Another paper by Dr Nicholas Silver courtesy of Hannah on CHRONIC migraine. This is very good indeed because we so rarely here this term used in a way that suggests we can feel this stuff 24/7. Who relates to this?
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"Although headaches are often the most prominent feature of chronic migraine, some people experience relatively little discomfort. Some patients with chronic migraine present with other predominant complaints:
neck or back pain
generalised body pains and tenderness
poor memory and forgetfulness
excess sensitivity to noise or light
numbness down one side of the face or body
exacerbation of irritable bowel symptoms
In such people, it is important to recognise that features of chronic migraine are also present and that vigorous and appropriate treatment of this condition may provide significant alleviation of these symptoms.
Certain factors may trigger a change from acute or chronic migraine and include hormonal changes, viral illness, stress, head injury etc. Often we can not identify a particular cause in individual cases. However, despite the initial trigger, it is most commonly the intake of painkillers and other acute attack medications(1) and/or caffeine (2) that keep it going. Even very small amounts may stop people getting better.
Successful management of chronic migraine involves laying down a good “foundation” of lifestyle. In other words, there is relatively little point treating with a migraine preventative drug if one has not done the basics. Like any foundation, it needs to be left in place long term!
The foundation of good management is:
No painkillers / acute attack medication
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