli. 

  4. Postdrome is the hangover part of migraines. It may linger for several hours to days after the headache’s pain subsides. It’s accompanied by exhaustion, difficulty focusing, dizziness, and stimuli sensitivity. Like prodrome, it affects about 80 percent of all sufferers. 

 Frequently Asked Questions About Migraines 

What Are Migraines? 

A throbbing or pulsing pain, which usually occurs unilaterally on just one side of the head or in a particular area, is the primary characteristic of this type of headache.  The pain may vary in intensity from mild discomfort to so intense that it interferes with activities of daily living. The pain is also often progressive, meaning it can start off as a dull ache and progress in intensity. The pain is typically accompanied by light sensitivity, sound sensitivity, nausea, and/or vomiting. 

 

Are All Migraines The Same?

Migraines come in all shapes and sizes. Most last between four hours to three days, and they all can occur as regularly as every day to a rarely as once per year. Symptoms, however, can feel very different according to the type. 

How Long Do Chronic Migraines Last? 

Chronic migraines are characterized as lasting for at least 16 days out of the month, and status migrainosus is characterized as a single episode lasting over 72 hours.  Classic migraines have those aura symptoms in at least some episodes. They’re typically more severe more often in comparison to common migraines.  Around 80 percent of sufferers have absence (common) migraines. These are not preceded by pre-headache aura symptoms. 
 

What Are The Early Warning Signs Of A Migraine Attack? 

New sufferers often pay little mind to the early prodrome symptoms of migraines, which include difficulty sleeping, difficulty concentrating, nausea, fatigue, light/sound/smell sensitivity, and irritability that occur a few hours or days prior to the onset of pain. However, these symptoms are very important because they can direct your pain management care team to a treatment plan to lessen the severity of the upcoming headache stage. In most cases, the headache stage is most easily pinpointed by sufferers.

 

Is The Pain In A Certain Location? 

A migraine’s pain typically starts at the forehead, temples, or behind the eyes. As the headache continues, the pain may spread or even change sides. 

 

What Causes Migraine Pain? 

Researchers have extensively studied the pain of migraines. From a biological standpoint, the most common pain theory is that waves of brain activity by excited/agitated brain cells trigger the release of certain hormones, such as serotonin, that narrow blood vessels.  The exact cause of migraines, in general, remains a mystery to scientists, but we do know that migraines can be related to changes in the brain and your genetic makeup. Aside from foods and lack of sleep, your blood sugar levels, suffering jet lag, overexerting your body or mind, muscle tension, poor posture, emotional shock, anxiety, excitement, depression, and anxiety are all common triggers for attacks. 

 

Do Migraines Always Cause Pain? 

Silent migraines, also called acephalgic migraines, are a distinctive type of headaches that don’t cause physical migraine pain, but they can still be debilitating to sufferers. These migraines often cause aura symptoms of visual sensitivity and loss and dizziness. Some acephalgic sufferers also have gastrointestinal disturbances. 

 

What Are Retinal Migraines? 

Retinal migraines are often an indicator of more serious medical issues. This type of headache is characterized by a temporary loss of vision in a single eye. The vision loss can last from minutes to months. It can be a very terrifying experience.

 

What Role Does Stress Play In Migraines? 

Most major life changes, such as marriage, loss of loved ones, childbirth, and so forth, can cause emotional stress. However, everyday life events, such as work conflicts and financial pressures, also create stress. While any type of stress can trigger both migraines and tension headaches, it’s most often everyday stressors that are the culprit behind migraines. 

 

What Role Does Dehydration Play In Migraines? 

When the body loses fluids through perspiration or doesn’t receive enough fluids to stay properly hydrated, the brain responds by pulling away from the skull as it dehydrates and shrinks. This causes the pain of a dehydration headache. 

 

What Role Does The Lack Of Sleep Play In Migraines? 

Lack of sleep can be caused by either the inability to stay or go to sleep. Both are triggers for migraines, and research has shown that many sufferers find their migraines improve in severity and frequency when any underlying sleep disorder is professionally treated. 

 

What Role Does Food Have In Migraines? 

Consuming certain foodstuffs and drinks too much and/or too often can trigger migraines. Caffeine, aged foods, alcohol, MSG, chocolate, spiced foods, citrus, and aspartame are several common culprits. 

Can Migraines Affect Your Balance? 

Anyone experiencing migraines should be very cautious with movement. Around one-fourth of sufferers experience dizziness, making migraines one of the leading causes of dizziness amongst all medical ailments. Many sufferers of migraines also experience vertigo, which can make the room feel like it’s spinning.  It’s important to consult a professional if you’re suffering from migraines with vertigo and/or dizziness. Inner ear infections and tumors need to be ruled out since such issues can cause both migraines and balance issues. 

