Migraine is a neurological condition that can significantly impact an individual’s quality of life. Many people experiencing migraines have questions about their diagnosis and treatment options. Dr. Amaal Starling, a neurologist at Mayo Clinic, addresses some key concerns about migraines and their diagnosis.
Why Migraine Diagnosis Isn’t Always Visible on Scans
A common question is why migraines don’t appear on MRI scans. Dr. Starling explains that an MRI primarily assesses the brain’s structure, not its function. Migraine is characterized by abnormal brain function within a structurally normal brain. Therefore, an MRI, which focuses on structure, will not typically reveal a migraine diagnosis. The diagnosis of migraines relies on understanding the functional aspects of the brain rather than structural abnormalities.
Recognizing the Debilitating Nature of Migraine Pain
It can be difficult for those who don’t experience migraines to understand the intensity of the pain. Dr. Starling emphasizes that migraine is a highly disabling condition, recognized as the second leading cause of disability worldwide. The impact extends beyond just pain, encompassing symptoms like sensitivity to light and sound, nausea, and vomiting. Understanding the comprehensive nature of these symptoms is crucial in recognizing the severity of migraines.
Tailoring Treatment Frequency to Attack Frequency
Treatment plans for migraines are not one-size-fits-all. For individuals with infrequent migraine attacks, acute or rescue treatments may suffice. However, those experiencing migraines two to three times a week or more may require a preventive treatment approach. Frequent use of rescue medication can lead to complications, making preventive treatments essential for reducing the frequency and intensity of attacks. Preventive options range from daily medications to monthly or quarterly injectable treatments.
Non-Medication Strategies for Managing Migraine Symptoms
Even with preventive medication, some individuals may still experience migraine symptoms. Dr. Starling highlights the importance of non-medication options in these situations. Techniques such as biofeedback, relaxation methods, cognitive behavioral therapy, and non-medication devices can effectively manage migraine pain. These approaches offer valuable alternatives for days when rescue medication use needs to be limited or avoided.
Considering Neurotoxin Injections for Chronic Migraine Prevention
For chronic migraine, onabotulinum toxin A injections, commonly known as Botox, are a viable preventive treatment. Administered by a physician every 12 weeks, these injections can reduce the frequency and severity of migraine attacks. However, Dr. Starling advises consulting with a doctor to determine the most appropriate preventive treatment, as various options are available.
Empowering Yourself as a Partner in Your Migraine Care
Dr. Starling underscores the importance of patient-physician partnership in managing migraines. The first step is seeking medical advice. Many individuals with migraine symptoms have not consulted a healthcare professional. If headaches necessitate resting in a dark room or cause nausea, seeking professional help is crucial. Migraine is a chronic condition that can be effectively managed through patient education and advocacy. Learning about migraines, joining patient advocacy groups, and openly communicating with your medical team are vital steps in effective migraine management and shattering the stigma associated with this condition. Being informed and proactive are key to successfully navigating life with migraines.
