Headaches and Migraines
Did you know that 1 in every 4 American households suffers from headaches?
Did you know Mission Hospital has a board-certified headache specialist
(1 of only 30 in Orange County) that treats headaches through ganglion
blocks? We have acute in-patient headache protocols for management of
migraines and headaches.
Headaches are a very common disorder. The most common headaches include
tension-type headaches, migraine and cluster. Headache care and management
continue to be a significant problem due to disability and time lost from
work or other activities. Treatment options remain limited for both acute
treatment, when a headache begins, and for maintenance or preventive therapy.
Migraine remains one of the greatest problems due to the severity of the
headaches and associated neurological symptoms beyond the pain. Migraines
often are throbbing and severe, worsen with activity, and lead into nausea
and light or sound sensitivity. Mission Hospital doctors often provide
treatment plans that include medicines called triptans, which act upon
specific serotonin receptors of the brain to treat all symptoms of the
headache: pain, nausea, and light or sound sensitivity. Other acute treatments
may involve specific nerve blocks. If severe enough, inpatient infusion
therapy may be necessary. Chronic maintenance and preventive treatment
often include medicines that treat high blood pressure, or depression,
or seizures. Novel therapies include onabotulinum toxin (Botox), antihistamines,
and NMDA antagonists. New options that treat CGRP, may soon change the
way migraine is treated.
Headaches and the pattern often worsen over time, often due to the medicine
used to often treat pain. The concept of medication overuse headache,
or rebound, is often due to a vicious cycle of pain followed by a pain
reliever, leading to more pain. The most common treatment sot promote
rebound include butalbital compounds and opiates. The American Academy
of Neurology remains cautious on these treatments unless used as a last
resort only, and not in excess. Rebound headache can be considered in
any individual with progression of headache chronically taking a pain
reliever two to three times per week.
Mission Hospital provides services to address chronic care, with inpatient
service needs if necessary, making our the neurology services unique within
Would you like to learn more about our headache and migraine care? Call
us today at (877) 459-3627.