 

Can Migraines Cause Brain Damage? 

It’s important to consult a migraine pain doctor immediately if you suspect you’re suffering from migraines. Research shows that migraines can increase your risk of brain lesions and impact its long-term structure. 

 

Is There A Difference Between Stress-Induced Migraines And Chronic Migraines? 

Most stress-induced migraines start gradually, particularly in the middle or late day. They can last an hour to days, but you’ll note that they come and go as your stress levels rise and fall. Chronic migraines don’t necessarily correspond to particular events, and they often don’t come and go. Instead, the headache is noticeable over a long period of time; it just gets stronger or less noticeable from day-to-day. 

 

Do Migraines Need An MRI For Diagnosis? 

Unfortunately, an MRI isn’t able to diagnose or identify any type of headache, including migraines. An MRI’s importance in the diagnosis of migraines is in ruling them out as a symptom of certain life-threatening medical conditions, such as tumors, abscesses, and other brain abnormalities. 

 

Are Migraines Serious? 

Again, it’s vital to rule out certain more serious underlying causes of chronic migraines. With that said, migraines can be debilitating, excruciating, and diminish the quality of sufferer’s life, but they are rarely life-threatening. Uncontrolled migraines can also cause or worsen mental health issues, particularly when it comes to anxiety and depression. 

 

Migraines And Strokes 

You may have heard that certain “mini” strokes called TIAs ( transient ischemic attacks) are often mistaken for migraines. These occur when blood flow is temporarily cut off to the brain for a very short period of time. The occurrence isn’t as severe as a stroke, but it can cause symptoms similar to those of migraines. This is yet another reason to always consult a migraine pain doctor if migraines are suspected. Hemiplegic migraines often feel like TIAs because they also have symptoms of weakness across one side of the body and sensation abnormalities (loss of or pins and needles) along the affected side. 

Our expert team of award-winning migraine pain relief doctors with backgrounds in orthopedics, neurosurgery, pain care, and rehabilitation will create a long term treatment plan individualized to you, your unique pain and your goals.  We listen to your symptoms when others might not.  We conquer pain without surgical interventions in most cases using cutting edge pain relief techniques for migraine pain care (some of which are completely new to pain care and only offered by our doctors).  
From symptoms to triggers, migraines differ from a standard headache. Not all severe headaches are migraines, and not all migraines are severe headaches. The vast nature of migraines leads sufferers to have many questions about their occurrence and treatment. Spine and Wellness Centers of America (SWCA) would like to help you get those answers.  Our pain care doctors can help you determine if you suffer from one of the many types of migraines.   Our doctors and nurses spend a great deal of time with our patients, listening to symptoms and then we construct a detailed pain relief treatment plan based on science.  We will determine if your pain is coming from one or more sources, something that other doctors might not even consider when treating your symptoms.  
For some patients, non-surgical pain relief techniques might not be the best treatment plan for them.  When your pain calls for surgery, our neurosurgeons may suggest minimally invasive and advanced surgical approaches such as the mild® treatment (minimally invasive lumbar decompression) or DRG Neurostimulation (dorsal root ganglion neurostimulation). 
Patients suffering from acute migraine pain may be prescribed pain relief from in-office epidural steroid injections, soft tissue injections, or trigger point injections.  Often anti-inflammatories are prescribed in conjunction with other acute pain treatments and the condition resolves.  In other patients, acute pain is a precursor to a life of chronic pain, so it is important to determine the cause of pain and administer the correct pain relief procedure for lasting relief of chronic pain.

MIGRAINES & PAIN TREATMENT OPTIONS

at Spine and Wellness Centers of America

REGENERATIVE MEDICINE
Minimally Invasive Lumbar Decompression
MILD TREATMENT
DRG NEUROSTIMULATION
ELECTROMYOGRAPHY (EMG)
CELIAC PLEXUS BLOCK
DISCOGRAM
Discography Diagnostic
EPIDURAL STEROID
INJECTIONS
FACET JOINT TREATMENT
INTRATHECAL
DRUG DELIVERY
IV KETAMINE INJECTIONS
JOINT INJECTIONS
MEDIAL BRANCH BLOCKS
NERVE CONDUCTION STUDIES
SPINAL CORD STIMULATION (SCS)
SOFT TISSUE INJECTIONS
STEM CELL TREATMENT
TRIGGER POINT INJECTIONS
VERTEBRAL COMPRESSION FRACTURES
VITAMINS IVs
READ PATIENT TESTIMONIALS

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